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Table of Contents
Operations
Female to Male Chest
Patient was marked in standing position in pre op and then taken to OR for GETA. After SCD boots placed and antibiotics given, 60 cc of tumescence fluid injected into proposed areas of liposuction and excision. Prepped and draped in sterile fashion. 3.7 mm cannula used with SAL to tail of breast bilaterally for total of 50 cc lipoaspirate. Thereafter, a 10 blade scalpel used to excise a bilenticular area from the lateral aspects of the breasts and chest wall to improve contour. Bovie used to complete the excision and then undermining was undertaken superiorly and inferiorly. Care was taken to stay superficial to underlying nerves. Irrigation undertaken and hemostasis achieved. Wounds closed in layers with 3-0 vicryl for deep dermal sutures and then 4-0 monocryl for running subcuticular suture. Dermabond and op site dressings applied. An abdominal binder was placed.
Breast Reduction
“Dressing: Dermabond over NAC Steris over vertical and horizontal incisions (hides ugly staple marks)”