Epidemiologic Characteristics and Postoperative Complications following Augmentation Mammaplasty: Comparison of Transgender and Cisgender Females

Cuccolo, Nicholas G.; Kang, Christine O.; Boskey, Elizabeth R.; Ibrahim, Ahmed M. S.; Blankensteijn, Louise L.; Taghinia, Amir H.; Lee, Bernard T.; Lin, Samuel J.; Ganor, Oren

doi:10.1097/gox.0000000000002461

Cited by 27 publications

(33 citation statements)

References 53 publications

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“…The reoperation rates were low in both. 13 Similar to studies published in the transfeminine population, studies reporting on postoperative complications after breast augmentation in ciswomen are variable in follow-up time and upheld definitions of complications. 13 Short-term complications requiring reoperation was infrequent in our study as well as in literature of ciswomen.…”

Section: Discussionmentioning

confidence: 89%

Long-term Follow-up and Trends in Breast Augmentation in 527 Transgender Women and Nonbinary Individuals: A 30-year experience in Amsterdam

Sijben

Timmermans

Lapid

et al. 2021

Journal of Plastic, Reconstructive & Aesthetic Surgery

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underwent breast augmentation and genital gender-affirming surgery in one-stage. Reoperations due to short-term complications were infrequent (hematoma (0.4%) or infection (0.4%)). Reoperations due to long-term complications comprised: implant rupture (5.7%), capsular contracture (4.9%), aesthetic problems (3.8%), low-grade infection (0.4%), or seroma (0.6%). In total, 2.5% of individuals requested larger implants. After performing the literature search and manuscript screening, 9 out of 115 identified studies were included for review. Follow-up time ranged from 30 days to 5.5 years. Reported complications requiring reoperation were capsular contraction (range 0.0-5.6%), asymmetry (3.6%), hematoma (range 0.0-2.9%), infection (range 0.0-0.9%) and implant rupture (0.7%), Conclusion: Implant-based breast augmentation is a safe procedure in transgender individuals.

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Section: Discussionmentioning

confidence: 89%

Long-term Follow-up and Trends in Breast Augmentation in 527 Transgender Women and Nonbinary Individuals: A 30-year experience in Amsterdam

Sijben

Timmermans

Lapid

et al. 2021

Journal of Plastic, Reconstructive & Aesthetic Surgery

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“…However, a larger, population-based study suggests that 30-day complication rates for transfeminine patients following breast augmentation are comparable to those for cisgender patients. 2 …”

Section: Discussionmentioning

confidence: 99%

“…Typically, these patients present older, with higher BMI, and with higher rates of certain comorbidities, including a history of smoking, depression, and anxiety. 2 , 5 Preoperative chest measurements and contours also differ significantly between transgender and cisgender women. Transgender women often present with a more robust pectoralis muscle, shorter nipple-to-inframammary fold distance, and longer sternal notch-to-nipple, breast width, and nipple-to-midline distances.…”

Section: Introductionmentioning

confidence: 97%

“…As such, feminizing chest surgery is increasingly being performed as a component of gender-affirming medical care for these patients. 2 Efforts to achieve a feminine breast contour typically begin with a minimum of 12 months of gender-affirming hormone therapy, but many transfeminine patients express interest in surgical intervention to achieve sufficient breast volume and a satisfactorily feminine appearance. 3 , 4 …”

Section: Introductionmentioning

confidence: 99%

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Use of the Subfascial Plane for Gender-affirming Breast Augmentation: A Case Series

Mehra

Kaufman-Goldberg

Meshulam-Derazon

et al. 2021

Plastic and Reconstructive Surgery - Global Open

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Background: Transgender women seeking gender-affirming breast augmentation often present with differences in preoperative chest measurements and contours in comparison with cisgender women. These include a more robust pectoralis muscle and limited glandular tissue, raising important considerations in determining the optimal anatomical plane for implantation. Abundant literature has described advantages and drawbacks of the available planes for breast augmentation in cisgender women. Certain drawbacks may be more pronounced for transgender women, given their distinct anatomy. The subfascial plane offers lower complication rates than the subglandular plane when using smooth implants, and avoids implant animation and displacement associated with the subpectoral plane. To our knowledge, existing studies have not yet addressed this discussion in the transfeminine population. The goal of this article is to highlight potential benefits of the subfascial plane for gender-affirming breast augmentation, utilizing a case series of 3 transfeminine patients, and to review the literature on surgical techniques and outcomes in this population. Methods: A retrospective chart review of patients presenting to a single surgeon for gender-affirming breast augmentation in 2019 was performed. A narrative literature review on surgical techniques and outcomes for gender-affirming breast augmentation was conducted. Results: Three cases of gender-affirming breast augmentation using subfascial implant placement are described. From the literature search, 12 articles inclusive of 802 transfeminine patients were identified. Conclusions: The subfascial plane represents an option for implant placement in gender-affirming breast augmentation that merits further investigation. There is a need for more research comparing surgical techniques and outcomes in the transfeminine population.

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“…Breast implant augmentation surgeries are considered safe with low complication rates (1.8%) (10). Approximately 1.4% of transfeminine patients may require reoperation for postoperative hematoma evacuation or abscess drainage, and ultrasound may be used for diagnosis or image-guided • Position the neophallus in dorsal orientation • Tumescent and de-tumescent series a, Saline implant integrity is best assessed initially at clinical examination without the need for imaging (9).…”

Section: Imaging Transfeminine Patientsmentioning

confidence: 99%

Multidisciplinary approach to imaging for gender-affirming surgery: engaging surgeons, radiologists, and patients to ensure a positive imaging experience

Stowell¹,

Zavaletta²,

Carroll³

et al. 2021

Ann Transl Med

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Medical imaging plays an integral role in the preoperative evaluation and postoperative management of transgender and gender diverse (TGD) patients who pursue gender-affirming surgery.Radiology department encounters can be a source of anxiety for patients of any demographic, including TGD patients. Although most imaging modalities are considered "non-invasive", certain imaging procedures and other aspects of the radiology encounter could be considered quite invasive to the TGD patient. The TGD patient may be worried that the imaging examination will have to address anatomy that they feel does not align with their gender identity, or reveal some abnormality or disheartening complication of their surgery.Simultaneously, the patient must also navigate potentially uncomfortable interactions with other patients in department waiting rooms, restrooms, and changing facilities as well as with radiology staff. As the referral source to imaging facilities, providers should advocate on behalf of their TGD patients. Referring providers should work with imaging facilities to ensure their patients will receive inclusive and affirming care and not be subject to discomfort on the part of gender identity or expression. Proactive and regular communication among radiology facilities, patients, and referring providers will ensure appropriate and sensitive care for this vulnerable population. A positive imaging experience can improve patient outcomes and the relationship between healthcare providers and the TGD community they serve.

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Epidemiologic Characteristics and Postoperative Complications following Augmentation Mammaplasty: Comparison of Transgender and Cisgender Females

Cited by 27 publications

References 53 publications

Long-term Follow-up and Trends in Breast Augmentation in 527 Transgender Women and Nonbinary Individuals: A 30-year experience in Amsterdam

Long-term Follow-up and Trends in Breast Augmentation in 527 Transgender Women and Nonbinary Individuals: A 30-year experience in Amsterdam

Use of the Subfascial Plane for Gender-affirming Breast Augmentation: A Case Series

Multidisciplinary approach to imaging for gender-affirming surgery: engaging surgeons, radiologists, and patients to ensure a positive imaging experience

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