Transgender Breast Augmentation

CONSENT FORM

BREAST AUGMENTATION

Breasts are universally recognized as a symbol of nourishment, love, femininity and sexuality.

Breast augmentation is the second most popular cosmetic procedure performed (following liposuction), about 254,000 cases per year in the United States.

If you are a MTF transgendered patient, you should be on hormones for 2 years to max out your “home grown” abilities under which an implant will be placed. If you are a MTF transsexual, you will also need a letter of therapy clearance from a licensed therapist ideally with a doctoral degree.

Breast prostheses applicable for standard implantation are typically saline or silicone. Cohesive gel implants when cut on the laboratory bench maintain their shape and do not leak. Gel implants may require a larger incision. Prostheses come in difference profiles and some are anatomical in shape, i.e. tear dropped, being fuller in the lower pole.

The average expectancy of a saline filled breast prosthesis is about 16 years. However the likelihood that revisionary surgery will be performed within 5 years is about 25% across the board. The most common reasons for implant replacement are for request of size change 37%, leakage or rupture 24%, capsular contracture 18%.

Compare this with a 3% incidence of re operation in Dr. John Tebbetts series involving about 1662 patients with a 7 year followup. Careful matching of the implant to the unique anatomical features of the patient explains this.

Generally I subscribe to the Tebbetts formula for appropriate size. Oversizing creates many problems including early drooping (pendulous weight effect) and “double bubble.” A distortion when the base of the implant below is seen distinctly from the base of the natural breast, above, which is of lesser circumference.

Breasts as they occur naturally are not perfectly symmetrical, “sisters not twins.” Some balance can be achieved by differential filling and placement. Cleavage does not occur naturally and attempts to place implants so close as to achieve this may result in synmastia, the touching of one breast prosthesis against another.

The subpectoral approach is desired especially when pinched skin thickness is narrow in the upper pole (that breast tissue above the areola). This provides greater coverage of the implant. However, an implant is seldom entirely covered by the pectoralis muscle and is really bi-planar, partially sub-glandular in the lower outer quadrant where the pectoralis muscle is absent.

Athletes should avoid a subpectoral approach as it might impede pulling.

The two most popular in incisions are inframammary and periareolar. Other procedures include transaxillary (through the arm pit) or transumbilical.

The early detection of breast tumors may be slightly enhanced with prostheses although there may be some technical problems with compression during mammography.

Scarring can be minimized by taping over the incisional area for 3 months.

Massaging post implantation may reduce capsular contracture which can occur in 8 percent of patients, but can also result in some migration secondary to broadening of the pocket.

Anticipate a variable degree of pain for 3 or 4 days, associated with tissue stretching.

With respect to the ability to successfully breast feed after breast implantation, one study reported up to 64% of women with implants who were unable to breast feed compared to 7% without implants. The periareolar incision site may significantly reduce the ability to successfully breast feed.

Our office will be happy to provide additional counseling at the time of consultation.

Fee $5,000 for breast augmentation to include surgery, saline implants (silicone and anatomic models available for small upcharge), use of the facility, anesthesia, any post operative care provided by this office, and a Design Veronique versatile stabilizing velcro breast wrap for customized positioning made of soft breathable stretch fabric with floral detail.

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Breast Augmentation:
Clinical comment.  Patient had left breast benign nodule removed  Left nipple areolar complex sags versus right side.  Right implant installed using infra-mammary approach (subpectoral) and left side via biopsy incision (also subpectoral) with elevation of n-a complex after removing a crescent of skin.

Example #1 – 1/1 – 1/6:

Clinical comment. Beautiful Brazilian patient with post-partum atrophy desires augmentation and lift.  The upper poles seems a little too prominent on these early photos but should settle with time and massage.  Approach, inframammary.

Example #2 – 2/1 – 2/6:

MTF patient had silicone injected directly into her breasts elsewhere and requested more definition and medial enhancement approaching cleavage.
Example #3 – 3/1 – 3/4

MTF patient had silicone injected directly into her breasts elsewhere and requested more definition and medial enhancement approaching cleavage.
Example #4 – 4/1 – 4/4

MTF patient had silicone injected directly into her breasts elsewhere and requested more definition and medial enhancement approaching cleavage.
Example #5 – 5/1 – 5/2

MTF patient with synmastia (fusion of breasts following too medial an implantation).
Example #6 – 6/1 – 6/5

6/3 – 6/5 Status post explantation of saline implants, widening pocket laterally and inferiorly.
Intraoperatively no direct contact of implants noted. Patient opts for silicone replacement. Thong bra applied to permit lateral healing.

Incision line is inframammary and fairly well concealed.

Example #7 – 7/1 – 7/2

Example #8 – 8/1 – 8/4

Silicone Story, done elsewhere:
Silicone to the hips (by others) perhaps overdone.
Example #9 – 9/1 – 9/3

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