METHOD FOR CORRECTING SOFT TISSUE CONTOUR OF ANTERIOR THORACIC WALL IN NUCLEAR FORM OF FEMALE TRANSSEXUALISM Russian patent published in 2021 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to plastic reconstructive and aesthetic surgery. Performing lower and upper lining incisions of breast tissue, wherein the lower incision is made along the edge of the lower breast slope along the line passing in the region of the submammary fold and extending upward along the major pectoral muscle by 1–5 cm, and the upper one - along the line passing from the lateral point of the lower incision to its medial point above the upper border of the areola along the middle clavicular line by 0.5–2 cm. Thereafter, the skin-fat flap dissection is performed along the fascia of the mammary gland from above and on the fascia of the greater pectoral muscles from below with subsequent removal of breast tissue. Edges of the postoperative wound are matched by suturing the superficial fascia in the cranial and caudal wound edges, subcutaneous fat and derma. Nipple-areola complex is taken as a splitted skin autograft. New position of the areola is determined in the region of the line crossing the edge of the greater pectoral muscle and a line extending laterally from the midclavicular line at a distance from it of not more than 2 cm, and skin de-epidermis is performed in this region with diameter corresponding to autograft diameter. Further, the nipple-areola complex autograft is fixed to the de-epidermal area by using 8 interrupted sutures applied equidistant from each other with observing the principle of dichotomous division of the de-epidermis region by each subsequent suture, with one end of filament of each nodular suture left with length sufficient for further adhesion of pressure bandage on autograft. Additional interrupted sutures are applied between the adjacent interrupted sutures for additional fixation of the autograft to the de epidermis area. Pressure bandage is applied over the fixed autograft to be fixed on it by way of long threads ends tying, remaining after previous interrupted sutures, ensuring tight adherence of the autograft to the de epidermis area. Performing the final closing of the postoperative wound with the help of the continuous intradermal epidermal suture; sutures and a pressure bandage are removed on 10–14^th postoperative day.

EFFECT: invention provides correction of a contour of soft tissues of the anterior chest wall in patients with any size of mammary glands and any degree of ptosis per one surgical intervention in obtaining maximum aesthetic result.

1 cl, 1 ex, 15 dwg