Experience of treatment on nipple virilescence using double M-shaped flap
Objective To investigate the surgical treatment ef ect of double M-shaped flap which can be used to nipple virilescence of female -to -male transsexuals.Methods Two sym-metric M-shaped flaps were designed,which pedicle in the basal part of nipple from 3 point and 9 point in the direction.The flaps were 8mm in width and 6mm in length.Excised extra tissue of nipple between two flaps.New nipple were virilized through interrupted two tongue -shaped flaps.Results This technique has been successful y used to 82 patients with female -to -male transsexual.New nipple had good blood circulation and survived wel .The side of new nipple were 5mm ×4mm,and the ef ect were satisfactory without nipple necrosis.Conclusion Tongue -shaped flap is a good choice for nipple reduction of female -to -male transsexuals and male hypertrophic nipple,which has such advantages as flex design,reliable blood circulation,simple op-eration and satisfactory appearance of nipple virilescence.