Violence, chest binding, and chest-related embodiment among transgender men in Brazil: a cross-sectional study from a public gender-confirming clinic Gabriel de Almeida Arruda Felix, Miguel Sabino Neto, Daniela Francescato Veiga International Journal of Transgender Health, 2026 Background Transgender men often navigate gendered risks and structural constraints long before they can access chest masculinization surgery. However, the embodied implications of discrimination, physical violence, and chest binding remain underexamined, particularly in middle-income countries with universal public health systems like Brazil.Aim To examine the associations between discrimination, physical violence, current chest binding, and both chest-specific and general embodiment among transgender men receiving care in Brazil’s public health system.Methods This cross-sectional study included 90 transgender men consecutively recruited from a public gender-confirming outpatient clinic between 2023 and 2024. Participants had either undergone chest masculinization surgery or were eligible and actively awaiting it. Chest-related embodiment was assessed using the BODY-Q Chest and BODY-Q Nipple scales. General body-related attitudes were measured using the Body Investment Scale (BIS). Multivariable linear regression models with robust standard errors were adjusted for age, body mass index, educational attainment, race/color, and chest surgery status. The minimal clinically important difference (MCID) was used to contextualize the magnitude of the observed associations.Results Overall, 51.1% of the participants reported discrimination, 12.2% reported physical violence, and 32.2% reported chest binding. Current chest binding occurred exclusively among participants without prior chest surgery, representing 64.4% of this subgroup. Physical violence (β = −18.0, p = .003) and current chest binding (β = −18.6, p = .005) were associated with substantially lower BODY-Q Chest scores, with effect magnitudes exceeding the minimal clinically important difference (MCID) by more than two-fold. Discrimination was not associated with chest-specific outcomes but was associated with lower BIS scores (β = −6.3, p = .044).Conclusions Physical violence and chest binding were associated with clinically meaningful reductions in chest-related embodiment, whereas discrimination was associated with a lower general body investment. These findings underscore embodiment as a clinically relevant outcome shaped by structural adversity across the gender-confirming care continuum.
Rights of Breast Cancer Patients: Development of the Mama Lei App Carolina Alves Martins Guerra, Evelyne Borges de Mattos Andrade, Natália Luiza Sandoval Mendes, Daniela Francescato Veiga Revista Brasileira De Cirurgia Plastica, 2026 Resumo O câncer de mama é o segundo tumor maligno mais prevalente entre as mulheres, mas a falta de informações faz com que as pacientes não exerçam por completo seus direitos assegurados pela lei brasileira. Este estudo descreve o desenvolvimento do Mama Lei, um aplicativo (app) para ajudar as pacientes e a sociedade em geral a entender e aproveitar os benefícios garantidos por lei. Conduziu-se uma revisão da literatura e da legislação sobre o assunto para formar uma base teórica e criar um algoritmo, que foi validado segundo a técnica de Delphi. No total, 20 avaliadores – cirurgiões plásticos, mastologistas ou advogados – foram convidados a analisar o conteúdo do algoritmo e sugerir ajustes. O alfa de Cronbach e o Índice de Validade do Conteúdo (IVC) foram calculados para determinar a confiabilidade da ferramenta de avaliação. Após as modificações necessárias, o algoritmo foi transformado em um app. Ao todo, 18 avaliadores com idade média de 39,5 anos responderam dentro do período estabelecido. O tempo médio de atividade profissional foi de 15,5 anos, e 44,4% dos avaliadores eram cirurgiões plásticos. O IVC geral foi de 97,2%, o que mostra que o instrumento é confiável. O coeficiente alfa de Cronbach geral foi de 0,754, o que revela consistência interna aceitável. O app Mama Lei foi desenvolvido a partir de um algoritmo (https://mama-lei.netlify.app/) e registrado no Instituto Nacional da Propriedade Industrial (INPI) sob o número BR512023001996-8. O app Mama Lei foi desenvolvido com sucesso e está disponível gratuitamente para pacientes com câncer de mama e o público geral.
