Hundred and Eleven Cases of Subfascial Breast Augmentation in Trans Women—A Single-Center Experience
Hundred and eleven patients of breast augmentation in trans women operated between January 2004 and September 2019 are presented. Two surgeons conducted the study with a slightly different antibiotic regime. Only round implants were used. Till December 2017, 72 implants used were textured. Thereafte...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2020-03-01
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| Series: | Indian Journal of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1708227 |
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| author | Sasanka Sekhar Chatterjee Manoj Khanna |
| author_facet | Sasanka Sekhar Chatterjee Manoj Khanna |
| author_sort | Sasanka Sekhar Chatterjee |
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| description | Hundred and eleven patients of breast augmentation in trans women operated between January 2004 and September 2019 are presented. Two surgeons conducted the study with a slightly different antibiotic regime. Only round implants were used. Till December 2017, 72 implants used were textured. Thereafter, we switched over smooth silicone gel implants more for reasons of availability than others. It was used in 39 patients. We did not notice any difference in results. Our postoperative regimes consisted of antibiotics (usually amoxicillin + clavulanic acid) for 10 days, restricted shoulder movements for 3 weeks, use of an inner brassiere and outer sports vest for 2 months. Routes of implantation were either periareolar or inframammary, former being selected as per choice of the patient, provided the hemicircumference of the areola was 4.5 cm or more. We never used transaxillary route. The implants were always placed in a subfascial pocket. Routine irrigation of the pocket with 5% povidone iodine was done before insertion of implant. From 3 weeks postoperatively, routine massage of breasts for a period of 6 to 8 weeks were advised. Complications included delayed minor wound healing problems usually in periareolar technique requiring secondary suture under local anesthesia. This was negligible with inframammary technique. Capsular contracture was found in 12 patients. Two of these merited intervention but one of them refused operation. In one patient, implant had to be extracted due to severe suppurative infection resulting from a separate incidence of traumatic injury with hematoma formation 2 weeks post operatively. Poor scarring including one keloid were noticed in 11 patients. |
| format | Article |
| id | doaj-art-6a6464de83f545ca97dddc4aabdd195a |
| institution | OA Journals |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2020-03-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
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| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-6a6464de83f545ca97dddc4aabdd195a2025-08-20T01:57:28ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2020-03-01530105105810.1055/s-0040-1708227Hundred and Eleven Cases of Subfascial Breast Augmentation in Trans Women—A Single-Center ExperienceSasanka Sekhar Chatterjee0Manoj Khanna1Consultant, Enhance Aesthetic and Cosmetic Clinic, Kolkata, West Bengal, IndiaConsultant, Enhance Aesthetic and Cosmetic Clinic, Kolkata, West Bengal, IndiaHundred and eleven patients of breast augmentation in trans women operated between January 2004 and September 2019 are presented. Two surgeons conducted the study with a slightly different antibiotic regime. Only round implants were used. Till December 2017, 72 implants used were textured. Thereafter, we switched over smooth silicone gel implants more for reasons of availability than others. It was used in 39 patients. We did not notice any difference in results. Our postoperative regimes consisted of antibiotics (usually amoxicillin + clavulanic acid) for 10 days, restricted shoulder movements for 3 weeks, use of an inner brassiere and outer sports vest for 2 months. Routes of implantation were either periareolar or inframammary, former being selected as per choice of the patient, provided the hemicircumference of the areola was 4.5 cm or more. We never used transaxillary route. The implants were always placed in a subfascial pocket. Routine irrigation of the pocket with 5% povidone iodine was done before insertion of implant. From 3 weeks postoperatively, routine massage of breasts for a period of 6 to 8 weeks were advised. Complications included delayed minor wound healing problems usually in periareolar technique requiring secondary suture under local anesthesia. This was negligible with inframammary technique. Capsular contracture was found in 12 patients. Two of these merited intervention but one of them refused operation. In one patient, implant had to be extracted due to severe suppurative infection resulting from a separate incidence of traumatic injury with hematoma formation 2 weeks post operatively. Poor scarring including one keloid were noticed in 11 patients.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1708227augmentation mammoplastysubfascialtrans women |
| spellingShingle | Sasanka Sekhar Chatterjee Manoj Khanna Hundred and Eleven Cases of Subfascial Breast Augmentation in Trans Women—A Single-Center Experience Indian Journal of Plastic Surgery augmentation mammoplasty subfascial trans women |
| title | Hundred and Eleven Cases of Subfascial Breast Augmentation in Trans Women—A Single-Center Experience |
| title_full | Hundred and Eleven Cases of Subfascial Breast Augmentation in Trans Women—A Single-Center Experience |
| title_fullStr | Hundred and Eleven Cases of Subfascial Breast Augmentation in Trans Women—A Single-Center Experience |
| title_full_unstemmed | Hundred and Eleven Cases of Subfascial Breast Augmentation in Trans Women—A Single-Center Experience |
| title_short | Hundred and Eleven Cases of Subfascial Breast Augmentation in Trans Women—A Single-Center Experience |
| title_sort | hundred and eleven cases of subfascial breast augmentation in trans women a single center experience |
| topic | augmentation mammoplasty subfascial trans women |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1708227 |
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