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

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.