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. 2020 Jul;146(1):38-40.
doi: 10.1097/PRS.0000000000006913.

Technical Refinements in Gender-Affirming Top Surgery

Eduardo Gonzalez  1 , Jordan D Frey  1 , Rachel Bluebond-Langner  1
Affiliations

Technical Refinements in Gender-Affirming Top Surgery

Eduardo Gonzalez et al. Plast Reconstr Surg. 2020 Jul.

Abstract

Chest masculinization is the most common gender-affirming operation performed. With increased access to care and improved insurance coverage, there has been a marked increase in the number of procedures performed. A video is presented with narration focused on the surgical technique of a "double-incision" mastectomy for gender-affirming chest masculinization. The Fisher grading scale used in technique selection of double-incision versus periareolar mastectomy, based on patient-specific anatomical parameters, is reviewed. Technical pearls for refinement of the double-incision top surgery technique for gender affirmation are then demonstrated.

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