Lindsay W R
Ann Plast Surg. 1979 Jul;3(1):39-46.
This paper describes the indications for operation, the choice of operation, and the results in 9 patients evaluated by a gender identity clinic and referred for breast removal and construction of a male chest. These patients have lived for an average of ten years in their cross-gender identity and were found to be stable, nondemanding, cooperative, and responsible in their life as males. A different operation is recommended for each of three types of breasts. None of the patients was suitable for a simple gynecomastia-type operation. Patients with excess skin should have a procedure that produces an inframammary crease scar not connected to the nipple. Patients with less skin require a procedure that results in a C-shaped scar curing downward and laterally from the nipple.
本文描述了9名由性别认同诊所评估并转诊进行乳房切除和男性胸部重建手术患者的手术适应症、手术选择及结果。这些患者以跨性别身份生活平均达十年，且被发现在作为男性的生活中情绪稳定、要求不高、合作且有责任感。针对三种不同类型的乳房，建议采用不同的手术方式。所有患者均不适合单纯的男性乳房肥大症式手术。皮肤过多的患者应采用一种能产生与乳头不相连的乳房下皱襞瘢痕的手术方法。皮肤较少的患者则需要一种能形成从乳头向下和向外弯曲的C形瘢痕的手术方法。
