ArticleJPRAS open2026
Oncoplastic chest masculinization using lateral thoracic adipofascial flaps after risk-reducing mastectomy.
Article in JPRAS open, 2026. 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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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.
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5 authors.
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Abstract
The high-risk transgender man with a pathogenic variant in a cancer predisposition gene presents a clinical dilemma wherein the requisite oncologic mastectomy creates an inherent dichotomy with the aesthetic goals of chest masculinization. A standard gender-affirming mastectomy leaves residual glandular tissue, necessitating burdensome surveillance. Conversely, a complete oncologic mastectomy, particularly in obese patients, frequently yields a contour deformity characterized by anterior chest hollowing and exacerbated lateral chest rolls. We present novel use of a single-stage technique that repurposes the tissue that would otherwise form a "dog ear" deformity as a robust, pedicled adipofascial flap for immediate autologous reconstruction. This approach synergistically resolves the dichotomy between oncologic safety and aesthetic outcomes by simultaneously achieving complete resection, obliterating the mastectomy defect, and eliminating lateral chest rolls.
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