From the Hansjörg Wyss Department of Plastic Surgery, New York Langone Health; and Biostats, Inc.
Plast Reconstr Surg. 2019 Jan;143(1):272-279. doi: 10.1097/PRS.0000000000005113.
Masculinizing top surgery (bilateral mastectomy with chest wall reconstruction) is an important gender-affirming procedure sought by many transmasculine and nonbinary individuals. Current literature is focused primarily on details of surgical technique and complication rates, with limited data available on how top surgery affects subjective quality-of-life measures.
An anonymous online survey was distributed to 81 of the senior author's former top-surgery patients. The survey response rate was 72 percent (58 respondents). Responses were analyzed to investigate quality of life, sexual confidence, mental health, satisfaction with top surgery, and patient attitudes toward top surgery's role in gender affirmation.
Following top surgery, measures of quality of life and sexual confidence improved significantly (p < 0.001). In addition, 86 percent reported improvement in gender dysphoria-related mental health conditions. All but one respondent reported that top surgery had an overall positive impact on their life.
Top surgery had major positive effects on all mental health and quality-of-life metrics. The authors' findings contribute to a much-needed body of evidence that top surgery markedly improves the daily lives and functioning of transgender and nonbinary individuals who choose to undergo it.
男性化胸成形术（双侧乳房切除术伴胸壁重建）是许多跨性别男性和非二元性别个体所寻求的重要性别肯定手术。目前的文献主要集中在手术技术细节和并发症发生率上，关于胸成形术如何影响主观生活质量测量的可用数据有限。
向资深作者的 81 名前胸成形术患者分发了匿名在线调查。调查响应率为 72%（58 名受访者）。对回复进行了分析，以调查生活质量、性自信、心理健康、对胸成形术的满意度以及患者对胸成形术在性别肯定中的作用的态度。
胸成形术后，生活质量和性自信的测量指标显著改善（p < 0.001）。此外，86%的人报告称，与性别焦虑相关的心理健康状况有所改善。除了一名受访者外，所有人都表示胸成形术对他们的生活产生了整体积极影响。
胸成形术对所有心理健康和生活质量指标都有重大积极影响。作者的发现有助于形成急需的证据，表明胸成形术明显改善了选择接受该手术的跨性别和非二元个体的日常生活和功能。
