PROSTHETIC AUGMENTATION OF BREAST IN MALE TO FEMALE TRANSGENDER
Abstract
Hormonal therapy and gender-confirming
surgeries are the treatment of choice in
appropriately selected male-to-female
transsexuals. Breast enlargement greatly
increases subjective feelings of femininity
in transsexual females. There are only
limited reports on augmentation mammoplasty
(AM) in transsexual females and
hardly any attention has been paid to the
differences between the female mammary
anatomy and its male counterpart.
The basic anatomic and surgical considerations
of AM for 20 male-to-female
transsexuals who were operated on from
2010 to 2013 are reviewed and discussed.
They include the differences between
male and female anatomy and
how to feminize the male chest, the results
of hormonal therapy and proper timing
of surgery, the choice of implant size
and surgical approach, the results that
may be expected after surgery, the expected
complication and the implications
of it on psychosocial outcome.
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