Gender Affirming Body Contouring and Physical Transformation in Transgender Individuals

Asokan, Arjun; Sudheendran, Madhu K.

doi:10.1055/s-0042-1749099

Cited by 8 publications

(5 citation statements)

References 23 publications

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“…In fact, it was initially described and popularized by Verdugo 8 and Kudzaev and Kraiushkin, 9 among other authors. 18 – 20 We adopted the technique from Kudzaev due to its reproducibility and reliability compared with that from other procedures. However, most of these prior studies did not report statistical analysis or have an objective outcome evaluation.…”

Section: Discussionmentioning

confidence: 99%

Ultrasonic- and Ultrasound-assisted Improvement of Silhouette of the Torso: Bone Structure High-definition Remodeling (Part I)

Oñate Valdivieso,

Hoyos

et al. 2024

Plastic and Reconstructive Surgery - Global Open

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Background: High-definition liposculpture allowed plastic surgeons to achieve better aesthetic results by carving the underlying muscles and contours in a new way. Several authors have improved the original technique by adding other procedures and new technologies. We designed a new improvement by incorporating bone transformation surgery to overcome the lack of silhouette at the waist and, as a result, optimize the breast-waist-hip ratios. Methods: We carried out a prospective multicenter study, with five different surgeons performing the same rib remodeling technique for waist definition. We used an ultrasonic piece for costal corticotomy and real-time ultrasound imaging to perform green-stick fractures over the last two or three floating ribs. Ours is a new technique based on the prior one described by Kudzaev. Results: We reported 131 consecutive patients who were enrolled in this study. Waistline diameter decreased an average of 8 cm after surgery (P < 0.05). Most patients were women (n = 125, 95.4%). No major complications were reported. Most common complication was prolonged pain, with only three cases of contour asymmetry, all of which were attributable to noncompliance of constantly wearing the corset + compressive garments. Patients reported a high satisfaction rate and fast recovery (Body-QoL survey). Conclusions: Ultrasonic- and ultrasound- assisted indentation surgery of the thorax is a safe and reliable technique for waistline definition, with a high satisfaction rate, almost-invisible scars, and minimal risk for complications. Incorporation of high-definition liposculpture to rib remodeling opens up a new horizon for bone structure modification surgery (S-high-definition remodeling) that can be safely performed for patients who seek better aesthetic outcomes in body contouring.

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Section: Discussionmentioning

confidence: 99%

Ultrasonic- and Ultrasound-assisted Improvement of Silhouette of the Torso: Bone Structure High-definition Remodeling (Part I)

Oñate Valdivieso,

Hoyos

et al. 2024

Plastic and Reconstructive Surgery - Global Open

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“…The procedure stems from open reduction and internal fixation surgery, a surgery used to treat complex middle third clavicle fractures [21]. This procedure involves the removal of a segment of the middle third of the clavicle, with plates used to fix the bone [21,22]. Shoulder feminization surgery uses the foundation of this procedure for its aesthetic results.…”

Section: Claviclementioning

confidence: 99%

Skeletal Manifestations of Gender-Affirming Medical Interventions for Aiding in the Preliminary Identification of Trans Individuals

Albanese,

Nemett

2024

Humans

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Because of systemic discrimination, transgender individuals are at greater risk of being the victims of violence and of homicide. Accurate post-mortem identification from skeletonized remains of transgender individuals must be incorporated into a new standard for forensic anthropological analyses. A critical component of any investigation is the assessment of skeletal remains for evidence of gender-affirming care. A systematic review of the current medical literature was conducted to compile in one document descriptions of changes that could be used by forensic anthropologists to recognize skeletal manifestations resulting from gender-affirming surgeries, including facial feminization surgery (FFS), shoulder width reduction surgery, and limb-lengthening procedures. These skeletal changes, when present bilaterally and without evidence of healed trauma, serve as key indicators of a person’s transgender identity postmortem. Recognizing common patterns in bone structure alterations due to gender-affirming interventions will assist in identifying transgender individuals and providing closure for families. By integrating markers from gender-affirming care practices into forensic investigations, this research contributes to more inclusive and rigorous forensic investigations.

