Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for consultation regarding FTM chest masculinization. Patient reports gender dysphoria related to breast tissue. Goals include reduction of breast volume, excision of excess skin, and creation of a masculine chest contour with appropriate nipple-areolar complex (NAC) positioning. Patient denies history of chest trauma or prior thoracic surgery. Patient is currently on stable hormone replacement therapy (HRT) for [Duration].
Clinical Examination Findings
Chest examination reveals [Grade I/II/III] macromastia with [Mild/Moderate/Severe] ptosis. Skin elasticity is [Good/Fair/Poor]. Inframammary fold (IMF) is well-defined. Nipple-areolar complex (NAC) is located at [Measurement] from the sternal notch. No palpable masses, lymphadenopathy, or skin irregularities noted. Chest wall symmetry is [Symmetric/Asymmetric].
Treatment Protocol
Proposed surgical plan: Bilateral subcutaneous mastectomy with [Double Incision with Free Nipple Graft / Periareolar / Keyhole] technique. Liposuction of the axillary and lateral chest regions for contouring. NAC resizing and repositioning to a masculine position. Hemostasis achieved via electrocautery. Placement of closed-suction drains bilaterally. Closure in layers with absorbable sutures. Application of surgical dressing and compression vest.