Single-Dose versus 24-Hour Antibiotic Prophylaxis in Reduction Mammaplasty: A Randomized Controlled Trial Daniela Francescato Veiga, Edgard Silva Garcia, Joel Veiga-Filho, Sarah Viana Fialho, Ana Sofia Fortunato Borges, Gabriel Victor Dornelas, Amanda Alves Machado, Gabriel de Almeida Arruda Felix, Lydia Masako Ferreira Plastic and Reconstructive Surgery, 2025 Background: This trial aimed to compare the influence of administering a single dose or 24h of prophylactic antibiotics on surgical site infection (SSI) rates after reduction mammaplasty. Methods: This is a randomized, non-inferiority, parallel-arm clinical trial with a 1:1 allocation ratio. One hundred forty-six participants undergoing reduction mammaplasty were randomly assigned to the placebo group (PG), which received cefazolin 1g at the time of anesthesia induction (n=73), or to the antibiotic group (AG), which received cefazolin 1g at the time of anesthesia induction and every 6h for 24h (n=73). No antibiotics were prescribed to any of the participants after this period. SSI occurrence was evaluated using criteria and definitions from the Centers for Disease Control and Prevention. The participants were assessed weekly for 30 days by a surgeon blinded to group allocation. Results: There were no significant differences between the groups in terms of main characteristics. The median age, body mass index, weight of excised breast tissue, and surgery time of the 146 participants were 33 years, 25.2 Kg/m², 925 g, and 220 min, respectively. Superficial dehiscence occurred in 30 patients (20.5%), with 16 in the placebo group and 14 in the antibiotic group (P=0.682). Eight participants (5.5%) had SSI, with four in each group (P=1.000). In all cases, SSI was classified as superficial incisional. Conclusion: Our results suggest that extending antibiotic prophylaxis beyond a single dose administered during anesthesia induction does not significantly reduce the incidence of SSIs or wound dehiscence in reduction mammaplasty. Clinical Trial Registration: Clinicaltrials.gov. NCT04079686
Genital Self-Image and Body Dysmorphic Symptoms in Patients Undergoing Central Wedge or Linear Labiaplasty: A Clinical Trial Guilherme Campanha Minikowski, Daniela Francescato Veiga, Gabriel de Almeida Arruda Felix, Juan Carlos Montano Pedroso, Lydia Masako Ferreira, Miguel Sabino Neto Plastic and Reconstructive Surgery, 2025 Background: Labiaplasty, a surgical procedure designed to address labia minora hypertrophy, has been closely linked to the improvement of genital self-image and the alleviation of symptoms related to body dysmorphic disorder (BDD). Brazil stands as the global leader in the prevalence of labiaplasty procedures. This study aimed to assess alterations in genital self-image and symptoms of BDD in individuals with labia minora hypertrophy who underwent either wedge or trim labiaplasty. Methods: A total of 48 adult women undergoing labiaplasty were enrolled in this randomized clinical trial with 2 parallel groups. The allocation ratio was 1:1. The study group underwent wedge labiaplasty, and the control group underwent trim labiaplasty. Genital self-image and symptoms of BDD were assessed both preoperatively and 6 months postoperatively, using validated tools. Results: After a 6-month intervention period, a statistically significant improvement in genital self-image was observed (P < 0.001), alongside a marked decrease in the score of symptoms related to BDD (P < 0.001). There were no significant differences in outcomes between the groups. Furthermore, no statistically significant associations were noted between complications and the specific technique used. Conclusions: The study findings underscore the noteworthy improvement in genital self-image and a concurrent reduction in symptoms of BDD, evident in both the wedge and linear labiaplasty groups at the 6-month postoperative assessments. These results suggest that the choice of surgical technique does not significantly impact these outcomes. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, I.
Sexual Quality of Life-Female (SQoL-F): Translation, cultural adaptation and validation of the Brazilian Portuguese version in postpartum women Dulciane Martins Vasconcelos Barbosa, Denise Nicodemo, Edmércia Holanda Moura, Silvania de Cassia Vieira Archangelo, Lydia Masako Ferreira, Daniela Francescato Veiga Revista Brasileira De Ginecologia E Obstetricia Revista Da Federacao Brasileira Das Sociedades De Ginecologia E Obstetricia, 2025 Objective: Sexuality plays an important role in quality of life, and the postpartum period may negatively affect women's sexual function. This study aimed to translate, culturally adapt, and validate the Sexual Quality of Life – Female (SQoL-F) for use for use in Brazilian women in the postpartum period. Methods: The original version of the SQoL-F was translated and back translated by four independent sworn translators. A sample of 125 women in the late postpartum phase participated in the cultural adaptation (n=30) and convergent validation (n=95) phases. For the latter, the instrument was compared with the Brazilian version of the Female Sexual Function Index (FSFI). To assess reproducibility, 25 of the 95 women who participated in the validation phase completed the SQoL-F twice, at different times (two interviewers administered the SQoL-F, 15 to 20 days apart). Results: Cronbach's alpha was 0.905 (intraclass correlation=0.974; 95%CI: 0.943–0.988; p<0.001). Significant, moderate, positive correlations were observed between the SQoL-F score and the FSFI total score (r=0.572; p<0.001) and domains ‘Desire’ (r=0.502; p<0.001), ‘Arousal’ (r =0.576; p<0.001), and ‘Satisfaction’ (r=0.637; p<0.001). Excellent reproducibility was obtained for the SQoL-F score (intraclass correlation=0.974; 95%; CI: 0.943–0.988; p<0.001). Conclusion: The SQoL-F was adapted to the cultural context of Brazilian postpartum women, proved reproducible, and exhibited face, content, and construct validity.