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“…Hormone therapy helps trans patients achieve soft tissue characteristics of the gender they identify with; however, if started after puberty, the change might not be to the extent that the patient desires [ 7 , 8 ]. This is why body contouring is an important aspect of gender dysphoria mitigation, allowing trans patients to overcome the incongruity between how they look and their gender identity [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…There have been previous reviews about this topic, especially for chest wall contouring procedures in trans male patients [ 11 ], and since then, there has been an increase in the number of patient-reported outcomes (PROs) with validated surveys such as the BODY Q and others [ 12 ]. However, there are still some gaps in knowledge as to which are the best approaches and which types of surgical techniques yield the most patient satisfaction [ 3 , 6 , 7 , 8 ]. A systematic review was performed to evaluate the up-to-date studies, including upper and lower body procedures, that evaluate surgical outcomes, aesthetic results, and patient-reported outcomes specifically in transgender and non-binary patients [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, there are still some gaps in knowledge as to which are the best approaches and which types of surgical techniques yield the most patient satisfaction [ 3 , 6 , 7 , 8 ]. A systematic review was performed to evaluate the up-to-date studies, including upper and lower body procedures, that evaluate surgical outcomes, aesthetic results, and patient-reported outcomes specifically in transgender and non-binary patients [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

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Body Contouring as Gender-Affirming Surgery in Transgender Patients: A Systematic Review of the Current Literature

Aristizábal,

Ríos-Sánchez,

Escandón

et al. 2024

JCM

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Background: There is an increasing demand for body contouring and gender-affirming surgeries, and so is the need to compare outcomes between techniques. Gender dysphoria is a discrepancy between gender identity and the sex assigned at birth. One way to address this is to perform procedures to enable patients to look according to their desired gender identity. Gaps in knowledge regarding the best approaches and which surgical techniques yield the most patient satisfaction remain. This article summarizes up-to-date studies, including upper and lower body contouring procedures. Methods: A systematic review was performed using terms related to body contouring in gender-affirming surgery for transgender patients. All articles included surgical and patient-reported outcomes following either chest or lower body contouring procedures. Results: 15 studies, including trans male chest wall contouring, trans female breast augmentation, and lower body contouring, with 1811 patients, fulfilled the inclusion criteria. The double incision (DI) techniques consistently resected more tissue and had better BODY Q scores than non-overweight patients. Bleeding was increased in periareolar, semicircular, and obese patients with DI techniques. Nipple depigmentation and sensation loss were more common with double-incision-free nipple graft techniques (DIFNG). Lower body contouring patients had average implant sizes bigger than 200 mL and reported 2 gluteal implant displacements, 1 exposure, and one rupture. Eight percent of patients who underwent large-volume fat grafting reported dissatisfaction due to fat reabsorption. Conclusions: The debate between the double incision and periareolar techniques continues. Variations of the DIFNG technique continue to be the most common approach; however, nipple depigmentation and loss of sensation are also more common with it. Regarding increased bleeding with periareolar techniques, there is still no evidence that hormonal therapy may be playing a role in it. For lower-body trans female contouring, implants could help with the longevity of contouring results in patients needing large-volume fat grafting. There is an increasing evaluation of gender-affirming body contouring patient-reported outcomes; however, there is still a need for a validated way to report satisfaction scores in lower body contouring. Validated surveys could help identify surgical candidates based on satisfaction patterns, specifically for transgender and non-binary patients.

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Gender Affirming Body Contouring and Physical Transformation in Transgender Individuals

Cited by 8 publications

References 23 publications

Ultrasonic- and Ultrasound-assisted Improvement of Silhouette of the Torso: Bone Structure High-definition Remodeling (Part I)

Ultrasonic- and Ultrasound-assisted Improvement of Silhouette of the Torso: Bone Structure High-definition Remodeling (Part I)

Skeletal Manifestations of Gender-Affirming Medical Interventions for Aiding in the Preliminary Identification of Trans Individuals

Body Contouring as Gender-Affirming Surgery in Transgender Patients: A Systematic Review of the Current Literature

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