Mastectomy

Breast amputation in a patient diagnosed with female-to-male transsexualism

Conditions necessary for the procedure:

1. Completed 18 years of age;
2. Two independent opinions: from a sexologist and a psychologist with a diagnosis of transsexualism;
3. Initiated hormone therapy.

Type of anesthesia

general (anesthesia);

Procedure duration

2.5 – 4 h;

Stay in clinic:

12-24 h;

Follow-up examinations:

• The day after the procedure: drain removal, local condition check;
• after 7-8 days (local condition check, partial suture removal);
• after 14-15 days (local condition check, removal of all stitches);
• after 1, 6, 12 months (after 12 months, final assessment of the operation result and scar condition);

Medications:

Over-the-counter painkillers;

Recovery period:

• Early recovery period – 14 days; during this time, avoid all physical exertion with your hands, sleep on your back with the upper body slightly elevated, maintain a gentle lifestyle;
• Return to intellectual work and driving a car after 14 days;
• Return to light physical work after 4-6 weeks;
• Return to sports (cycling, swimming pool) after 6 weeks;
• Scar protection from sun radiation for 1 year;

Scar care:

• Until all stitches are removed – do not apply anything to the scar;
• After all stitches are removed, lubricate the scar (Dermosan, Alantan, Linomag) twice a day for 2-4 weeks, until all scabs fall off the scar;
• Then silicone patches for 2 months non-stop;
• Areas of palpable thickenings along the scar should be massaged;

Unavoidable consequences of surgery

discomfort/pain (usually mild), swelling, bruising, skin sensation disturbances in the scar area, scar; serosanguinous fluid often accumulates in the wound, requiring evacuation by puncture. THE PROCEDURE IS IRREVERSIBLE

Complications may occur (most common ones described are listed):

Excessive bleeding into the wound/hematoma (requires another procedure); infection (requires antibiotics); prolonged wound healing; hypertrophic scar/keloid; necrosis of the nipple/areola complex; insufficient correction (necessity of another procedure); asymmetry always exists before the procedure – asymmetry may also occur after the procedure; dissatisfaction with the aesthetic result of the procedure.