Sexual Quality of Life-Female (SQoL-F): Translation, cultural adaptation and validation of the Brazilian Portuguese version in postpartum women Dulciane Martins Vasconcelos Barbosa, Denise Nicodemo, Edmércia Holanda Moura, Silvania de Cassia Vieira Archangelo, Lydia Masako Ferreira, Daniela Francescato Veiga Revista Brasileira De Ginecologia E Obstetricia, 2025 Objective: Sexuality plays an important role in quality of life, and the postpartum period may negatively affect women's sexual function. This study aimed to translate, culturally adapt, and validate the Sexual Quality of Life – Female (SQoL-F) for use for use in Brazilian women in the postpartum period. Methods: The original version of the SQoL-F was translated and back translated by four independent sworn translators. A sample of 125 women in the late postpartum phase participated in the cultural adaptation (n=30) and convergent validation (n=95) phases. For the latter, the instrument was compared with the Brazilian version of the Female Sexual Function Index (FSFI). To assess reproducibility, 25 of the 95 women who participated in the validation phase completed the SQoL-F twice, at different times (two interviewers administered the SQoL-F, 15 to 20 days apart). Results: Cronbach's alpha was 0.905 (intraclass correlation=0.974; 95%CI: 0.943–0.988; p<0.001). Significant, moderate, positive correlations were observed between the SQoL-F score and the FSFI total score (r=0.572; p<0.001) and domains ‘Desire’ (r=0.502; p<0.001), ‘Arousal’ (r =0.576; p<0.001), and ‘Satisfaction’ (r=0.637; p<0.001). Excellent reproducibility was obtained for the SQoL-F score (intraclass correlation=0.974; 95%; CI: 0.943–0.988; p<0.001). Conclusion: The SQoL-F was adapted to the cultural context of Brazilian postpartum women, proved reproducible, and exhibited face, content, and construct validity.
Development of the SkinScan App: An Application to Help Primary Care Physicians Identify Skin Lesions Suspected of Malignancy José Wilson Moreira-Filho, Marcelo Prado Carvalho, Carolina Alves Martins Guerra, Daniela Vieira Silveira Santos, Joel Veiga-Filho, Daniela Francescato Veiga Revista Brasileira De Cirurgia Plastica, 2025 ResumoA alta prevalência de lesões cutâneas torna inviável que todas sejam avaliadas por cirurgiões plásticos ou dermatologistas. Este estudo descreve o desenvolvimento do SkinScan, um aplicativo para auxiliar médicos que atuam na atenção primária a identificar lesões suspeitas de malignidade, com potencial de possibilitar uma triagem mais eficaz das lesões que devem ser avaliadas por especialistas, permitindo diagnóstico e tratamento precoce.Realizou-se uma revisão de literatura sobre rastreamento de câncer de pele, para dar suporte à criação de um algoritmo. O conteúdo do algoritmo foi refinado por meio de uma rodada de construção de consenso (técnica Delphi) com 20 especialistas, incluindo cirurgiões plásticos e dermatologistas. Eles usaram uma escala Likert de 5 pontos para avaliar a adequação da linguagem, sequência de informações, facilidade de compreensão e relevância do conteúdo, e fizeram sugestões de ajustes. Calculou-se o coeficiente alfa de Cronbach para verificar a consistência interna.Dos 20 especialistas, 13 (65%) consentiram em participar, incluindo 8 cirurgiões plásticos e 5 dermatologistas, com tempo médio de certificação e prática na especialidade de 13 anos (variando de 5–29 anos). O alfa de Cronbach calculado foi de 0,8, indicando que o algoritmo era confiável. Um aplicativo foi então criado a partir do algoritmo, de uso gratuito para médicos (http://skinscan.progm.net.br/). O SkinScan foi registrado no Instituto Nacional de Propriedade Industrial – INPI (BR512020001285–0).O SkinScan foi desenvolvido com sucesso e está disponível para uso gratuito dos médicos.
