Complications from Double Mastectomies Performed on Normal Young Women

Outcomes for Transgender Surgery are Terrible

By Peter A. McCullough, MD, MPH

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.

Kääriäinen M, Salonen K, Helminen M, Karhunen-Enckell U. Chest-wall contouring surgery in female-to-male transgender patients: A one-center retrospective analysis of applied surgical techniques and results. Scand J Surg. 2017 Mar;106(1):74-79. doi: 10.1177/1457496916645964. Epub 2016 Jun 23. PMID: 27107053.

It was notable that 40.4% of the patients had psychiatric diagnoses in addition to gender dysphoria. A concentric circular approach was used in 50.9% and a transverse incision approach in 49.1% of the patients. In the transverse incision group, 21.4% of the patients underwent pedicled mammaplasty and 78.6% 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%. Hematoma was the most frequent reason for reoperation. Corrections were required for the scar in 14.0% of the patients, the contour in 28.0%, the areola in 15.8%, and the nipple in 5.3%. Secondary corrections were needed more often in the concentric circular (55.2%) than in the transverse incision group (25.0%; p = 0.031).

The staggering costs of being transgender in the US, where even patients with health insurance can face six-figure bills

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.

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Kääriäinen M, Salonen K, Helminen M, Karhunen-Enckell U. Chest-wall contouring surgery in female-to-male transgender patients: A one-center retrospective analysis of applied surgical techniques and results. Scand J Surg. 2017 Mar;106(1):74-79. doi: 10.1177/1457496916645964. Epub 2016 Jun 23. PMID: 27107053.

The staggering costs of being transgender in the US, where even patients with health insurance can face six-figure bills Benji Jones Jul 10, 2019, INSIDER, 1:38 PM CDT