ArticlePlastic and reconstructive surgery. Global open2025
Technical Innovation and Chest Symmetrizing Techniques in Masculinizing Top Surgery: The Author's Experience.
Article in Plastic and reconstructive surgery. Global open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Masculinizing top surgery (masculinizing mastectomy, thoracoplasty, or mammoplasty) is the most commonly performed gender-affirming surgical procedure for transmasculine individuals. This study presents 3 surgical chest contouring techniques, along with an innovative approach for optimizing chest symmetry, and provides a flowchart to guide the selection of the most appropriate technique for each patient. Methods: The medical records of 92 patients who underwent masculinizing top surgery performed by a single surgeon using the free nipple-areolar complex (NAC) graft, NAC flap, or periareolar flap, from 2020 to 2024, were retrospectively reviewed. Technique selection was determined during outpatient evaluations, considering the patient's body profile, breast volume, degree of ptosis, skin elasticity, and presence of symmastia. Postoperative chest symmetry was also assessed. Statistical significance was defined as a Results: The free NAC graft was the most frequently used (47.2%), followed by the periareolar flap and NAC flap techniques. The overall revision rate was low (14.1%), with 4 patients requiring additional procedures to improve chest symmetry, and no significant differences were observed among the techniques. Dehiscence occurred more frequently after the NAC flap procedure ( Conclusions: We demonstrated that safe and aesthetically satisfactory outcomes can be achieved by masculinizing top surgery using the approaches presented. By analyzing the preoperative patient clinical characteristics and outcomes, we developed a flowchart that can guide the selection of the most appropriate surgical technique for each patient's body profile.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.