From the Hansjörg Wyss Department of Plastic Surgery, New York University Langone Health.
Plast Reconstr Surg. 2020 Jul;146(1):38-40. doi: 10.1097/PRS.0000000000006913.
Chest masculinization is the most common gender-affirming operation performed. With increased access to care and improved insurance coverage, there has been a marked increase in the number of procedures performed. A video is presented with narration focused on the surgical technique of a "double-incision" mastectomy for gender-affirming chest masculinization. The Fisher grading scale used in technique selection of double-incision versus periareolar mastectomy, based on patient-specific anatomical parameters, is reviewed. Technical pearls for refinement of the double-incision top surgery technique for gender affirmation are then demonstrated.
胸部男性化改造是最常见的性别肯定手术。随着获得护理的机会增加和保险覆盖范围的扩大，手术数量显著增加。本文呈现了一段视频，旁白重点介绍了用于性别肯定性胸部男性化的“双切口”乳房切除术的手术技术。根据患者特定的解剖学参数，审查了用于选择双切口与乳晕周围乳房切除术的 Fisher 分级量表。然后展示了用于完善性别肯定性双切口胸部整形手术技术的技术要点。
