Category: shoulder reduction | technical strategies

Technical Strategies – Double Plate Fixation in Shoulder Reduction Surgery

Shoulder width reduction is successfully done by shortening of the clavicle bones. In so doing it is necessary to rigidly fix the clavicles back together so they can proceed to uncomplicated healing. As a weight bearing bone that supports the shoulder and keeps it from collapsing towards the sternum it is exposed to significant displacing Read More…

The Effects on Shoulder Function of Elective Clavicle Reduction Osteotomies for Feminizing Effect

Shoulder reduction surgery is done to create a more feminine appearance whether it is in the transgender male to female or the cis-female patient. It is done by removing a segment of bone from the clavicle which subsequently brings the shoulders more inward. (decreased bideltoid distance) One of the key aesthetic questions about this operation Read More…

Technical Strategies – Plate and Screw Fixation of Clavicle Osteotomies in Shoulder Width Reduction Surgery

Shoulder width reduction by reducing the length of the clavicle is a very effective upper body reshaping procedure. In a near 1:1 relationship with the amount of clavicle removed, the bideltoid width of the shoulders is reduced. The result is immediate and is unaffected by any swelling that occurs at the actual site of the Read More…

The Key Steps in Clavicle Shortening in Shoulder Feminization Surgery

Shoulder feminization surgery reduces the bideltoid width through shortening of the length of the clavicles. While this is a straightforward concept as the lone horizontal bone on the body is the clavicle, doing so in an aesthetic manner requires several key steps to ensure an effective result that proceeds to uncomplicated bone healing and minimal Read More…

The Required Amount of Clavicle Length Reduction in Shoulder Feminization Surgery

Shoulder feminization surgery is done by surgical shortening of the clavicles. (clavicular reduction osteotomies) Since clavicles provide horizontal spacing between the sternum and the shoulder, it is easy to see how shortening their length provides reduction in bideltoid shoulder width measurements and appearance. Even though the clavicle is not a pure horizontal rod of bone, Read More…

Postoperative Radiographic Assessment of Clavicle Reduction Osteotomies for Shoulder Width Reduction

The width of the shoulders is impacted by several tissue factors including muscle and bone. But none is more significant than the length of the clavicles which separates the sternum from the shoulder joint. For this reason shoulder width reduction, what is also known as shoulder feminization, is achieved by shortening the length of the Read More…

Technical Strategies – Double Plate Fixation of Clavicle Reduction Osteotomies in Shoulder Width Reduction

Unlike shoulder augmentation there is only one method to achieve shoulder width reduction. Shortening the length of the horizontally oriented clavicle bone allows the transverse width of the shoulders to move inward. This is done by performing a small segmental osteotomy at the inner third of the clavicle. Putting the two ends of the bone Read More…

Shoulder Narrowing (Clavicle Reduction) Postoperative Rehabilitation Program

SHOULDER NARROWING REHABILITATION PROGRAM Recovery from shoulder narrowing surgery takes time and is unique because it involves both clavicles. Besides that there are no associated shoulder soft tissue injuries, it is somewhat different in recovery from clavicle fracture repair as there is no ‘good’ shoulder to lean on. As a result, rehabilitation is a bit Read More…

The Incision and Resultant Scar in Shoulder Width Reduction by Clavicular Osteotomies

Shoulder width reduction is done by removing a segment of bone from the medial or inner third of the clavicle. With bone removal in this location the incision is favorably placed in the supraclavicular fossa. Rather than placing the incision directly on the superior edge of the clavicle (a convex surface), it is placed superiorly Read More…

The Surgical Anatomy of the Clavicle in Shoulder Width Reduction

Shoulder width reduction can be effectively done by reduction of the clavicle, the only horizontally oriented long bone in the body. Because it is a relatively long bone (mean length of 15cms with ranges between 13 and 17 cms) and serves as a strut between the sternum (breast bone) and the scapula (shoulder blade), it Read More…