The Effects of High BMI on Transmasculine Chest Wall Masculinization

Abstract

Gender dysphoria is a condition that has a significant impact on a person’s long-term physical and psychological health. It is character-ized by clinically significant suffering or impairment as a result of gender incongruence, including a desire to change one’s primary and/or secondary sex characteristicsGender-affirming surgery is critical for alleviating these symptoms of gender dysphoria and has been shown to improve quality of life.Chest masculinization goals include cosmetic chest wall contouring, appropriate nipple reduction and location, and scar minimization on the chest wall. Obese patients are often rejected from this treatment due to worries that one of these four goals would be jeopardized. In contrast to having a high BMI, it was discovered that minimal incision operations, prior testosterone usage, and smoking history were all risk factors for problems that should be considered during preoperative planning. We also request that Plastic Surgery associations such as the Association of Plastic Surgeons of India and the American Society of Plastic Surgeons provide surgical guidelines.