{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T02:39:51Z","timestamp":1776739191664,"version":"3.51.2"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T00:00:00Z","timestamp":1773360000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T00:00:00Z","timestamp":1776729600000},"content-version":"vor","delay-in-days":39,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"DOI":"10.13039\/501100004748","name":"Mashhad University of Medical Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004748","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Surg"],"DOI":"10.1186\/s12893-025-03439-x","type":"journal-article","created":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T07:14:31Z","timestamp":1773386071000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes of nipple\u2013areola complex reconstruction in transgender chest masculinization using the free nipple graft technique: a cross-sectional study"],"prefix":"10.1186","volume":"26","author":[{"given":"Mohammad Jamal","family":"Salavati","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seyed Yavar Shams","family":"Hojjati","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pooyan","family":"Parhizgar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reza","family":"Sharifi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahdi","family":"Savadi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,3,13]]},"reference":[{"issue":"1","key":"3439_CR1","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1148\/rg.210080","volume":"42","author":"JT Stowell","year":"2022","unstructured":"Stowell JT, Jha P, Martinez-Jorge J, Middlebrooks EH, Broderick DF, Bhatt AA. Neuroradiology in transgender care: facial Feminization, laryngeal Surgery, and beyond. Radiographics. 2022;42(1):233\u201349.","journal-title":"Radiographics"},{"issue":"4","key":"3439_CR2","doi-asserted-by":"publisher","first-page":"924","DOI":"10.1016\/j.fertnstert.2021.07.004","volume":"116","author":"DP Patel","year":"2021","unstructured":"Patel DP, Goodwin IA, Acar O, Kocjancic E, Hotaling JM. Masculinizing gender-affirming surgery for trans men and non-binary individuals: what you should know. Fertil Steril. 2021;116(4):924\u201330.","journal-title":"Fertil Steril"},{"issue":"1","key":"3439_CR3","doi-asserted-by":"publisher","first-page":"272","DOI":"10.1097\/PRS.0000000000005113","volume":"143","author":"G Poudrier","year":"2019","unstructured":"Poudrier G, Nolan IT, Cook TE, Saia W, Motosko CC, Stranix JT, et al. Assessing quality of life and Patient-Reported satisfaction with masculinizing top surgery: A Mixed-Methods descriptive survey study. Plast Reconstr Surg. 2019;143(1):272\u20139.","journal-title":"Plast Reconstr Surg"},{"issue":"9","key":"3439_CR4","doi-asserted-by":"publisher","first-page":"e3792","DOI":"10.1097\/GOX.0000000000003792","volume":"9","author":"GSS Mundinger","year":"2021","unstructured":"Mundinger GSS. Double-sided Nipple-areola complex marker for masculinizing chest surgery. Plast Reconstr Surg Glob Open. 2021;9(9):e3792.","journal-title":"Plast Reconstr Surg Glob Open"},{"issue":"6","key":"3439_CR5","doi-asserted-by":"publisher","first-page":"2255","DOI":"10.1007\/s00266-023-03429-5","volume":"47","author":"M Sonmez","year":"2023","unstructured":"Sonmez M, Saglam ME. Preserving the nipple projection in breast reduction with the free nipple-Areolar graft technique: Purse-String suture. Aesthetic Plast Surg. 2023;47(6):2255\u201360.","journal-title":"Aesthetic Plast Surg"},{"issue":"7","key":"3439_CR6","first-page":"e9063","volume":"12","author":"AY Lo","year":"2020","unstructured":"Lo AY, Yu RP, Raghuram A, Khim P, Wang S, Manoukian HL, et al. Patient characteristics associated with free nipple graft reduction mammoplasty. Cureus. 2020;12(7):e9063.","journal-title":"Cureus"},{"issue":"7","key":"3439_CR7","doi-asserted-by":"publisher","first-page":"612","DOI":"10.21037\/atm-20-4522","volume":"9","author":"SS Bustos","year":"2021","unstructured":"Bustos SS, Kuruoglu D, Yan M, Bustos VP, Forte AJ, Ciudad P, et al. Nipple-areola complex reconstruction in transgender patients undergoing mastectomy with free nipple grafts: a systematic review of techniques and outcomes. Ann Transl Med. 2021;9(7):612.","journal-title":"Ann Transl Med"},{"key":"3439_CR8","unstructured":"Eslami B, Omranipour R, Hesamifard B, BEHBOODI MZ, Jalaeefar A. Development of a Persian version of the breast-Q and validity and reliability of the reconstruction module for the assessment of the quality of life and patient satisfaction following breast surgery. 2021."