Flying brevet: a technique for mastectomy in female-to-male gender reassignment
**Background**: Several techniques are described for chest wall contouring in female-to-male (FTM) transgender patients, each with specific applications and limitations. Factors to consider are the aesthetic requirements of the male chest, elimination of anatomical female breast features, operative...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Australian Society of Plastic Surgeons
2020-03-01
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| Series: | Australasian Journal of Plastic Surgery |
| Online Access: | https://doi.org/10.34239/ajops.v3n1.160 |
| _version_ | 1797201242925039616 |
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| author | Jeannine Eva McManus Elise Bryant Hugh Bartholomeusz |
| author_facet | Jeannine Eva McManus Elise Bryant Hugh Bartholomeusz |
| author_sort | Jeannine Eva McManus |
| collection | DOAJ |
| description | **Background**: Several techniques are described for chest wall contouring in female-to-male (FTM) transgender patients, each with specific applications and limitations. Factors to consider are the aesthetic requirements of the male chest, elimination of anatomical female breast features, operative technique, scar minimisation and success of outcome. We describe the ‘flying brevet’ technique, named for the pattern of excised skin that resembles pilot’s wings. This procedure is tailored to FTM patients but can also be used for large gynaecomastia patients. We present a description of the technique with a retrospective review of outcomes and case series of patients who have undergone this procedure.
**Methodology**: This is a retrospective review of a single surgeon experience with 113 consecutive patients who have undergone the flying brevet technique. The approach involves a semicircular areolar incision, with superior skin resection and glandular resection. A planned second stage procedure may be performed for larger breasts if required.
**Results**: Seven per cent incidence of postoperative haematoma, one case of fat necrosis, one case of partial nipple-areolar-complex (NAC) necrosis and one case of full NAC necrosis in the series. There was one postoperative infection and six per cent incidence of hypertrophic scarring.
**Conclusions**: The flying brevet provides a consistent method of mastectomy for FTM chest wall reconstruction. It permits large glandular and skin resection in ptotic breasts with preservation of NAC circulation. The flying brevet is an additional technique that can be added to the current options for mastectomy in FTM chest wall reconstruction. |
| first_indexed | 2024-04-24T07:44:26Z |
| format | Article |
| id | doaj.art-429521c95ba341669dbba7b064e4e266 |
| institution | Directory Open Access Journal |
| issn | 2209-170X |
| language | English |
| last_indexed | 2024-04-24T07:44:26Z |
| publishDate | 2020-03-01 |
| publisher | Australian Society of Plastic Surgeons |
| record_format | Article |
| series | Australasian Journal of Plastic Surgery |
| spelling | doaj.art-429521c95ba341669dbba7b064e4e2662024-04-19T04:39:48ZengAustralian Society of Plastic SurgeonsAustralasian Journal of Plastic Surgery2209-170X2020-03-0131Flying brevet: a technique for mastectomy in female-to-male gender reassignmentJeannine Eva McManusElise BryantHugh Bartholomeusz**Background**: Several techniques are described for chest wall contouring in female-to-male (FTM) transgender patients, each with specific applications and limitations. Factors to consider are the aesthetic requirements of the male chest, elimination of anatomical female breast features, operative technique, scar minimisation and success of outcome. We describe the ‘flying brevet’ technique, named for the pattern of excised skin that resembles pilot’s wings. This procedure is tailored to FTM patients but can also be used for large gynaecomastia patients. We present a description of the technique with a retrospective review of outcomes and case series of patients who have undergone this procedure. **Methodology**: This is a retrospective review of a single surgeon experience with 113 consecutive patients who have undergone the flying brevet technique. The approach involves a semicircular areolar incision, with superior skin resection and glandular resection. A planned second stage procedure may be performed for larger breasts if required. **Results**: Seven per cent incidence of postoperative haematoma, one case of fat necrosis, one case of partial nipple-areolar-complex (NAC) necrosis and one case of full NAC necrosis in the series. There was one postoperative infection and six per cent incidence of hypertrophic scarring. **Conclusions**: The flying brevet provides a consistent method of mastectomy for FTM chest wall reconstruction. It permits large glandular and skin resection in ptotic breasts with preservation of NAC circulation. The flying brevet is an additional technique that can be added to the current options for mastectomy in FTM chest wall reconstruction.https://doi.org/10.34239/ajops.v3n1.160 |
| spellingShingle | Jeannine Eva McManus Elise Bryant Hugh Bartholomeusz Flying brevet: a technique for mastectomy in female-to-male gender reassignment Australasian Journal of Plastic Surgery |
| title | Flying brevet: a technique for mastectomy in female-to-male gender reassignment |
| title_full | Flying brevet: a technique for mastectomy in female-to-male gender reassignment |
| title_fullStr | Flying brevet: a technique for mastectomy in female-to-male gender reassignment |
| title_full_unstemmed | Flying brevet: a technique for mastectomy in female-to-male gender reassignment |
| title_short | Flying brevet: a technique for mastectomy in female-to-male gender reassignment |
| title_sort | flying brevet a technique for mastectomy in female to male gender reassignment |
| url | https://doi.org/10.34239/ajops.v3n1.160 |
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