Acta Medica Okayama volume74 issue1
2020-02 発行

The Novel Eryngii Method of Nipple Reduction for Female-to-Male Transsexuals

Sakurai, Toru Department of Plastic and Reconstructive Surgery, Okayama University Hospital
Watanabe, Toshiyuki Department of Plastic and Reconstructive Surgery, Okayama University Hospital
Manako, Kensuke Department of Plastic and Reconstructive Surgery, Okayama University Hospital
Komagoe, Syo Department of Plastic Surgery, Okayama Saiseikai General Hospital
Mukai, Yuko Department of Plastic and Reconstructive Surgery, Okayama University Hospital
Kimata, Yoshiro Department of Plastic and Reconstructive Surgery, Okayama University Hospital Kaken ID researchmap
Namba, Yuzaburo Department of Gender Center, Okayama University Hospital Kaken ID researchmap
Publication Date
2020-02
Abstract
Nosaka, NobuyukiMastectomy is usually the first and most important surgical procedure in female-to-male (FTM) individuals with gender identity disorder. Nipple reduction is also important in the process of reconstructing the chest wall for a more male appearance. If the nipples remain large after a mastectomy, the results may be disappointing to many FTM transsexuals. Nipple reduction enables these individuals to go to the beach or Japanese public baths, where they may go topless in public. We therefore consider that nipple reduction is indicated for all FTM transsexuals who desire it. There are a variety of methods for the reduction of enlarged nipples for women or non-FTM patients, but only a few reports have described the process used to create masculine-appearing nipples for FTM transsexuals. We developed a novel technique called the Eryngii method for creating male-like nipples using a 4-mm diameter dermal punch knife. The name of the method refers to the Eryngii king trumpet mushroom, which the nipple resembles after the surgical process. The main strength of this method is that it permits the creation of ideal nipples without difficulty. Here we introduce the technique and discuss our history of surgical methods for nipple reduction, including improvements and elaborations.
Document Type
Case Report
Keywords
nipple reconstruction
female-to-male
transmen
mastectomy
top surgery
Link to PubMed
Thumnail 74_1_83.pdf 55.8 MB