Examining the Impact of Breast Augmentation vs Hormone Therapy on Chest Femininity of Transgender Women

• DOI: 10.1093/asj/sjac288
• Publication Date: 2022-11-07T16:36:02Z
• Authors: Agnes Zhu; Steven Callori; Thanapoom Boonipat; Nathan Hebel; Jorys Jorge-Martinez
• Keywords: Transgender women; Gender Dysphoria; Hormone Therapy

Abstract Background For transgender women, there is often the innate assumption that surgical breast augmentation will increase perceived chest femininity beyond hormone therapy alone. Objectives This study aimed to evaluate whether lay individuals found surgically augmented breasts more feminine than development from replacement alone in patients. Methods We obtained preoperative (maximal growth on therapy) and postoperative (after primary augmentation) images of 22 patients, age- BMI-matched cisgender male (n = 17) female 21) control Survey respondents 271) rated each image a scale 1 (very feminine) 5 masculine). Results were compared by survey respondent gender identity sexual orientation. There was significant difference mean score between all types. Mean for patients fell 0.478 points after surgery (P < .0001). Subgroup analysis looking at participants revealed same significance trend postoperatively. Transgender also no controls .132). scores across 4 self-identified subgroups: heterosexual, lesbian, gay, or bisexual (LGB), LGB. The heterosexual subgroup any other subgroups (LGB P .001, LGB only .018). Conclusions shows significantly increased perception femininity. Furthermore, orientation are important how persons perceive Level Evidence: