Category: shoulder reduction

Clavicle Reduction Osteotomies and The Circumferential Bone Diameter in Shoulder Reduction Surgery

In shoulder narrowing surgery the most frequent asked is how much bone length will be taken. This is understandable as that is the apparent solitary intent of the surgery and everything else about it seems fairly straightforward. While the amount of bone reduction of the clavicle is not a precise 1:1 relationship to external shoulder Read More…

Male vs Female Bony Anatomic Differences in Shoulder Reduction Surgery

There are many anatomic features that distinguish between the male and female gender which are evident done at the non-visible bony level. One of these bone differences can be seen in the shoulder at the clavicle bone. This horizontally long bone keeps the shoulder at a distance from the sternum and is one of the Read More…

Plastic Surgery Case Study – Clavicle Reduction Osteotomies for Shoulder Reshaping In A Tall Thin Female

Background: The functional role of the clavicles is to provide support to the shoulders. It is an elongated s-shaped bone that sits at the top of the ribcage and provides a rigid but mobile strut between the sternum and the shoulder. This mobility is due to two joints, one on each end of the bone. Read More…

Plastic Surgery Case Study – Reductive Shoulder Reshaping Combined With Rib Removal Waistline Narrowing Surgery

Background: Shoulder narrowing surgery is done in either transgender male to females or cis-females for shoulder dysphoria. Having done many such procedures at this point I have had the epiphany that the term ‘shoulder narrowing’ does not accurately describe what occurs. Because the clavicle is a lazy s-shaped bone with a horizontal orientation, a removal Read More…

The Supraclavicular Fossa Incision in Aesthetic Shoulder Narrowing Surgery

The concept of shoulder reduction by removing a segment of the clavicle bone is fairly straightforward. A length of the bone is removed and the outer shoulder width follows inward. Executing it, however, is not quite that simple. As an aesthetic operation the location of the scar and its length become an important element of Read More…

Plastic Surgery Case Study – Large Clavicle Bone Removals in Shoulder Narrowing Surgery in a Tall Female

Background: Shoulder narrowing by clavicle bone reduction is an effective procedure in body feminization efforts. The most important components of the procedure are how much bone to remove and what type of bone fixation should be used to support it as it heals. Patients understandably focus on how much bone is to be removed as Read More…

Plastic Surgery Case Study – Plate and Screw Fixation in Aesthetic Shoulder Narrowing Surgery

Background: Reducing the length of the clavicle bones has a direct effect on the appearance of the shoulders. Their width and shape is affected by the horizontal support of the clavicles. Reducing any amount of the clavicle support will naturally cause the shoulders to move or fall inward. The shoulders change shape by a combination Read More…

What Is The Maximal Length Of Bone That Can Be Removed In Clavicle Reduction Osteotomies (Shoulder Narrowing Surgery)

Shoulder narrowing by clavicle reduction osteotomies is an effective and only technique for a reductive change in the shape of the upper torso. It is often described as having a linear effect, meaning what is taken out in the inner half of the clavicle translates to an exact change in the bideltoid distance. It is Read More…

Postoperative Instructions – Clavicle Reduction (Shoulder Feminization) Surgery

POSTOPERATIVE INSTRUCTIONS Clavicular Reduction Osteotomies (Shoulder Feminization Surgery) Most patients will need some narcotic pain medication after surgery. You will be given a pain prescription prior to surgery with instructions for its use. More than one pain prescription may be needed. Muscle relaxants and nerve pain (gabapentin) may also be helpful for some patients. Your Read More…

Technical Strategies – Single Plate Clavicle Reduction Fixation for Shoulder Narrowing

In clavicle reduction osteotomies for reductive shoulder reshaping surgery, the key technical step in the procedure is holding the bone in place once it is put back together. This bone fixation is done by titanium plates and screws of which there is a wide variety of types and manufacturers. All of these plate and screw Read More…