What is "Nonbinary" and What Do I Need to Know? A Primer for Surgeons Providing Chest Surgery for Transgender Patients

Aesthetic Surgery Journal
Nick EsmondeJens U Berli

Abstract

Most transgender research focuses on patients who identify within the gender binary of either trans-male or trans-female. This largely omits understanding of the "nonbinary" gender identity as it pertains to surgical care. We sought to describe a single-institution experience of chest-affirming procedures performed in nonbinary patients, including patient characteristics, surgical techniques, practice pearls, and outcomes. This was an observational study of nonbinary patients who underwent "chest-affirming surgery" from 2012 to 2017. Demographic and surgical data were collected. A postoperative questionnaire assessing quality of life and body image outcomes was administered. A total of 458 patients with gender dysphoria underwent chest surgery; 58 (13%) patients were nonbinary. All nonbinary patients indicated female sex was assigned at their birth (100%). The most commonly performed procedure was the double incision technique with nipple grafts (72%), followed by the double incision technique without nipple grafts (19%). On a Likert scale, patients reported improved quality of life (4.88, SD ± 0.34), comfort with exercise (4.07, SD ± 0.98), sex life (4.02, SD ± 0.92), and comfort with physical appearance with (4.97, SD ± 0.18)...Continue Reading

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Citations

Jul 12, 2019·Frontiers in Psychology·Cristiano ScandurraRoberto Vitelli
Oct 31, 2019·Aesthetic Plastic Surgery·Anders TolstrupJacob Rosenberg
Jul 18, 2019·The International Journal of Transgenderism·Nat ThorneJon Arcelus
Dec 18, 2020·Aesthetic Surgery Journal·Phaedra Cress
Jun 11, 2021·The Journal of Sexual Medicine·Karolina KoziaraBartosz Grabski

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