Complications from Mastectomies Performed on Normal Young Women
Someone asked me if bilateral mastectomies performed on normal, still growing young women for gender change are more complicated than having a breast removed for cancer is an older adult women
I found this instructive paper by Kääriäinen and coworkers from Department of Plastic and Reconstructive Surgery, Tampere University Hospital, Tampere, Finland.
It was notable that 40.4 percent of the patients had psychiatric diagnoses in addition to gender dysphoria.
A concentric circular approach was used in 50.9 percent and a transverse incision approach in 49.1 percent of the patients.
In the transverse incision group, 21.4 percent of the patients underwent pedicled mammaplasty and 78.6 percent mastectomy with a free nipple-areola complex graft.
An astounding one-third of the patients had complications (hematoma, infection, seroma, fistula, or partial necrosis of nipple-areola complex) and the reoperation rate was 8.8 percent.
Hematoma was the most frequent reason for reoperation. Corrections were required for the scar in 14 percent of the patients, the contour in 28 percent, the areola in 15.8 percent, and the nipple in 5.3 percent.
Secondary corrections were needed more often in the concentric circular (55.2 percent) than in the transverse incision group (25 percent; p = 0.031).
These surgical outcomes are simply put—horrendous, and every young girl and her parents should be aware of what a mastectomy would really mean if they decide to take the “gender journey” to the fantasy life of looking like a boy.
See more here substack.com
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