Masculinizing mastectomy with nipple-areola graft autotransplantation for female-to-male transsexualism

Startseva O.I.; Safronov V.V.; Adamyan R.T.

doi:https://doi.org/10.17116/hirurgia202108163

Startseva O.I.

Sechenov First Moscow State Medical University

Safronov V.V.

Sechenov First Moscow State Medical University

Adamyan R.T.

Petrovsky Russian Research Center of Surgery;
National Medical Research Center for Dentistry, Oral and Maxillofacial Surgery

Masculinizing mastectomy with nipple-areola graft autotransplantation for female-to-male transsexualism

Authors:

Startseva O.I., Safronov V.V., Adamyan R.T.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2021;(8): 63‑68

DOI: 10.17116/hirurgia202108163

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To cite this article:

Startseva OI, Safronov VV, Adamyan RT. Masculinizing mastectomy with nipple-areola graft autotransplantation for female-to-male transsexualism. Pirogov Russian Journal of Surgery. 2021;(8):63‑68. (In Russ.)
https://doi.org/10.17116/hirurgia202108163

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

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OBJECTIVE

To develop the method of masculinizing mammoplasty with nipple grafting female-to-male transsexuals with BMI >30 kg/m², large breast volume and severe ptosis.

MATERIAL AND METHODS

There were 114 mastectomies in 57 patients with nipple grafting technique. The methods of areola grafting and scar design were modified to improve aesthetic results. Inclusion criteria were BMI >30 kg/m², breast size B+ and severe ptosis (Regnault grade ≥2). Anonymous survey for evaluation of aesthetic outcome and quality of life was performed a year after surgery.

RESULTS

Postoperative complications included hematoma (5.2%), seroma (7.9%), tangential graft necrosis (9.6%), wound dehiscence (0.8%), ligature-induced inflammation (1.7%), scar hypertrophy (12.2%). Three patients (5.2%) developed nipple hypersensivity in long-term postoperative period. Three patients (5.2%) required redo urgent surgery for hematoma. Additional surgical correction of scar hypertrophy was performed in 4 patients (7%). In a year after surgery, patients rated aesthetic postoperative result as 4.45 out of 5 scores.

CONCLUSION

Masculinizing mammoplasty with areola autotransplantation is preferable for FtM transsexuals with large breast volume and severe ptosis. This surgery ensures a good aesthetic result with minimal secondary corrections and complication rate.

Keywords:

bilateral mastectomy

female to male transsexuals

masculinizing mammoplasty

sex reassignment surgery

Authors:

Startseva O.I.

Sechenov First Moscow State Medical University

Safronov V.V.

Sechenov First Moscow State Medical University

Adamyan R.T.

Petrovsky Russian Research Center of Surgery;
National Medical Research Center for Dentistry, Oral and Maxillofacial Surgery

Received:

07.04.2021

Accepted:

10.05.2021

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