PMC10013424_01
Pre-operative photos of 32-year-old transgender male.
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Pre-operative physical exam (Figure 1) revealed an obese body habitus, diffuse acne, and multiple, scattered seborrheic keratoses.
Pre-operative patient surgical markings and immediate post-operative result after double opposing mastectomy with free nipple graft, POD 0.
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Figure 2 outlines pre-operative surgical markings and immediate post-operative results following incision closure.
Purulent drainage from subcutaneous Jackson-Pratt drain, POD 7.
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At this time, he was found to have frank purulence in the bilateral subcutaneous Jackson Pratt drains (Figure 3), as well as exquisite tenderness and induration of the bilateral chest incisions and axillae characteristic of cellulitis.
Intra-operative examination of widely disseminated milky fluid within the breast pocket during first washout procedure.
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During his initial washout, our patient had an extensive layer of milky, purulent fluid noted throughout the entire surgical dissection plane (Figure 4).
Final post-operative result after 6 months.
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Final 6-month post-operative surgical results are shown in Figure 5.