},{"issue":"3","key":"3439_CR9","doi-asserted-by":"publisher","first-page":"334","DOI":"10.1097\/SAP.0000000000002018","volume":"84","author":"M Maas","year":"2020","unstructured":"Maas M, Howell AC, Gould DJ, Ray EC. The ideal male nipple-areola complex: a critical review of the literature and discussion of surgical techniques for female-to-male gender-confirming surgery. Ann Plast Surg. 2020;84(3):334\u201340.","journal-title":"Ann Plast Surg"},{"issue":"3","key":"3439_CR10","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1097\/SAP.0000000000001099","volume":"79","author":"DP Donato","year":"2017","unstructured":"Donato DP, Walzer NK, Rivera A, Wright L, Agarwal CA. Female-to-Male chest reconstruction: A review of technique and outcomes. Ann Plast Surg. 2017;79(3):259\u201363.","journal-title":"Ann Plast Surg"},{"issue":"3","key":"3439_CR11","doi-asserted-by":"publisher","first-page":"e3459","DOI":"10.1097\/GOX.0000000000003459","volume":"9","author":"AI Naides","year":"2021","unstructured":"Naides AI, Schultz JJ, Shulzhenko NO, Keith JD. Chest masculinization technique and outcomes in 72 double-incision chest-contouring procedures with free nipple grafting. Plast Reconstr Surgery\u2013Global Open. 2021;9(3):e3459.","journal-title":"Plast Reconstr Surgery\u2013Global Open"},{"key":"3439_CR12","doi-asserted-by":"publisher","first-page":"1478","DOI":"10.1007\/s00266-020-01803-1","volume":"44","author":"SS Bustos","year":"2020","unstructured":"Bustos SS, Forte AJ, Ciudad P, Manrique OJ. The nipple split sharing vs. conventional nipple graft technique in chest wall masculinization surgery: can we improve patient satisfaction and aesthetic outcomes? Aesthetic Plast Surg. 2020;44:1478\u201386.","journal-title":"Aesthetic Plast Surg"},{"issue":"6","key":"3439_CR13","doi-asserted-by":"publisher","first-page":"e1309","DOI":"10.1097\/PRS.0000000000005657","volume":"143","author":"GL Russo","year":"2019","unstructured":"Russo GL, Tanini S. Modified nipple flap with free areolar graft for component nipple-areola complex construction: outcomes with a novel technique for chest wall reconstruction in transgender men. Plast Reconstr Surg. 2019;143(6):e1309\u201310.","journal-title":"Plast Reconstr Surg"},{"issue":"5","key":"3439_CR14","doi-asserted-by":"publisher","first-page":"651","DOI":"10.1016\/j.bjps.2018.01.003","volume":"71","author":"CA Agarwal","year":"2018","unstructured":"Agarwal CA, Scheefer MF, Wright LN, Walzer NK, Rivera A. Quality of life improvement after chest wall masculinization in female-to-male transgender patients: A prospective study using the BREAST-Q and body uneasiness test. J Plast Reconstr Aesthetic Surg. 2018;71(5):651\u20137.","journal-title":"J Plast Reconstr Aesthetic Surg"},{"issue":"5","key":"3439_CR15","doi-asserted-by":"publisher","first-page":"1125","DOI":"10.1097\/PRS.0000000000004827","volume":"142","author":"TC van de Grift","year":"2018","unstructured":"van de Grift TC, Elfering L, Greijdanus M, Smit JM, Bouman M-B, Klassen AF, et al. Subcutaneous mastectomy improves satisfaction with body and psychosocial function in trans men: findings of a cross-sectional study using the BODY-Q chest module. Plast Reconstr Surg. 2018;142(5):1125\u201332.","journal-title":"Plast Reconstr Surg"}],"container-title":["BMC Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12893-025-03439-x","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-025-03439-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-025-03439-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T01:50:12Z","timestamp":1776736212000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12893-025-03439-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,13]]},"references-count":15,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["3439"],"URL":"https:\/\/doi.org\/10.1186\/s12893-025-03439-x","relation":{},"ISSN":["1471-2482"],"issn-type":[{"value":"1471-2482","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,13]]},"assertion":[{"value":"19 February 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 December 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 March 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"was obtained from all participants before data collection. All data were kept confidential and securely stored. The study was conducted following the ethical guidelines and principles of the Declaration of Helsinki and approved by the Ethics Committee of Mashhad University of Medical Sciences (Ref: IR.MUMS.IRH.REC.1402.154).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"not applicable","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Clinical trial number"}}],"article-number":"290"}}