For trans men with smaller breasts, a peri-areolar or "keyhole" procedure may be done where the mastectomy is performed through an incision made around the areola. This article has been cited by other articles in PMC. Decreasing cancer risk is however, particularly important as trans men often feel uncomfortable seeking gynecologic care, and many do not have access to adequate and culturally sensitive treatment. This is equivalent to postmenopausal bleeding in a woman and may herald the development of a gynecologic cancer. Gender reassignment usually consists of a diagnostic phase mostly supported by a mental health professional , followed by hormonal therapy through an endocrinologist , a real-life experience, and at the end the gender reassignment surgery itself. The goal of the SCM in a FTM transsexual patient is to create an aesthetically pleasing male chest, which includes removal of breast tissue and excess skin, reduction and proper positioning of the nipple and areola, obliteration of the inframammary fold, and minimization of chest-wall scars. This is particularly the case for trans men who:
Bilateral salpingo-oophorectomy BSO is the removal of both ovaries and fallopian tubes. If the cervix is removed, it is called a 'total hysterectomy. Mastectomy[ edit ] Many trans men seek bilateral mastectomy , also called "top surgery", the removal of the breasts and the shaping of a male contoured chest. The authors provide a state-of-the-art overview of the different gender reassignment surgery procedures that can be performed in a female-to-male transsexual. In these rare cases, a nipple can be reconstructed as it is for surgical candidates whose nipples are removed as part of treatment for breast cancer. This will result in two horizontal scars on the lower edge of the pectoralis muscle, but allows for easier resizing of the nipple and placement in a typically male position. This technique results in far less scarring, and the nipple-areola does not need to be removed and grafted. This is particularly the case for trans men who: Trans men with moderate to large breasts usually require a formal bilateral mastectomy with grafting and reconstruction of the nipple-areola. In a second surgery the excess skin is removed. Hysterectomy and bilateral salpingo-oophorectomy[ edit ] Hysterectomy is the removal of the uterus. In addition, there is less denervation damage to the nerves supplying the skin of the chest wall with a peri-areolar mastectomy, and less time is required for sensation to return. Hysterectomy without BSO in women is sometimes erroneously referred to as a 'partial hysterectomy' and is done to treat uterine disease while maintaining the female hormonal milieu until natural menopause occurs. See Male Chest Reconstruction. Decreasing cancer risk is however, particularly important as trans men often feel uncomfortable seeking gynecologic care, and many do not have access to adequate and culturally sensitive treatment. Although the exact etiology of transsexualism is still not fully understood, it is most probably a result of a combination of various biological and psychological factors. Genital surgery, transsexual, gender reassignment surgery, phalloplasty, subcutaneous mastectomy Transsexual patients have the absolute conviction of being born in the wrong body and this severe identity problem results in a lot of suffering from early childhood on. Certain medical doctors perform the surgery in two steps. First, the contents of the breast are removed through either a cut inside the areola or around it, and then let the skin retract for about a year. This avoids the larger scars of a traditional mastectomy, but the nipples may be larger and may not be in a perfectly male orientation on the chest wall. Within the population of transgender men on hormone therapy, many patients are at significantly decreased risk due to prior oophorectomy removal of the ovaries. For trans men with smaller breasts, a peri-areolar or "keyhole" procedure may be done where the mastectomy is performed through an incision made around the areola. It is usually advised to stop all hormonal therapy 2 to 3 weeks preoperatively. Some undergo this as their only gender-identity confirming 'bottom surgery'. It is unknown whether the risk of ovarian cancer is increased, decreased, or unchanged in transgender men.
Video about sex reassignment surgery female to male:
FTM Phalloplasty I Peed
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