Sakurai Toru, Watanabe Toshiyuki, Manako Kensuke, Komagoe Syo, Mukai Yuko, Kimata Yoshiro, Namba Yuzaburo
Department of Plastic and Reconstructive Surgery, Okayama University Hospital, Okayama 700-8558,
Department of Plastic and Reconstructive Surgery, Okayama University Hospital, Okayama 700-8558, Japan.
Acta Med Okayama. 2020 Feb;74(1):83-87. doi: 10.18926/AMO/57958.
Mastectomy is usually the first and most important surgical procedure in female-to-male (FTM) individuals with gender identity disorder. Nipple reduction is also important in the process of reconstructing the chest wall for a more male appearance. If the nipples remain large after a mastectomy, the results may be disappointing to many FTM transsexuals. Nipple reduction enables these individuals to go to the beach or Japanese public baths, where they may go topless in public. We therefore consider that nipple reduction is indicated for all FTM transsexuals who desire it. There are a variety of methods for the reduction of enlarged nipples for women or non-FTM patients, but only a few reports have described the process used to create masculine-appearing nipples for FTM transsexuals. We developed a novel technique called the Eryngii method for creating male-like nipples using a 4-mm diameter dermal punch knife. The name of the method refers to the Eryngii king trumpet mushroom, which the nipple resembles after the surgical process. The main strength of this method is that it permits the creation of ideal nipples without difficulty. Here we introduce the technique and discuss our history of surgical methods for nipple reduction, including improvements and elaborations.
乳房切除术通常是患有性别认同障碍的女性向男性（FTM）转变者的首要且最重要的外科手术。在重建胸壁以呈现更男性化外观的过程中，乳头缩小术也很重要。如果乳房切除术后乳头仍然很大，这可能会让许多FTM变性者失望。乳头缩小术能让这些人去海滩或日本公共浴池，在那里他们可以在公共场合袒露上身。因此，我们认为对于所有有需求的FTM变性者，乳头缩小术都是适用的。对于女性或非FTM患者，有多种缩小增大乳头的方法，但只有少数报告描述了为FTM变性者打造具有男性外观乳头的过程。我们开发了一种名为杏鲍菇法的新技术，使用直径4毫米的皮肤打孔刀来打造类似男性的乳头。该方法的名称来源于杏鲍菇，即鲍菇王蘑菇，术后乳头与之相似。此方法的主要优势在于能够轻松打造出理想的乳头。在此，我们介绍该技术，并讨论我们在乳头缩小手术方法方面的历程，包括改进与完善。
