Cases that have average in order to high boobs, ptosis grade II and you will moderate so you can worst body flexibility underwent second-rate pedicled mammoplasty. For the cases with huge boobs, terrible body flexibility and values III ptosis, good mastectomy which have totally free NAC graft was performed. According to the results shown right here and the sense, we suggest an algorithm to help to decide up on the most appropriate subcutaneous mastectomy approach throughout these someone ( Figure 1 ). Within this formula, boobs are classified based on breast dimensions, level of surface extreme and you can surface flexibility. NAC size and condition are analyzed and you may postoperative scars are chatted about for the patient. Having brief boobs (A glass) with reduced facial skin excessively, an effective elasticity and you will normal NAC size, the fresh new Webster strategy are performed.
This method was explained by Davidson ainsi que al having gynecomastia cases in the 1979 (14) and soon after adopted by the Hage JJ in 1995 just like the a good subcutaneous mastectomy techniques in FtM transsexuals (step 3,4)
Webster earliest described this technique inside the 1946 for reasonable-grade gynecomastia times (13). Because a great FtM subcutaneous mastectomy technique, many article writers has actually adopted this method (3,cuatro,5,6,seven,8,9,10). The very first advantage of this procedure is actually small and an effective undetectable infraareolar mark. not, the small cut dimensions makes the dissection ranging from surface envelope and you will glandular cells more complicated. Continue reading “I did subcutaneous mastectomy for the 52 FtM transsexual people (complete of 104 mastectomies) from inside the 4 years”