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Some undergo this as their only gender-identity confirming 'bottom surgery'. This article needs additional citations for verification. That advice echoes American Academy of Pediatrics policy that says pediatricians should use gender-neutral terms and encourage teens to feel comfortable talking "about their emerging sexual identities. Trans men with moderate to large breasts usually require a formal bilateral mastectomy with grafting and reconstruction of the nipple-areola. For trans men with smaller breasts, a peri-areolar or "keyhole" procedure may be done where the mastectomy is performed through an incision made around the areola. This will result in two horizontal scars on the lower edge of the pectoralis muscle, but allows for easier resizing of the nipple and placement in a typically male position. This avoids the larger scars of a traditional mastectomy, but the nipples may be larger and may not be in a perfectly male orientation on the chest wall.
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Christine McGinn, estimated that she had done more than 30 operations on children under 18, about half of them vaginoplasties for biological boys becoming girls, and the other half double mastectomies for girls becoming boys. New Girl in School: Mother shares snap of sweet kids' quilt cover and compares We have a huge free DVD selection that you can download or stream.
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