Invited Discussion on: Masculinizing Chest Reconstruction in Transgender and Nonbinary Individuals: An Analysis of Epidemiology, Surgical Technique and Postoperative Outcomes

  • Daniel A. Medalie
Editor’s Invited Commentary

Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors

In this study, the authors’ objectives are to compare the postoperative outcomes associated with two different categories of masculinizing chest surgery in transgender and nonbinary individuals. They perform an epidemiological review of the American College of Surgeons National Surgical Database (ACS-NSQIP) to evaluate techniques similar to traditional mastectomy with and without free nipple grafts versus techniques resembling more traditional breast reduction procedures. This is a retrospective analysis of data culled from 2010 to 2107 and identified only by procedural CPT codes and ICD-9 and 10 diagnosis codes. Preoperative history and postoperative morbidity (up to 30 days) were examined and subjected to statistical...


Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflicts of interest to disclose.

Human and Animal Rights

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed Consent

For this type of study, informed consent is not required.


  1. 1.
    NSQIP A. Users Guide for the 2015 ACS NSQIP participant use data file 2015Google Scholar
  2. 2.
    Gatherwright J, Wanta J, Long TC, Knackstedt R, Medalie D (2018) Female to male mastectomy in 245 transgender patients: a prospective study of demographics, patient satisfaction, and outcomes using a novel, validated “TRANS”-questionnaire (Trans-Q). Plast Reconstr Surg Glob Open 6(9 Suppl):108–109CrossRefGoogle Scholar
  3. 3.
    Van de Grift TC, Elfering L, Greijdanus M et al (2018) Subcutaneous mastectomy improves satisfaction with body and psychosocial functions I trans men: findings of cross-sectional study using the body-Q chest module. Plas Reconstr Surg 142(5):1125–1132CrossRefGoogle Scholar
  4. 4.
    Agarwal CA, Scheefer MF, Wright LN et al (2018) Quality of life improvement after chest wall masculinization in female-to-male–transgender patients: a prospective study using the breast-Q and body uneasiness test. J Plast Reconstr Aesthet Surg 71(5):651–657CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2019

Authors and Affiliations

  1. 1.BeachwoodUSA

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