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Times which have modest so you can higher bust, ptosis amount II and you may reasonable so you’re able to worst body suppleness underwent second-rate pedicled mammoplasty. In times with very large bust, terrible facial skin elasticity and you may degrees III ptosis, a mastectomy having free NAC graft are performed. According to research by the performance presented here and our sense, i propose an algorithm to help to decide upon more appropriate subcutaneous mastectomy techniques throughout these anyone ( Shape 1 ). Within algorithm, breasts are classified considering nipple size, standard of facial skin too much and you may skin elasticity. NAC proportions and you will updates are analyzed and postoperative markings is discussed on diligent. Having short chest (A windows) with reduced epidermis excessively, a great suppleness and you can typical NAC size, brand new Webster techniques try performed.

This method was initially described because of the Davidson mais aussi al to have gynecomastia circumstances during the 1979 (14) and soon after followed of the Hage JJ when you look at the 1995 while the an effective subcutaneous mastectomy procedure in FtM transsexuals (step 3,4)

Webster basic revealed this method into the 1946 to own reduced-levels gynecomastia cases (13). Because a good FtM subcutaneous mastectomy technique, of numerous authors has actually accompanied this process (step 3,cuatro,5,six,seven,8,nine,10).