Evidence map›Paper›PMID 33564588›Full record

ArticlePlastic and reconstructive surgery. Global open2021

Use of the Subfascial Plane for Gender-affirming Breast Augmentation: A Case Series.

Geetika Mehra, Tal Kaufman-Goldberg, Sagit Meshulam-Derazon, Elizabeth R Boskey, Oren Ganor

Abstract read
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Article in Plastic and reconstructive surgery. Global open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Geetika MehraHarvard Medical School, Boston, Mass.
Tal Kaufman-GoldbergDepartment of Plastic and Oral Surgery, Boston Children's Hospital, Boston, Mass.
Sagit Meshulam-DerazonDepartment of Plastic and Reconstructive Surgery, Rabin Medical Center, Petah Tikva, Israel.
Elizabeth R BoskeyDepartment of Plastic and Oral Surgery, Boston Children's Hospital, Harvard Medical School, Boston, Mass.
Oren GanorDepartment of Plastic and Oral Surgery, Boston Children's Hospital, Harvard Medical School, Boston, Mass.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Transgender women seeking gender-affirming breast augmentation often present with differences in preoperative chest measurements and contours in comparison with cisgender women. These include a more robust pectoralis muscle and limited glandular tissue, raising important considerations in determining the optimal anatomical plane for implantation. Abundant literature has described advantages and drawbacks of the available planes for breast augmentation in cisgender women. Certain drawbacks may be more pronounced for transgender women, given their distinct anatomy. The subfascial plane offers lower complication rates than the subglandular plane when using smooth implants, and avoids implant animation and displacement associated with the subpectoral plane. To our knowledge, existing studies have not yet addressed this discussion in the transfeminine population. The goal of this article is to highlight potential benefits of the subfascial plane for gender-affirming breast augmentation, utilizing a case series of 3 transfeminine patients, and to review the literature on surgical techniques and outcomes in this population.

methodsA retrospective chart review of patients presenting to a single surgeon for gender-affirming breast augmentation in 2019 was performed. A narrative literature review on surgical techniques and outcomes for gender-affirming breast augmentation was conducted.

resultsThree cases of gender-affirming breast augmentation using subfascial implant placement are described. From the literature search, 12 articles inclusive of 802 transfeminine patients were identified.

conclusionsThe subfascial plane represents an option for implant placement in gender-affirming breast augmentation that merits further investigation. There is a need for more research comparing surgical techniques and outcomes in the transfeminine population.

Identifiers

PMID33564588
PMCPMC7858195

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