Retrospective Study of Prosthetic Augmentation Mammoplasty in Transwomen

Introduction Hormonal therapy and gender-conforming surgeries are the treatments of choice in appropriately selected male-to-female transsexuals. The Prosthetic Augmentation Mammoplasty (PAM) in transwomen is the second most common sex conforming procedure performed in our department. Aim This stud...

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Main Authors: T. M. Balakrishnan, Sandeep Nagarajan, J. Jaganmohan
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2020-03-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1709427
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author T. M. Balakrishnan
Sandeep Nagarajan
J. Jaganmohan
author_facet T. M. Balakrishnan
Sandeep Nagarajan
J. Jaganmohan
author_sort T. M. Balakrishnan
collection DOAJ
description Introduction Hormonal therapy and gender-conforming surgeries are the treatments of choice in appropriately selected male-to-female transsexuals. The Prosthetic Augmentation Mammoplasty (PAM) in transwomen is the second most common sex conforming procedure performed in our department. Aim This study was aimed to assess the esthetic outcomes of PAM performed from 2007 to 2017 in 42 transwomen. Patients and Methods It is a retrospective study wherein the documents of 42 transwomen who had undergone PAM were reviewed. Twenty-three transwomen who had pinch fold thickness more than 2.5 cm had undergone subglandular/subfascial (SG/SF) plane augmentation; rest had dual plane augmentation. All the cases were followed-up for an average period of 45 months. A validated institutional score for subjective assessment and objective assessment (by two independent observers) were used at the end of follow-up period. Statistical Analysis Used Student’s t-test was used for statistical analysis. Results On an average, 92.85% of transwomen achieved grade-A score with both subjective and objective assessment scoring system. Conclusion PAM gives a finishing and colossal touch for transwomen to orient their somatic sex to psychic sex. To get the best cosmetic outcomes and lasting results the PAM in transwomen has to be made a more reasoning and scientific procedure rather than an emotional and irrational procedure. Author’s PAM approach facilitates transwomen to rejoice their veritable total genderness in harmony with their gender identity.
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spelling doaj.art-46a936edbc4046d3a7d470a4bf43d1c62022-12-21T19:31:59ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2020-03-01530104205010.1055/s-0040-1709427Retrospective Study of Prosthetic Augmentation Mammoplasty in TranswomenT. M. Balakrishnan0Sandeep Nagarajan1J. Jaganmohan2Department of Plastic and Faciomaxillary Surgery, Madras Medical College, Chennai, Tamil Nadu, IndiaDepartment of Plastic and Faciomaxillary Surgery, Madras Medical College, Chennai, Tamil Nadu, IndiaDepartment of Plastic and Faciomaxillary Surgery, Madras Medical College, Chennai, Tamil Nadu, IndiaIntroduction Hormonal therapy and gender-conforming surgeries are the treatments of choice in appropriately selected male-to-female transsexuals. The Prosthetic Augmentation Mammoplasty (PAM) in transwomen is the second most common sex conforming procedure performed in our department. Aim This study was aimed to assess the esthetic outcomes of PAM performed from 2007 to 2017 in 42 transwomen. Patients and Methods It is a retrospective study wherein the documents of 42 transwomen who had undergone PAM were reviewed. Twenty-three transwomen who had pinch fold thickness more than 2.5 cm had undergone subglandular/subfascial (SG/SF) plane augmentation; rest had dual plane augmentation. All the cases were followed-up for an average period of 45 months. A validated institutional score for subjective assessment and objective assessment (by two independent observers) were used at the end of follow-up period. Statistical Analysis Used Student’s t-test was used for statistical analysis. Results On an average, 92.85% of transwomen achieved grade-A score with both subjective and objective assessment scoring system. Conclusion PAM gives a finishing and colossal touch for transwomen to orient their somatic sex to psychic sex. To get the best cosmetic outcomes and lasting results the PAM in transwomen has to be made a more reasoning and scientific procedure rather than an emotional and irrational procedure. Author’s PAM approach facilitates transwomen to rejoice their veritable total genderness in harmony with their gender identity.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1709427prosthetic augmentation mammoplastymale to female transsexualstranswomenhormonal mammogenesisfeminizing male chestgender dysphoria
spellingShingle T. M. Balakrishnan
Sandeep Nagarajan
J. Jaganmohan
Retrospective Study of Prosthetic Augmentation Mammoplasty in Transwomen
Indian Journal of Plastic Surgery
prosthetic augmentation mammoplasty
male to female transsexuals
transwomen
hormonal mammogenesis
feminizing male chest
gender dysphoria
title Retrospective Study of Prosthetic Augmentation Mammoplasty in Transwomen
title_full Retrospective Study of Prosthetic Augmentation Mammoplasty in Transwomen
title_fullStr Retrospective Study of Prosthetic Augmentation Mammoplasty in Transwomen
title_full_unstemmed Retrospective Study of Prosthetic Augmentation Mammoplasty in Transwomen
title_short Retrospective Study of Prosthetic Augmentation Mammoplasty in Transwomen
title_sort retrospective study of prosthetic augmentation mammoplasty in transwomen
topic prosthetic augmentation mammoplasty
male to female transsexuals
transwomen
hormonal mammogenesis
feminizing male chest
gender dysphoria
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1709427
work_keys_str_mv AT tmbalakrishnan retrospectivestudyofprostheticaugmentationmammoplastyintranswomen
AT sandeepnagarajan retrospectivestudyofprostheticaugmentationmammoplastyintranswomen
AT jjaganmohan retrospectivestudyofprostheticaugmentationmammoplastyintranswomen