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Engineered Vascularized Muscle Flap
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Gender-affirming DIEP Flap Breast Augmentation.

Ian T Nolan1, Brandon E Alba1, Brielle Weinstein2

  • 1From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Rush University Medical Center, Chicago, Ill.

Plastic and Reconstructive Surgery. Global Open
|October 4, 2024
PubMed
Summary
This summary is machine-generated.

This case report introduces a new autologous technique for gender-affirming breast augmentation (GABA) using deep inferior epigastric artery (DIEP) flaps. The novel approach offers a successful alternative to implants, with high patient satisfaction and no complications.

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Area of Science:

  • Plastic Surgery
  • Gender-Affirming Care
  • Microsurgery

Background:

  • Implant-based methods are standard for gender-affirming breast augmentation (GABA).
  • Autologous tissue techniques offer potential advantages but are less common for GABA.
  • Established DIEP flap procedures are widely used in breast reconstruction.

Purpose of the Study:

  • To describe a novel autologous technique for gender-affirming breast augmentation (GABA) using DIEP flaps.
  • To report a single-patient case study adhering to WPATH Standards of Care version 8.
  • To evaluate the efficacy, safety, and patient satisfaction of this novel GABA approach.

Main Methods:

  • A case report detailing gender-affirming deep inferior epigastric artery (DIEP) flap breast augmentation.
  • Prepectoral tissue expanders placed during facial feminization surgery.
  • Bilateral breast augmentation using DIEP flaps, followed by planned revisions.

Main Results:

  • Successful bilateral breast augmentation using DIEP flaps with high patient satisfaction.
  • No complications were reported post-procedure.
  • Identified anatomical differences in transgender patients required modifications to standard DIEP flap techniques.

Conclusions:

  • This case report presents a novel autologous approach to gender-affirming breast augmentation (GABA) using DIEP flaps.
  • The technique demonstrates successful outcomes, patient satisfaction, and avoids implant-related risks.
  • Adaptations are necessary to address unique anatomical considerations in transgender patients compared to postmastectomy reconstruction.