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The purpose of this study was to evaluate epidemiologic characteristics and postoperative complications among nonbinary, transgender, and cisgender adults undergoing mastectomy or breast augmentation. Comparable postoperative complication rates were observed between gender modality cohorts undergoing breast augmentation, but higher complication rates were observed among cisgender patients following mastectomy, likely due to variations in clinical indications and technique. These results underscore the safety of chest surgery for gender-diverse patients.
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http://dx.doi.org/10.1016/j.bjps.2025.08.023 | DOI Listing |
J Plast Reconstr Aesthet Surg
August 2025
Harvard Medical School, Boston, MA, United States; Department of Surgery, Patient-Reported Outcomes, Value and Experience (PROVE) Center, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States.
The purpose of this study was to evaluate epidemiologic characteristics and postoperative complications among nonbinary, transgender, and cisgender adults undergoing mastectomy or breast augmentation. Comparable postoperative complication rates were observed between gender modality cohorts undergoing breast augmentation, but higher complication rates were observed among cisgender patients following mastectomy, likely due to variations in clinical indications and technique. These results underscore the safety of chest surgery for gender-diverse patients.
View Article and Find Full Text PDFAnn Plast Surg
September 2025
From the University of Tennessee Health Sciences Center-College of Medicine, Chattanooga, TN.
Introduction: Implant-based breast reconstruction after skin-sparing mastectomy remains one of the most frequently used methods of breast reconstruction in the US. Patients with large, ptotic breasts often face poorer outcomes. We hypothesized that implant-based breast reconstruction with auto-augmentation techniques can minimize problems with acellular dermal matrices (ADM) by using less, and providing the benefit of prepectoral placement.
View Article and Find Full Text PDFAnn Plast Surg
September 2025
From the Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, TN.
Background: The practice of systemic antibiotic prophylaxis to prevent surgical site infection (SSI) in breast surgery remains debated. The aim of this review is to provide a comprehensive overview of the literature evaluating the current evidence on the efficacy of antibiotic prophylaxis in nononcologic breast surgery, including risk-reducing mastectomy, gender-affirming mastectomy, augmentation, and reduction.
Methods: A literature search of PubMed and Cochrane databases of 1990-2025 was conducted to identify studies evaluating antibiotic prophylaxis and SSI outcomes in nononcologic breast surgery.
Aesthetic Plast Surg
September 2025
Department of Surgical Science, Medical School, Plastic and Reconstructive Surgery, Tor Vergata" University, 00133, Rome, Italy.
Background: The author presents his own experience using breast implants (BIs) or fat grafting, commonly called lipofilling (LPF), to correct breast hypoplasia.
Objectives: Compare the aesthetic results obtained in a study group (SG) using BIs in breast hypoplasia correction with those of a control group (CG) treated with LPF, analyzing the influence of breast and chest deformities (tuberous breast, breast volume differences/asymmetries, nipple-areola complex asymmetry, pectus excavatum, and carinatum) in the outcomes.
Methods: A randomized, open-label controlled study was performed.
Aesthetic Plast Surg
September 2025
Plastic surgeon from the Division of Plastic Reconstructive and Aesthetic Surgery, Department of Surgery, Gatot Soebroto Central Army Hospital (RSPAD), Jakarta, Indonesia.
Background: Endoscopic-assisted transaxillary dual-plane augmentation mammaplasty is favored for its aesthetic advantages and minimal visible scarring. However, the optimal dissection tool between harmonic scalpel (HS) or monopolar electrotome (ME) remains debated due to limited comparative data.
Methods: A systematic review and meta-analysis were conducted by searching PubMed, Embase, and Cochrane Library for studies comparing HS and ME in endoscopic-assisted transaxillary dual-plane augmentation mammaplasty.