{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T05:24:38Z","timestamp":1730870678151,"version":"3.28.0"},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2024,2,6]],"date-time":"2024-02-06T00:00:00Z","timestamp":1707177600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian J Plast Surg"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background and Objectives\u2003Surgery to masculinize the chest is a frequently sought-after procedure by transmen who wish to conform their physical appearance to their gender identity. In our study, the outcomes of surgical masculinization comprising subcutaneous mastectomy through a modified elliptical incision, liposuction, reduced inert nipple\u2013areola grafting, and quilting stitches were analyzed.<\/jats:p><jats:p>\n          Materials and Methods\u2003Thirty-two transmen with large breasts and hypertrophied nipples and areolae underwent the above-mentioned masculinizing procedure in this prospective cohort study. Our statistically validated institutional aesthetic outcome assessment score (IAOAS) was used to analyze the outcomes at the end of the follow-up period.<\/jats:p><jats:p>\n          Results\u2003The average period of follow-up was 24.5 months. The average final IAOAS was 23.1. The rate of complications was found to be associated with using breast binders. In all, 22 of 32 patients (68.75%) had an excellent outcome score, while 10 patients (31.25%) had a good outcome score (p\u2009=\u20090.025).<\/jats:p><jats:p>\n          Conclusion\u2003Top surgery is crucial for transmasculine patients to achieve their desired gender identity as males. It is imperative that this procedure is performed to their complete satisfaction. Our single-staged comprehensive approach of subcutaneous mastectomy and liposuction with reduced inert nipple and areola grafts, which aids in a swift transition to a male role, is a prerequisite for bottom surgery at our institute.<\/jats:p>","DOI":"10.1055\/s-0044-1779481","type":"journal-article","created":{"date-parts":[[2024,2,6]],"date-time":"2024-02-06T23:58:50Z","timestamp":1707263930000},"page":"091-098","source":"Crossref","is-referenced-by-count":0,"title":["Masculinization of the Chest in Transmen with Large Breasts"],"prefix":"10.1055","volume":"57","author":[{"given":"Thalaivirithan Margabandu","family":"Balakrishnan","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive, Facio-maxillary, Aesthetic Surgery, Madras Medical College, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shramya Shodhan","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive, Facio-maxillary, Aesthetic Surgery, Madras Medical College, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Aruchamy","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"U. Rasheedha","family":"Begum","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive, Facio-maxillary, Aesthetic Surgery, Madras Medical College, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Sridharan","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive, Facio-maxillary, Aesthetic Surgery, Madras Medical College, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,2,6]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1055\/s-0040-1709427","article-title":"Retrospective study of prosthetic augmentation mammoplasty in transwomen","volume":"53","author":"T M Balakrishnan","year":"2020","journal-title":"Indian J Plast 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