Circumstances which have reasonable so you’re able to high chest, ptosis values II and you will moderate in order to worst epidermis suppleness underwent second-rate pedicled mammoplasty. When you look at the times having very large chest, bad body suppleness and you will amounts III ptosis, a great mastectomy that have 100 % free NAC graft are did. According to research by the show shown right here and you will all of our sense, i suggest an algorithm to simply help to decide abreast of the quintessential suitable subcutaneous mastectomy technique during these someone ( Contour 1 ). Within this algorithm, bust try classified according to breast size, level of skin continuously and you can epidermis suppleness. NAC proportions and you may reputation is evaluated and you can postoperative marks was chatted about towards the diligent. To have short bust (A glass) with minimal facial skin too much, an effective suppleness and you can typical NAC size, this new Webster technique was did.
This method was first discussed from the Davidson ainsi que al for gynecomastia cases in the 1979 (14) and soon after observed by the Hage JJ in the 1995 as a subcutaneous mastectomy procedure into the FtM transsexuals (3,4)
Webster earliest described this method into the 1946 to have reduced-degrees gynecomastia cases (13). Continua a leggere