Milky secretion after late breast reconstruction with latissimus dorsi musculocutaneous flap with implant Gabriel de Almeida Arruda Felix, Ariane Garcia, Joel Veiga, Lydia Masako Ferreira, Daniela Francescato Veiga Revista Brasileira De Cirurgia Plastica, 2023 A Revista Brasileira de Cirurgia Plástica é o órgão oficial de divulgação da Sociedade Brasileira de Cirurgia Plástica (SBCP), tem como objetivo registrar a produção científica em Cirurgia Plástica, fomentar o estudo, aperfeiçoamento e atualização dos profissionais da especialidade.
Quality of breast reconstruction service at a university hospital as assessed by the patients Carlos Eduardo de Oliveira, José da Conceição Carvalho Júnior, Ricardo Beckhauser Kuhnen, Ana Laura Batista Coelho, Isabella Scavariello Zicari Di Monte, Lydia Masako Ferreira, Daniela Francescato Veiga Acta Cirurgica Brasileira, 2023 Purpose: To evaluate the quality of breast reconstruction service at a university hospital, as assessed by the patients. Methods: This cross-sectional study enrolled adult women who underwent immediate or delayed breast reconstruction by any technique performed at a university hospital between 1 and 24 months before the assessment. The Brazilian version of the Health Service Quality Scale (HSQS) was self-applied to the participants. The HSQS produces percentage scores, which are expressed in values ranging from 0 to 10 for each domain of the scale, and into an overall percentage quality score. The management team was asked to establish a minimum satisfactory score for the breast reconstruction service. Results: Ninety patients were included. The management team considered 8.00 the minimum satisfactory score for the service. The overall percentage score was 93.3%. Only one domain, ‘Support,’ had an average score lower than that considered satisfactory (7.22 ± 3.0); while the others had higher scores. The domain that scored highest was ‘Qualification’ (9.94 ± 0.3), followed by ‘Result’ (9.86 ± 0.4). There was a positive correlation between ‘type of oncologic surgery’ and ‘intentions of loyalty to the service’ (ρ = 0.272; p = 0.009) and a negative correlation between ‘education’ and ‘quality of the environment’ (ρ = –0.218; p = 0.039). The higher the patient’s level of education, the higher the score attributed to ‘relationship’ (ρ = 0.261; p = 0.013) and the lower the score of ‘aesthetics and functionality’ (ρ = –0.237; p = 0.024). Conclusions: The quality of the breast reconstruction service was considered satisfactory, but there is a demand for structural improvements, better interpersonal relationships, and a stronger support network for patients.
Mammoplasty: Steps for safe surgery. evidence from literature PAULO ROGÉRIO Q. DO E. SANTO, DANIELA FRANCESCATO VEIGA, RICARDO FROTA BOGGIO, FELIPE LEHMANN COUTINHO, ANNE GROTH, ADRIANO GUIMARÃES BRASOLIN, LYDIA MASAKO FERREIRA Revista Brasileira De Cirurgia Plastica, 2021
Bioceramic cement in the filling of bone defects in rats Christiano Cândido Zerbinatti, Daniela Francescato Veiga, Monique Amanda Bastista Oliveira, Fiorita Gonzales Lopes Mundim, Rodrigo Machado Pereira, Francisco Azevedo, Taylor Brandão Schnaider, José Dias da Silva Neto Acta Cirurgica Brasileira, 2019
Breast Hypertrophy, Reduction Mammaplasty, and Body Image Cristiane Costa Fonseca, Daniela Francescato Veiga, Edgard da Silva Garcia, Isaías Vieira Cabral, Monique Maçais de Carvalho, Maria José Azevedo de Brito, Lydia Masako Ferreira Aesthetic Surgery Journal, 2018
Increased Capacity for Work and Productivity After Breast Reduction Isaias Vieira Cabral, Edgard da Silva Garcia, Rebecca Neponucena Sobrinho, Natália Lana Larcher Pinto, Yara Juliano, Joel Veiga-Filho, Lydia Masako Ferreira, Daniela Francescato Veiga Aesthetic Surgery Journal, 2017
