Masculinizing mastectomy for male transsexual’s gender reassignment

■ ABSTRACT

Introduction:

Masculinizing mastectomy is generally the first, most important and often the only surgical procedure for gender reassignment in male transsexuals. The objective is to describe and systematize the steps of the technique used by the author of the double-incision mastectomy associated with a free graft from the nipple-areola complex.

Methods:

Retrospective review of 26 patients who underwent masculinizing mastectomies (total of 52 breasts), performed using the technique used by the author, between November 2013 and January 2018.

Results:

84.6% of patients had surgery with a final horizontal scar in the inframammary fold, and 15.4% evolved with a final inverted “T” scar. The rate of major complications was 3.8%. There was one reoperation (3.8%) in the follow-up period. Mean breast weight was 1,136 grams, mean age was 27 years and nine months, mean body mass index was 26.6 kg/m², and 73% of patients received male hormone therapy before surgery.

Conclusion:

Mastectomy is a safe procedure, with good reproducibility and brings satisfactory aesthetic results.

Keywords:
Mammoplasty; Transsexualism; Sex reassignment surgery; Subcutaneous mastectomy; Gynecomastia