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Long-Term Outcomes in Breast Augmentation in Trans-Women - A 20-Year Experience


Fakin, Richard M; Zimmermann, Simon; Kaye, Kai; Lunger, Lukas; Weinforth, Geraldine; Giovanoli, Pietro (2019). Long-Term Outcomes in Breast Augmentation in Trans-Women - A 20-Year Experience. Aesthetic Surgery Journal, 39(4):381-390.

Abstract

Background Breast augmentation in trans-women requires special consideration and thorough preoperative planning. Objectives This study aimed to present our long-term outcome and experience gained over the past 21 years. Methods Trans-women who have undergone breast augmentation since 1995 were reviewed for primary surgery, type of incision, implant site, implant size & shape, and revisions. Results A total of 138 patients with a follow-up of 4.6 years (range, 2.0-13.3) were included. In 112 patients (82.4%) the inframammary incision was chosen. Subpectoral implantation was performed in 70 patients (51.5%). Round breast implants (91 patients, 66.9%, p = 0.010) with low projection (103 patients, 75.7%, p < 0.001) were favoured. The implant size used during 2011-2016 of 363.3 ± 97.3cc was significantly increased as compared to the implant size reported during 1995-1999 (mean difference, +142,1cc, p < 0.001) and 2000-2004 (mean difference, +113,5cc, p < 0.001). Simultaneously, revision rates dropped significantly over time (52.9% during 1995-1999 as compared to 6.9% during 2011-2016, p < 0.001). Overall, request for larger implants was the most common indication for revision (13 patients, 9.4%) after 6.0 months (range, 4.0-18.7). At revision, implant volume was 355.4 ± 132.8cc, showing significant increase of 107.0 ± 48.1cc as compared to primary implants (+30.0%, p = 0.048). Conclusions Request for larger breast implants was the most common reason for revision. Depending on the various degrees of breast tissue growth due to hormonal therapy, whenever applicable we recommend round, low projection implants with a mean size of 360cc in the prepectoral pocket.

Abstract

Background Breast augmentation in trans-women requires special consideration and thorough preoperative planning. Objectives This study aimed to present our long-term outcome and experience gained over the past 21 years. Methods Trans-women who have undergone breast augmentation since 1995 were reviewed for primary surgery, type of incision, implant site, implant size & shape, and revisions. Results A total of 138 patients with a follow-up of 4.6 years (range, 2.0-13.3) were included. In 112 patients (82.4%) the inframammary incision was chosen. Subpectoral implantation was performed in 70 patients (51.5%). Round breast implants (91 patients, 66.9%, p = 0.010) with low projection (103 patients, 75.7%, p < 0.001) were favoured. The implant size used during 2011-2016 of 363.3 ± 97.3cc was significantly increased as compared to the implant size reported during 1995-1999 (mean difference, +142,1cc, p < 0.001) and 2000-2004 (mean difference, +113,5cc, p < 0.001). Simultaneously, revision rates dropped significantly over time (52.9% during 1995-1999 as compared to 6.9% during 2011-2016, p < 0.001). Overall, request for larger implants was the most common indication for revision (13 patients, 9.4%) after 6.0 months (range, 4.0-18.7). At revision, implant volume was 355.4 ± 132.8cc, showing significant increase of 107.0 ± 48.1cc as compared to primary implants (+30.0%, p = 0.048). Conclusions Request for larger breast implants was the most common reason for revision. Depending on the various degrees of breast tissue growth due to hormonal therapy, whenever applicable we recommend round, low projection implants with a mean size of 360cc in the prepectoral pocket.

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Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Reconstructive Surgery
Dewey Decimal Classification:610 Medicine & health
Language:English, German
Date:14 March 2019
Deposited On:11 Sep 2018 13:40
Last Modified:15 Mar 2019 02:01
Publisher:Sage Publications Ltd.
ISSN:1090-820X
OA Status:Closed
Free access at:Publisher DOI. An embargo period may apply.
Publisher DOI:https://doi.org/10.1093/asj/sjy143
PubMed ID:29901707

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