Dermal nipple-areola complex flap method in female to male gender affirming surgery.

Autor:	Bøkset MI; Department of Plastic Surgery, Sydvestjysk Sygehus, Esbjerg, Denmark mboekset@gmail.com., Carstensen LF; Department of Breast Surgery, Sydvestjysk Sygehus, Esbjerg, Denmark., Jensen JPN; Department of Plastic Surgery, Sydvestjysk Sygehus, Esbjerg, Denmark.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2021 Nov 17; Vol. 14 (11). Date of Electronic Publication: 2021 Nov 17.
DOI:	10.1136/bcr-2021-246395
Abstrakt:	Subcutaneous mastectomy plays a major role in female to male (FtM) gender affirming surgery, and obtaining a flattering chest contour remains a challenge to the surgeon. We present an operative method using a dermal nipple-areola complex (NAC) flap, with the aim to create a naturally masculine appearance, while reducing the risk of NAC complications by maintaining sufficient neurovascularisation. This case report describes how the novel approach may potentially be applied as an alternative to the traditionally performed free nipple graft technique in FtM gender confirming surgery. The technique is simple, provides an aesthetically appealing outcome and presumably poses a low risk of NAC complications. Intraoperatively, it allows for good exposure and a uniform removal of breast tissue, as well as repositioning and/or resizing of the NAC where required. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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