Treatment of Keloids from Gender-Affirming Mastectomy: A Case Report.

J Nippon Med SchNov 17, 2025 (epub)
Case ReportPlastic SurgeryObstetrics & Gynecology

Kanae Nakamura, Toru Sakurai, Rei Ogawa

✦ AI-curated · Sources linked

Case in brief

A 40-year-old Japanese transgender man developed keloids along the anterior-chest scars from an inverted-T gender-affirming mastectomy. The keloids were excised, and the wounds were closed with layered primary closure. Radiotherapy began the following day and was delivered over 3 consecutive days; continuous taping and close scar monitoring continued for 1 year. There was no recurrence, and the aesthetic outcome was good at 18 months.

What made this case unusual

The case links keloid formation to scars from gender-affirming mastectomy and describes a combined approach of excision, early postoperative radiotherapy, and prolonged taping, with no recurrence reported at 18 months.

Diagnostic / clinical pearl

Assess individual keloid risk before gender-affirming mastectomy. In patients at risk, the authors advise avoiding techniques that leave long lateral anterior-chest scars and using tension-reducing closure with postoperative scar management and close follow-up.

Source

PubMed · PMID 41242724

Published in J Nippon Med Sch. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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