Abstract
Breast is the main external indicator of gender; this is the reason why chest wall contouring is material in male to female transsexual treatment.
After a period of hormonal therapy, mammogenesis generally occurs, but the volume obtained is rarely satisfactory, so breast augmentation mammoplasty is performed. Historically, many different techniques have been implemented, but prosthetic breast augmentation is nowadays the golden standard. The surgeon has to select the appropriate technique among those described for genetic female patient, based on patient’s anatomical condition, choosing between subglandular, submuscular, or dual-plane technique types I, II, or III. Our team created an algorithm of choice.
This chapter is aimed to describe and analyze specific surgical solutions.
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References
Coleman E, Bockting W, Botzer M, Cohen-Kettenis P, DeCuypere G, Feldman J, Fraser L, Green J, Knudson G, Meyer WJ, Monstrey S, Adler RK, Brown GR, Devor AH, Ehrbar R, Ettner R, Eyler E, Garofalo R, Karasic DH, Lev AI, Mayer G, Meyer-Bahlburg H, Hall BP, Pfaefflin F, Rachlin K, Robinson B, Schechter LS, Tangpricha V, van Trotsenburg M, Vitale A, Winter S, Whittle S, Wylie KR, Zucker K (2011) Standards of care for the health of transsexual, transgender, and gender-nonconforming people, version 7. Int J Transgenderism 13:165–232
Orentreich N, Durr NP (1974) Mammogenesis in transsexuals. J Invest Dermatol 63(1):142–146
Seal LJ, Franklin S, Richards C, Shishkareva A, Sinclaire C, Barrett J (2012) Predictive markers for mammoplasty and a comparison of side effect profiles in transwomen taking various hormonal regimens. J Clin Endocrinol Metab 97(12):4422–4428. doi:10.1210/jc.2012-2030
Dahl M, Feldman JL, Goldberg JM, Afshin J (2006) Physical aspects of transgender endocrine therapy. Int J Transgenderism 9:111–134
Lawrence AA (2007) Transgender health concerns. In: Meyer IH, North Ridge ME (eds) The health of sexual minorities: public health perspectives on lesbian, gay, bisexual and transgender population. Springer, New York, pp 437–555
Weyers S, Villeirs G, Vanherreweghe E, Verstraelen H, Monstrey S, Van den Broecke R, Gerris J (2010) Mammography and breast sonography in transsexual women. Eur J Radiol 74(3):508–513. doi:10.1016/j.ejrad.2009.03.018
Montagna W, Macpherson EE (1974) Some neglected aspects of the anatomy of human breasts. J Invest Dermatol 63(1):10–16
Ramselaar JM (1988) Precision in breast reduction. Plast Reconstr Surg 82(4):631–643
Edgerton MT (1974) The surgical treatment of male transsexuals. Clin Plast Surg 1(2):285–323
Kuiper B, Cohen-Kettenis P (1988) Sex reassignment surgery: a study of 141 Dutch transsexuals. Arch Sex Behav 17(5):439–457
Kanhai RC, Hage JJ, Mulder JW (2000) Long-term outcome of augmentation mammaplasty in male-to-female transsexuals: a questionnaire survey of 107 patients. Br J Plast Surg 53(3):209–211
Kanhai RC, Hage JJ, Karim RB (2001) Augmentation mammaplasty in male-to-female trans-sexuals: facts and figures from Amsterdam. Scand J Plast Reconstr Surg Hand Surg 35(2):203–206
Tebbetts JB (2001) Dual plane breast augmentation: optimizing implant-soft-tissue relationships in a wide range of breast types. Plast Reconstr Surg 107(5):1255–1272
Majdak-Paredes EJ, Shafighi M, Fatah F (2009) Unilateral hypoplastic breast in a male-to-female transsexual with Poland syndrome after gender reassignment–reconstructive considerations. J Plast Reconstr Aesthet Surg 62(3):398–401. doi:10.1016/j.bjps.2008.01.017
Argenta LC, VanderKolk C, Friedman RJ, Marks M (1985) Refinements in reconstruction of congenital breast deformities. Plast Reconstr Surg 76(1):73–78
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Papa, G., Ramella, V., Pascone, M. (2015). Surgical Therapy: Mastoplasty. In: Trombetta, C., Liguori, G., Bertolotto, M. (eds) Management of Gender Dysphoria. Springer, Milano. https://doi.org/10.1007/978-88-470-5696-1_16
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DOI: https://doi.org/10.1007/978-88-470-5696-1_16
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