Evidence map›Paper›PMID 39365452›Full record

ArticleAesthetic plastic surgery2025

Ultrasound-Assisted Liposuction for Top Surgery in Transgender Men: Clinical Experience and Evaluation of Satisfaction and Quality of Life with TRANS-Q and BREAST-Q.

Maria Laura Bramati, René M Palacios Huatuco, Breyner Garcia Rodriguez, Florencia Dolino, Horacio F Mayer

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Article in Aesthetic plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 authors.

Maria Laura BramatiDepartment of Plastic and Reconstructive Surgery, Hospital Italiano de Buenos Aires, University of Buenos Aires Medical School, University of the Hospital Italiano de Buenos Aires, 4190 Peron St., 1st. floor, (C1991ABB), Buenos Aires, Argentina.
René M Palacios HuatucoDepartment of Plastic and Reconstructive Surgery, Hospital Italiano de Buenos Aires, University of Buenos Aires Medical School, University of the Hospital Italiano de Buenos Aires, 4190 Peron St., 1st. floor, (C1991ABB), Buenos Aires, Argentina. manuelpalacioshuatuco@gmail.com.ORCID 0000-0003-1863-7897
Breyner Garcia RodriguezDepartment of Plastic and Reconstructive Surgery, Hospital Italiano de Buenos Aires, University of Buenos Aires Medical School, University of the Hospital Italiano de Buenos Aires, 4190 Peron St., 1st. floor, (C1991ABB), Buenos Aires, Argentina.
Florencia DolinoPlastic Surgery Department, Hospital General de Agudos Dr. Ignacio Pirovano, University of Buenos Aires Medical School, 3555 Monroe Av., (C1430BKC), Buenos Aires, Argentina.
Horacio F MayerDepartment of Plastic and Reconstructive Surgery, Hospital Italiano de Buenos Aires, University of Buenos Aires Medical School, University of the Hospital Italiano de Buenos Aires, 4190 Peron St., 1st. floor, (C1991ABB), Buenos Aires, Argentina.

Funding

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6 · The paper itself

Abstract

backgroundDuring the last decade, the demand for top surgery in female-to-male transgender (FMT) has increased worldwide. This study aims to present our initial experience with the novel use of ultrasound-assisted liposuction (UAL) in top surgery. Additionally, we evaluate the satisfaction and quality of life with TRANS-Q and BREAST-Q.

methodsWe conducted a retrospective study analyzing FMT undergoing UAL in top surgery from 2019 to 2021 at a single institution. We analyzed demographic variables, comorbidities, surgical techniques, operative time, complications, and follow-up time. We used TRANS-Q and BREAST-Q to evaluate patient-reported outcomes. A p value < 0.05 was considered significant.

resultsWe performed 34 UAL combined subcutaneous mastectomies in 17 patients. Twelve patients (70.6%) underwent mastectomy double incision with free nipple grafting (DIFNG), and 29.4% underwent concentric circular mastectomy. In the DIFNG group, BMI (p < 0.02), the weight of each mammary gland (p < 0.001), and use of chest binder (p < 0.03) were significantly higher. The mean operative time was 115 min. The complication rate was 11.7% (one hematoma and three hypertrophic scars). The mean follow-up was 29.4 months, and no aesthetic revision surgeries was reported. The response rate for TRANS-Q and BREAST-Q was 76.5%, and high satisfaction with the results and significant improvement in quality of life were reported.

conclusionsWe present the first cohort of transgender men who underwent UAL in top surgery. With proper training, the use of UAL could be a feasible and safe technique, offering good long-term esthetic results. Additionally, TRANS-Q and BREAST-Q demonstrated improved satisfaction and quality of life. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

Gender-Affirming SurgeryLipectomyMastectomy, SubcutaneousPatient SatisfactionQuality of LifeTransgender PersonsUltrasonography, InterventionalAdultEstheticsFemaleFollow-Up StudiesHumansMaleMammaplastyMiddle AgedPatient Reported Outcome MeasuresChest-wall contouringSexual reassignmentSubcutaneous mastectomyUltrasound-assisted liposuctionVASER

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