Subcutaneous mastectomy

Subcutaneous Mastectomy is a surgical procedure primarily aimed at removing breast tissue while preserving the overlying skin, nipple, and areola. This operation is often performed for individuals undergoing female-to-male gender reassignment surgery, those with a high risk of breast cancer due to genetics (such as BRCA1 or BRCA2 mutations), or for certain conditions like gynecomastia in men. The goal of a subcutaneous mastectomy is not only to remove potentially harmful or unwanted breast tissue but also to maintain the natural appearance of the chest as much as possible.

Indications

Subcutaneous mastectomy is indicated for several conditions and circumstances, including:

• Prophylactic treatment for individuals at high risk of developing breast cancer.
• Gender affirming surgery for transgender men and non-binary individuals seeking a more masculine chest contour.
• Treatment of gynecomastia, the benign enlargement of breast tissue in males.
• Rarely, as part of the treatment for certain benign breast diseases.

Procedure

The procedure involves the surgical removal of breast tissue through an incision made either around the areola or in the inframammary fold. Care is taken to preserve the skin, nipple, and areola to maintain the natural appearance of the chest. The extent of tissue removal and the specific technique used can vary depending on the patient's goals, the amount of breast tissue present, and the need for minimizing scarring.

Risks and Complications

As with any surgical procedure, subcutaneous mastectomy carries risks and potential complications. These may include:

• Infection
• Bleeding
• Scarring
• Changes in nipple or breast sensation
• Asymmetry
• The need for additional surgeries

Recovery

Recovery from a subcutaneous mastectomy varies by individual but generally involves a period of rest and limited activity to allow for healing. Patients may need to wear a special compression garment and avoid strenuous activities for several weeks. Pain and discomfort can typically be managed with medication.

Outcomes

The outcomes of subcutaneous mastectomy are generally positive, with many patients experiencing satisfaction with the aesthetic results and a reduced risk of breast cancer. However, patient experiences can vary, and it is important for individuals to have realistic expectations and discuss potential outcomes with their surgeon.

See Also

• Mastectomy
• Breast Reconstruction
• Gender Reassignment Surgery
• Gynecomastia

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