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Power-assisted Liposuction and a Single Incision Pull-through Technique for Top Surgery: A Case Report.

Brendon A Bitoiu¹, Daniel E McKee²

¹Faculty of Medicine, University of British Columbia, Vancouver, B.C., Canada.

Plastic and Reconstructive Surgery. Global Open

|February 8, 2021

Summary

This summary is machine-generated.

This study presents a novel "pull-through" technique for female-to-male top surgery using liposuction. The method offers a low scar burden and preserved nipple sensation for suitable candidates with small breast volume.

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Area of Science:

Plastic Surgery
Gender Affirming Care
Minimally Invasive Surgical Techniques

Background:

Subcutaneous mastectomy, or

Observation:

A case study involving a 17-year-old patient seeking top surgery.
The patient had a small breast size (A cup, <100g glandular tissue/side), minimal ptosis, and good skin elasticity.

Findings:

A novel technique combining power-assisted liposuction with a single-incision, non-areolar
pull-through
method was employed.
This approach achieved favorable aesthetic outcomes, including reduced scarring and preserved nipple sensation, without complications.
The procedure is indicated for patients with specific characteristics: small breast volume, minimal ptosis, suitable nipple anatomy, soft tissue, and good skin elasticity.

Implications:

This technique offers a less invasive alternative for select top surgery candidates.
It highlights the potential for innovative surgical approaches in gender-affirming care.
Further research may explore the broader applicability and long-term outcomes of this method.