Dressing wear time after breast reconstruction: A randomized clinical trial Daniela Francescato Veiga, Carlos Américo Veiga Damasceno, Joel Veiga-Filho, Luiz Francisley Paiva, Fernando Elias Martins Fonseca, Isaías Vieira Cabral, Natália Lana Larcher Pinto, Yara Juliano, Lydia Masako Ferreira Plos One, 2016
Sexuality in Aesthetic Breast Surgery Paulo Afonso Monteiro Pacheco Guimarães, Vanessa Contato Lopes Resende, Miguel Sabino Neto, Caroline Lumy Seito, Maria José Azevedo de Brito, Luiz Eduardo Felipe Abla, Daniela Francescato Veiga, Lydia Masako Ferreira Aesthetic Plastic Surgery, 2015
Unripe musa sapientum peel in the healing of surgical wounds in rats Dênia Amélia Novato Castelli Von Atzingen, Alfredo Gragnani, Daniela Francescato Veiga, Luis Eduardo Felipe Abla, Lorraine Lorene Felix Cardoso, Thiago Ricardo, Adriana Rodrigues dos Anjos Mendonça, Lydia Masako Ferreira Acta Cirurgica Brasileira, 2013
Effect of zafrlukast on capsular contracture around silicone implants in rats Acta Cirurgica Brasileira, 2012
Dressing wear time after reduction mammaplasty: A randomized controlled trial Joel Veiga-Filho, Daniela F. Veiga, Miguel Sabino-Neto, Carlos A. V. Damasceno, Edilaine M. L. Sales, Edgard S. Garcia, Israel B. Oliveira, Leandro F. De Simoni, Yara Juliano, Lydia M. Ferreira Plastic and Reconstructive Surgery, 2012
Gel from unripe Musa sapientum peel to repair surgical wounds in rats Dênia Amélia Novato Castelli Von Atzingen, Alfredo Gragnani, Daniela Francescato Veiga, Luis Eduardo Felipe Abla, Adriana Rodrigues dos Anjos Mendonça, Clayton Aparecido de Paula, Yara Juliano, José Carlos Correa, Marcio Raimundo de Faria, Lydia Masako Ferreira Acta Cirurgica Brasileira, 2011
Health-related quality of life and self-esteem in patients with diabetic foot ulcers: Results of a cross-sectional comparative study Ostomy Wound Management, 2011
Effect of nasal deviation on quality of life Sueli de Lima Ramos, Bernardo Hochman, Heitor Carvalho Gomes, Luiz Eduardo Felipe Abla, Daniela Francescato Veiga, Yara Juliano, Gal Moreira Dini, Lydia Masako Ferreira Plastic and Reconstructive Surgery, 2011
Reply to Kampf Daniela Francescato Veiga, Carlos Américo Veiga Damasceno, Joel Veiga-Filho, Lydia Masako Ferreira Infection Control and Hospital Epidemiology, 2009
Impact of obesity on the functional capacity of women Juliana Vianna de Andrade Orsi, Fabio Xerfan Nahas, Heitor Carvalho Gomes, Carlos Henrique Vianna de Andrade, Daniela Francescato Veiga, Neil Ferreira Novo, Lydia Masako Ferreira Revista Da Associacao Medica Brasileira, 2008
Inactive Graves' ophthalmopathy and self-esteem Carlos Henrique de Toledo Magalhães, Max Domingues Pereira, Paulo Góis Manso, Daniela Francescato Veiga, Neil Ferreira Novo, Lydia Masako Ferreira Arquivos Brasileiros De Oftalmologia, 2008
Self-esteem outcomes among non melanoma skin cancer patients Marcelo Prado de Carvalho, Renato Santos de Oliveira Filho, Heitor Carvalho Gomes, Daniela Francescato Veiga, Yara Juliano, Lydia Masako Ferreira Revista do Colegio Brasileiro De Cirurgioes, 2007
Back pain: An assessment in breast hypertrophy patients Paulo Magalhães Fernandes, Miguel Sabino Neto, Daniela Francescato Veiga, Luis Eduardo Felipe Abla, Carlos Delano Araújo Mundim, Yara Juliano, Lydia Masako Ferreira Acta Ortopedica Brasileira, 2007
Influence of breast hypertrophy in the women's functional capacity Carlos Delano Mundim Araújo, Heitor Carvalho Gomes, Daniela Francescato Veiga, Bernardo Hochman, Paulo Magalhães Fernandes, Neil Ferreira Novo, Lydia Masako Ferreira Revista Brasileira De Reumatologia, 2007
Risk factors for pressure ulcers in hospitalized elderly without significant cognitive impairment Wounds, 2007
Ultrasonography for measuring rectus abdominis muscles diastasis Denise de Almeida Mendes, Fábio Xerfan Nahas, Daniela Francescato Veiga, Fernando Vilela Mendes, Ricardo Góes Figueiras, Heitor Carvalho Gomes, Pedro Bins Ely, Neil Ferreira Novo, Lydia Masako Ferreira Acta Cirurgica Brasileira, 2007
