This means that patients will have two options for surgery: 1)modest implant augmentation or 2)staged expander placement and implant augmentation.īreast confirmation surgery has become a mainstay of gender reassignment surgery and is often the initial gender change surgery. Male patients desiring breast feminization are limited by the tightness of their skin and their short inframammary crease to nipple distance. Patients seeking a transformation from a male to a female are typically treated with breast augmentation surgery. This desire can only be achieved by utilizing circular techniques employed in high definition body contouring principles. Transgender females desire to appear more feminine from all viewed angles. Gender confirmation surgery is focused on transforming the breasts, abdomen, back, and buttocks. A breast sizing consultation is required to determine whether you can undergo a single-stage male-to-female transformation. If patients have been on hormones for extended periods, they may have developed some glandular tissue and lower breast pole lengthening, thus avoiding the need for a staged procedure. Stretching the lower breast pole skin allows for an increase in the nipple to inframammary crease distance, which will accommodate the desired implant size. The latter involves the placement of a lower-profile expander which can be used to stretch out the skin over three months, followed by expander removal and final implant placement. One year following augmentation, patients who desire more volume may have their implant replaced for a larger one once the skin between the nipple and inframammary crease has lengthened. This is because the male pectoralis muscle is much bulkier than the female pectoralis muscle and can result in dynamic deformities if the muscle is lifted to accommodate the more utilized subpectoral pocket. A final modification of male breast augmentation also involves the placement of the implant over the muscle rather than under the muscles, as done in female patients. This ensures harmony of the chest appearance with a nipple centered on the newly created implant. The former requires patients to be conservative with implant selection such that the nipple-to-inframammary crease distance matches the radius of their chosen implant. Transexual females desiring feminized breasts fall into two categories, those that desire a modest increase in their breast size and those that wish to have drastic enlargement of their chest. These prerequisites can only be achieved by expanding the breast mound fullness. Transformation of a male breast requires multiple features, including a fuller breast mound with a rounded perimeter and borders and enlarged areolas. A flatter chest mound characterizes the male breast. Male to female breast surgery involves transforming a masculine-appearing breast to a more feminine shape. Transgender females who undergo surgical procedures intended to provide gender confirmation surgeries will be well educated on the specifics of their surgery, the risk of complications, and a realistic appreciation of the expected outcomes. Genital surgeries are not performed at our center, but referrals can be provided to you upon request. Sex reassignment surgeries have focused on transforming the breasts, abdomen, back, and buttocks. Surgical techniques have been adopted from conventional surgeries to create gender-affirming surgeries. A combination of procedures is needed to achieve the postoperative outcomes that our transsexual patients desire. Although hormone therapy helps transsexual females feminize their features, gender reassignment surgery is often essential to completing their male-to-female transformation. Transgender patients consulted at SurgiSculpt have typically completed mental health professional assessments and been under the care of endocrinologists. At SurgiSculpt, we strive to help our transexual female patients achieve their dreams. Surgical procedures have been developed by modifying traditional surgeries. Male to female surgery is predicated on transforming the physical state of a transgender female from her male birth appearance to one that is more feminine.
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