Chartier R, Herlin C, Sinna R
Service de chirurgie plastique, reconstructrice et esthétique, hôpital Nord, CHU Amiens Picardie, 80054 Amiens cedex 1, France.
Service de chirurgie plastique, reconstructrice et esthétique, hôpital Lapeyronie, CHRU de Montpellier, 34295 Montpellier, France.
Ann Chir Plast Esthet. 2023 Nov;68(5-6):436-445. doi: 10.1016/j.anplas.2023.07.008. Epub 2023 Aug 16.
Thoracic reassignment surgeries are the most common gender reassignment surgeries. They represent the first and sometimes the only step in the reassignment process for transgender patients. Surgical techniques for thoracic reassignment derive from those used for the cisgender population and are accessible to plastic surgeons who do not usually treat transgender patients. On the other hand, there are some anatomical differences between men and women that they should understand, for instance, the positioning of the neo-NAC, the neo-inframammary fold and the scars. It is therefore important to understand these anatomical differences in order to optimize the cosmetic results of these surgeries so that they correspond to the expectations of these patients. In addition, the plastic surgeon will also have to be careful to adapt his approach to the relational level, with these patients, such as avoiding misgendering or using the "dead name". Finally, even if these operations are theoretically covered at 100% by the French health insurance, a request for prior agreement may be required in certain cases.
胸部性别重置手术是最常见的性别重置手术。它们是跨性别患者性别重置过程中的第一步，有时也是唯一一步。胸部性别重置的手术技术源自用于顺性别者的技术，通常不治疗跨性别患者的整形外科医生也可以采用。另一方面，男性和女性之间存在一些解剖学差异，他们应该了解这些差异，例如新乳头乳晕复合体（neo-NAC）、新乳房下皱襞的位置以及疤痕。因此，了解这些解剖学差异对于优化这些手术的美容效果非常重要，以便使其符合这些患者的期望。此外，整形外科医生还必须注意在与这些患者的关系层面调整自己的方法，比如避免使用错误的性别称呼或使用“曾用名”。最后，即使这些手术理论上由法国医疗保险100%承保，但在某些情况下可能仍需要事先申请批准。
