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Case 3: Transgender (M to F) Breast Augmentation (Breast Enlargement with Implants)

This 68 year-old M to F transgender patient spoke with the staff at Minneapolis Plastic Surgery several times over the years during her transition, and at the time of evaluation for breast enlargement, had been on hormone therapy for over a year with minimal breast growth. Her medical history was significant for cardiac rhythm problems for which an implanted ICD was placed over her left ribcage. Despite her age and heart concerns, she came to MPS cleared for surgery by her cardiologist, and subsequently underwent single-stage breast implant placement in our accredited office surgical facility. A Medtronic technician was present to verify proper function of her ICD during and after surgery, which proceeded uneventfully. 6 months later, she underwent genital surgery (elsewhere), and shortly after that returned to MPS for larger breast implants. She is now "the happiest I have been my whole life."

Final implant type and size: 1st: 475cc filled to 540cc; 2nd: 700cc filled to 790cc
Length of expansion: none (single-stage surgery; later larger implants)
Type of tissue expanders (if used): not used; initial implants later replaced with larger

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Image_medium Before
Image_medium After (5 months after first implants)
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