{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T11:31:06Z","timestamp":1769167866772,"version":"3.49.0"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2022,3,28]],"date-time":"2022-03-28T00:00:00Z","timestamp":1648425600000},"content-version":"vor","delay-in-days":1062,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2019,4,1]],"date-time":"2019-04-01T00:00:00Z","timestamp":1554076800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["e-aps.org"],"crossmark-restriction":true},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:p>Transsexual individuals with gender dysphoria or gender identity disorder are rare, with a prevalence reported to range from 0.002% to 0.014%. Studies have shown that mastectomy yields significant improvements in body image and self-esteem in female-to-male transsexual patients. In patients with grade III breast ptosis, mastectomy with a nipple-areolar complex (NAC) graft is the most commonly used technique, although it has several disadvantages. In the case described herein, a bilateral mastectomy preserving the NAC in an inferior pedicle was performed. Additionally, a thin superior thoracic dermal-fat flap was preserved and eventually sutured at the previous inframammary fold, preventing an inverted T scar. This case shows the advantage of this technique for preserving the blood supply and innervation of the NAC, with a low hypopigmentation risk. Furthermore, in this technique, the patch effect does not impair the results of the NAC graft, and there is no need to use an inverted T scar that may result in thoracic feminization.<\/jats:p>","DOI":"10.5999\/aps.2018.00108","type":"journal-article","created":{"date-parts":[[2019,4,8]],"date-time":"2019-04-08T01:44:38Z","timestamp":1554687878000},"page":"262-266","update-policy":"https:\/\/doi.org\/10.5999\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Thorax masculinization in a transsexual patient: Inferior pedicle mastectomy without an inverted T scar"],"prefix":"10.1055","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4558-1801","authenticated-orcid":false,"given":"Adriana Marcela Gonzalez","family":"Cely","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, University Industrial of Santander, Bucaramanga, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2414-0107","authenticated-orcid":false,"given":"Carlos Enrique","family":"Triana","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Corpus and Rostrum Clinic, Cali, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2268-2121","authenticated-orcid":false,"given":"Lina Maria","family":"Triana","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Corpus and Rostrum Clinic, Cali, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,3,28]]},"reference":[{"key":"ref1","first-page":"96","article-title":"Psychomedical care in gender identity dysphoria during adolescence","volume":"10","author":"I Sanchez Lorenzo","year":"2017","journal-title":"Rev Psiquiatr Salud Ment"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"5","DOI":"10.3109\/09540261.2015.1091293","article-title":"Gender incongruence\/gender dysphoria and its classification history","volume":"28","author":"TF Beek","year":"2016","journal-title":"Int Rev Psychiatry"},{"key":"ref3","first-page":"367","volume-title":"Clinical practice guidelines for assessment and treatment of transsexualism. 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