Mastectomy in female-to-male transsexuals

Yuzaburo Namba, Toshiyuki Watanabe, Yoshihiro Kimata

Research output: Contribution to journalArticlepeer-review

23 Citations (Scopus)


The first operative procedure in sex reassignment surgery (SRS) for female-to-male transsexuals (FTMTS) is mastectomy. This procedure includes the removal of mammary tissue, removal of excess skin, and reduction and proper repositioning of the nipple and areola complex. We have performed mastectomies in over 120 patients since January 2001 and want to describe the operative procedures we have developed. We classified our patients into 3 groups according to the patient's breast volume and the degree of ptosis, and we selected the operative procedure that was suitable for each group. At present all costs for SRS are assumed by the patient in Japan. If the FTMTS patient undergoes the entire series of SRS operations, he has to pay more than 3,000,000 yen. Thus the surgeon should select the proper operative procedure so that the patient can avoid unnecessary additional operations. We describe herein the techniques and the strategy for performing mastectomy in FTMTS.

Original languageEnglish
Pages (from-to)243-247
Number of pages5
JournalActa medica Okayama
Issue number5
Publication statusPublished - Nov 2009


  • Female-to-male transsexual
  • Mastectomy
  • Sex reassignment surgery

ASJC Scopus subject areas

  • General Biochemistry,Genetics and Molecular Biology


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