During breast surgery, sensory nerves are cut which may lead to reduced sensation and pain. Surgical reinnervation techniques have been developed with the aim of improving postoperative sensation by preserving the nerves and connecting them to the nipple and areola. The investigators aim to compare postoperative sensation and patient reported outcomes in patients undergoing reinnervation versus those not undergoing reinnervation to determine if there is a difference. The investigators will investigate this in patients undergoing gender-affirming mastectomy, implant-based breast reconstruction and autologous breast reconstruction. The investigators will use various tools that measure sensation quantitatively.
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Change in Breast Q scores
Timeframe: preoperative, postoperative at 1 month, 3 months, 6 months, and 1 year
Change in Gender-Q scores
Timeframe: preoperative, postoperative at 1 month, 3 months, 6 months, and 1 year
Change in cold detection threshold
Timeframe: preoperative, postoperative at 1 month, 3 months, 6 months, and 1 year
Change in warm detection threshold
Timeframe: preoperative, postoperative at 1 month, 3 months, 6 months, and 1 year
Change in heat pain threshold
Timeframe: preoperative, postoperative at 1 month, 3 months, 6 months, and 1 year
Change in mechanical detection threshold
Timeframe: preoperative, postoperative at 1 month, 3 months, 6 months, and 1 year
Change in two-point discrimination
Timeframe: preoperative, postoperative at 1 month, 3 months, 6 months, and 1 year
Change in mechanical pain threshold
Timeframe: preoperative, postoperative at 1 month, 3 months, 6 months, and 1 year
Change in pressure pain threshold
Timeframe: preoperative, postoperative at 1 month, 3 months, 6 months, and 1 year
Change in Tinel sensation
Timeframe: preoperative, postoperative at 1 month, 3 months, 6 months, and 1 year
Change in vibration sensation
Timeframe: preoperative, postoperative at 1 month, 3 months, 6 months, and 1 year