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Transgender patient satisfaction following reduction mammaplasty
L Nelson1, E J Whallett, J C McGregor
1Department of Plastic Surgery, St John's Hospital, Livingston, West Lothian EH51 6PP, UK. drlisanelson@hotmail.com
Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|December 18, 2007
Summary
Reduction mammaplasty significantly improves outcomes for female-to-male transgender patients. This gender-affirming surgery leads to high satisfaction and enhanced self-confidence.
Area of Science:
- Plastic Surgery
- Gender Affirming Care
Background:
- Female-to-male (FTM) transgender individuals often seek chest masculinization surgery.
- Reduction mammaplasty is a key component of chest masculinization for FTM patients.
Purpose of the Study:
- To evaluate the outcomes of reduction mammaplasty in female-to-male transgender patients.
- To assess patient satisfaction and psychological impact following the procedure.
Main Methods:
- A 5-year retrospective review of FTM patients undergoing reduction mammaplasty.
- Postal questionnaires assessed patient satisfaction, surgical results, and psychological morbidity.
Main Results:
- Seventeen FTM patients were included; 16 had bilateral reduction mammaplasties with free nipple grafts.
- Complications included hematomas, wound infections, dehiscence, and hypertrophic scars, with 7 patients requiring secondary surgery.
- All 12 respondents (70% response rate) reported satisfaction, no regret, improved self-confidence, and positive social interactions.
Conclusions:
- Reduction mammaplasty for FTM gender reassignment yields high patient satisfaction.
- The procedure positively impacts the quality of life for transgender individuals.