摘要

Objectives: The primary objective of this study is to highlight the perioperative evaluation, satisfaction scoring, and surgical outcomes of breast augmentation surgeries in transgender patients which have been studied retrospectively, in a single tertiary care institute. Introduction: The eagerness to opt for gender-affirming surgeries (GAS) has been very popular amongst the transgenders. As a part of “top surgery” for the treatment of gender dysphoria, implant-based breast augmentation is the most sought-after procedure performed the Plastic Surgeons worldwide. The overall outcome, and satisfaction following surgery have been highlighted in this study. Materials / method: This is a retrospective analysis of the 46 patients, who had undergone implant-based breast augmentation, conducted at a single tertiary care center from 2019 January to 2023 December. The study encompasses the patient's characteristics, surgical background, and postoperative outcome. Patient satisfaction scoring was taken in the form of Breast Q scoring defining the need for re-surgery and the overall aesthetic outcome of the procedure. Results: All the cases involved transgender women who had a previous history of hormonal therapy of 4-6 months duration before opting for surgery. In all 46 cases, silicone implants were placed in the subfascial pocket created. Complications such as surgical site infection, capsular contracture, and late scarring were enlisted in each patient. Scar contracture was noticed in 4 patients, and capsular contracture was noticed in 8.7% of patients. The surgical satisfaction questionnaire revealed high scores in >70% of patients. The chance of reoperation is minimized in these patients. Conclusion: In regular aesthetic practice, even though breast augmentation cases are commonly performed choosing the best-sized implant has always been a matter of concern. Often, post-surgery these patients often feel unhappy about the implant size. Hence the Surgeon, should always be aware of their needs both pre and postoperatively by building a strong rapport and deciding accordingly the best implant for the patient.