The two appropriate techniques for the chest treatment in transgender boys are subcutaneous masculinization mammoplasty and the free nipple graft masculinization mammoplasty, both selected according to the previous breast.
In this technique we remove excess gland below the areola or nipple. We make an incision right at the edge of the areola, as a result the scar is hidden when it is placed in the pigmentation change zone at the same time, through this incisión, we can remove the gland.
In a second step in the same surgical procedure we perform a thoracic regularization vibramatic liposuction to provide the patient a contour and male thoratic shape, that is, a relief in the area of the pectoralis muscle and a narrower conical thoracic contour below in the area of the waist, that at the top. We finally reduce the size of the areola to be similar to the male size. The mammary gland is always sent to the pathologist for it’s analysis.
Type of anesthesia
Type of surgery
Percutaneous with Lipomatic liposuction.
Subcutaneous Masculinization MammoplastyMasculinization
Surgical procedure and hospital admission
Blood analysis evaluation
It‘s a surgical technique that is performed on transsexual people who have a small breast with elastic skin. If it’s the best option for the person who is consulting, taking into account his preoperative breast, it’s the ideal technique since it leaves very little scar, we remove the gland just below the nipple and reduce the areola.
Yes, it’s not frequent but it can occur. A part of the vascularization is conserved, but a part of the blood supply reaches the nipple through the gland, which is remouved along with the vascularization. When entering to remove the gland through the lower edge of the nipple, we are cutting the radial vessels that also vascularize the nipple so we leave a very precarious irrigation in the postoperative period. Necrosis and loss is very rare in this technique, but it can also occur due to the above.
No, In this technique the site cannot be modified, it can only be modified in the previously described technique, with the free nipple graft.
The areola is partially reduced but it is recommended in the case of large nipples, to reduce them but in a second procedure, since if done in the first operation, vascularization may be compromised and consequently the nipple can be lost. The second surgery to reduce the nipples is very simple, it is done under local anesthesia, on an outpatient basis and lasts about 20 minutes, recovery is very fast.