Power-assisted Liposuction and a Single Incision Pull-through Technique for Top Surgery: A Case Report.
Plast Reconstr Surg Glob Open
; 9(1): e3341, 2021 Jan.
Article
em En
| MEDLINE
| ID: mdl-33552809
ABSTRACT
Various treatment approaches exist for female-to-male subcutaneous mastectomy, also known as "top surgery." The most commonly performed techniques for patients with decreased volume of breast tissue, no ptosis, and good skin elasticity continue to involve areolar or periareolar incision. Here, we report a case of a 17-year-old patient who underwent top surgery performed through power-assisted liposuction and a non-areolar single-incision "pull-through" technique. Operative management included initial liposuction for contouring of adipose tissue. Surgical subcision of excess breast tissue adherent to the subdermal plane was then performed and removed with a grasp-and-pull motion using the pull-through technique. We obtained a favorable result with low scar burden, preserved nipple sensation, and no nipple contracture. No complications were reported. This procedure is limited for patients with small breast size (A cup, <100 grams of glandular tissue per side), minimal to no ptosis, appropriate nipple size and position, soft fibroglandular tissue, and good skin elasticity.
Texto completo:
1
Base de dados:
MEDLINE
Idioma:
En
Revista:
Plast Reconstr Surg Glob Open
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Canadá