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• W3127969733 abstract "Obesity can often be a barrier to gender-affirming top surgery in transmasculine patients because of concern for increased surgical site complications.All adult patients (N = 948) within an integrated health care system who underwent gender-affirming mastectomy from 2013 to 2018 were retrospectively reviewed to evaluate the relationship between obesity and surgical site complications or revisions.One third of patients (n = 295) had obese body mass index (BMI), and those patients were further stratified into obesity class I (BMI of 30-34.9 kg/m2, 9.4%), class II (BMI of 35-39.9 kg/m2, 8.9%), and class III (BMI of ≥40 kg/m2, 2.9%). A majority of patients across BMI categories underwent double incision surgery. There were no significant differences in complications or revisions between patients with obesity versus those with normal BMI, when BMI was treated as a categorical or continuous variable and when evaluating only patients who underwent double incision surgery.Obesity alone should not be considered a contraindication for gender-affirming mastectomy. Attention should be given to several modifiable risk factors identified in this study, including lesser incision surgical techniques, tobacco use, and testosterone use. Further research is needed to understand risks associated with the highest BMI (≥40 kg/m2) patients and to assess patient satisfaction with surgical outcome." @default.
• W3127969733 created "2021-02-15" @default.
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• W3127969733 date "2021-02-03" @default.
• W3127969733 modified "2023-09-26" @default.
• W3127969733 title "Gender-Affirming Mastectomy in Transmasculine Patients" @default.
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• W3127969733 doi "https://doi.org/10.1097/sap.0000000000002712" @default.
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