PROSTHETIC AUGMENTATION OF BREAST IN MALE TO FEMALE TRANSGENDER

Hormonal therapy and gender-confirming surgeries are the treatment of choice in appropriately selected male-to-female transsexuals. Breast enlargement greatly increases subjective feelings of femininity in transsexual females. There are only limited reports on augmentation mammoplasty (AM) in transsexual females and hardly any attention has been paid to the differences between the female mammary anatomy and its male counterpart. The basic anatomic and surgical considerations of AM for 20 male-to-female transsexuals who were operated on from 2010 to 2013 are reviewed and discussed. They include the differences between male and female anatomy and how to feminize the male chest, the results of hormonal therapy and proper timing of surgery, the choice of implant size and surgical approach, the results that may be expected after surgery, the expected complication and the implications of it on psychosocial outcome.