皮下乳房切除术中乳头乳晕复合体大小调整的创新方法：三例报告

Abubakar Amina I, Sabo Yakubu, Okpechi Samuel, Chijioke Chukwuma E

Surgery, College of Health Sciences, University of Abuja, Abuja, NGA.

Surgery, University of Abuja Teaching Hospital, Abuja, NGA.

Cureus. 2025 May 3;17(5):e83403. doi: 10.7759/cureus.83403. eCollection 2025 May.

Gender-affirming mastectomy (GAM), also known as 'top surgery,' is one of the pivotal procedures undergone by trans males. Most procedures described, such as subcutaneous mastectomy, address breast volume reduction adequately, but resizing the nipple and areola is still a challenge. We describe an innovative method for resizing the nipple-areola complex, reducing the scar burden, and preserving innervation and acceptable male aesthetics.

性别确认乳房切除术（GAM），也被称为“上半身手术”，是跨性别男性所经历的关键手术之一。大多数所描述的手术，如皮下乳房切除术，能充分解决乳房体积缩小问题，但乳头和乳晕的尺寸调整仍是一项挑战。我们描述了一种创新方法，用于调整乳头乳晕复合体的尺寸、减轻瘢痕负担，并保留神经支配和可接受的男性美学效果。