Surgical Summary Sheets - Breast Augmentation FINAL Gender Affirming Surgery Breast Augmentation A summary for health care providers Gender Affirming Surgery Breast Augmentation A summary for health care providers This summary provides information to facilitate the discussion of gender affirming surgery between Ontario health care providers and patients. [...] SURGICAL TECHNIQUES AND OPTIONS Implants are placed under the pectoralis chest muscles (submuscular) or just under existing breast tissue (subglandular/subfascial) Silicone implants are the most common type of implant. [...] saline) of the implant will be discussed and decided upon with the surgeon Inframammary (under breasts) is the most common incision site for implant insertion but periareolar (around areola) and transaxillary (in armpit area) are sometimes possible Very rarely, a surgery for tissue expansion may be needed before implant surgery can be completed The nipple and areola may be reconstructed For patien. [...] Surgical removal of the capsular scar tissue and implant removal or replacement is commonly required. [...] ACKNOWLEDGEMENT This document was created by clinicians at Sherbourne Health and Women’s College Hospital, using up to date literature as well as information adapted from the Transgender Health Information Program of British Columbia, the GRS Montreal Clinic, and the Gender Identity Clinic at the Centre for Addiction and Mental Health Published September 20 2024 .
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Table of Contents
- Implants are placed under the pectoralis chest muscles submuscular or just under existing breast tissue subglandularsubfascial 2
- Silicone implants are the most common type of implant. Size shape smooth texture and filling silicone vs. saline of the implant will be discussed and decided upon with the surgeon 2
- Inframammary under breasts is the most common incision site for implant insertion but periareolar around areola and transaxillary in armpit area are sometimes possible 2
- Very rarely a surgery for tissue expansion may be needed before implant surgery can be completed 2
- The nipple and areola may be reconstructed 2
- For patients preferring to use their own tissue fat grafting relocating fat from another area of the body to the chest may be possible. This is not an OHIP insured service. 2
- DESCRIPTION 2
- SURGICAL TECHNIQUES AND OPTIONS 2
- ALTERNATIVE TREATMENT OPTIONS 2
- SURGICAL RISKS AND COMPLICATIONS OF BREAST AUGMENTATION 3
- HematomaSeroma 3
- Skin necrosis 3
- Dissatisfaction 3
- Calcifications in the breast 3
- Anaplastic Large Cell Lymphom Mondor disease 3
- POTENTIAL RISKSCOMPLICATIONS COMMON TO MOST SURGERIES 4
- PRE-OPERATIVE CARE 4
- POST-OPERATIVE CARE 5