Current surgical techniques for nipple reduction: A literature review

Trøstrup, Hannah; Saltvig, Iselin; Matzen, Steen Henrik

doi:10.1016/j.jpra.2019.06.002

Cited by 6 publications

(2 citation statements)

References 32 publications

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“…The most common chest masculinisation technique involves separation of the nipple-areola complex from underlying tissue and excision of the nipple and areola which are then grafted back onto the reduced breasts in what is called "free nipple grafting" (10). Nipple reduction is a common adjunct, for which variety of techniques are used (4,11); many result in a modified nipple with no functional orifices for milk removal [e.g., (12)].…”

Section: Introductionmentioning

confidence: 99%

Breastfeeding grief after chest masculinisation mastectomy and detransition: A case report with lessons about unanticipated harm

Gribble

Bewley

Dahlen

2023

Front. Glob. Womens Health

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An increasing number of young females are undergoing chest masculinsation mastectomy to affirm a gender identity and/or to relieve gender dysphoria. Some desist in their transgender identification and/or become reconciled with their sex, and then revert (or detransition). To the best of our knowledge, this report presents the first published case of a woman who had chest masculinisation surgery to affirm a gender identity as a trans man, but who later detransitioned, became pregnant and grieved her inability to breastfeed. She described a lack of understanding by maternity health providers of her experience and the importance she placed on breastfeeding. Subsequent poor maternity care contributed to her distress. The absence of breast function as a consideration in transgender surgical literature is highlighted. That breastfeeding is missing in counselling and consent guidelines for chest masculinisation mastectomy is also described as is the poor quality of existing research on detransition rates and benefit or otherwise of chest masculinising mastectomy. Recommendations are made for improving maternity care for detransitioned women1. Increasing numbers of chest masculinsation mastectomies will likely be followed by more new mothers without functioning breasts who will require honest, knowledgeable, and compassionate support.

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Section: Introductionmentioning

confidence: 99%

Breastfeeding grief after chest masculinisation mastectomy and detransition: A case report with lessons about unanticipated harm

Gribble

Bewley

Dahlen

2023

Front. Glob. Womens Health

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“…There are four major surgical techniques for nipple reduction: circumcision, amputation, wedge resection, and flaps [2]. These four techniques are illustrated in Fig.…”

Section: Introductionmentioning

confidence: 99%

A novel technique for nipple reduction surgery: the tripod wedge resection method

Choi

You

Lee

et al. 2021

Arch Aesthetic Plast Surg

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Nipple size varies from person to person, but having a large nipple, or macrothelia, can be a concern for some women; therefore, some surgical methods have been developed for the reduction of nipple size. Conventional surgical methods for nipple reduction are classified into two types according to their purpose: reduction of length and reduction of diameter. For reduction of length, soft tissue is resected (except the central supplying vessel) and shortened by circumferential repair. The disadvantage of this method is possible necrosis of the nipple and impairment of the lactiferous duct. For reduction of diameter, a wedge-shaped resection is done from side to center and the defect is covered by a local advancement flap. The disadvantage of this method is the locally focused tension line, which is associated with unfavorable aesthetic outcomes. In this article, we present a case involving a novel method of nipple reduction surgery, referred to as the tripod wedge resection technique, which has three benefits compared to conventional nipple reduction surgery: simultaneous reduction of both length and diameter, relative safety for the vasculature and lactiferous duct, and an evenly tensioned incision line.

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Male Nipple Reduction

Friedman

2024

A Comprehensive Guide to Male Aesthetic and Reconstructive Plastic Surgery

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Current surgical techniques for nipple reduction: A literature review

Cited by 6 publications

References 32 publications

Breastfeeding grief after chest masculinisation mastectomy and detransition: A case report with lessons about unanticipated harm

Breastfeeding grief after chest masculinisation mastectomy and detransition: A case report with lessons about unanticipated harm

A novel technique for nipple reduction surgery: the tripod wedge resection method

Male Nipple Reduction

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