For transgender clients, top surgery can be completely life-changing as a bold reflection of how they feel inside. Self-confidence and well-being thrive once the appearance of the chest aligns with their gender identity.
For male to female clients, breast augmentation with implants or fat transfer is the most common choice. For female to male clients, top surgery often means removal of the breast tissue to create a flatter, traditionally masculine chest with repositioned nipples. Choosing a highly-experienced, compassionate and board-certified plastic surgeon such as Dr. Lee is critical for success in either procedure.
Top surgery can be one of the most important steps on the journey of gender affirmation. FTM top surgery is designed to transform the bustier appearance of a female chest to appear flatter and more masculine. It is common for transgender males to bind their breasts to hide them, and this procedure can provide much relief for such clients.
Chest contouring with liposuction
During this procedure, liposuction is used to suction out unwanted fat, to create a toned and chiseled chest aesthetic. The incision is small and very well hidden.
Nipple and areolar reduction
Due to the fact that the female areola is often larger than the male areola, transgender men often require surgical correction during their transition. Nipples that are too large, droopy, puffy or long can all be tailored to achieve your unique aesthetic goals for your chest.
MTF patients typically desire a more feminine-appearing chest and want to create the appearance of breasts through the use of implants, or forming breast mounds with body tissue. The procedure can greatly improve self-confidence and comfort in social situations.
Either saline or silicone implants can be used, and are placed either above or below the pectoral muscles. In some cases, Dr. Lee can perform a fat transfer procedure in addition to the placement of implants, to create softer transitions between the implant and the chest wall. The fat is often harvested from areas such as the belly, back, hips or thighs.
Top surgery is outpatient and takes about 2-3 hours to perform. For FTM top surgery, you will have drainage tubes. Depending on the surgical technique used, your customized recovery plan will be tailored to your needs. Most of the bruising, swelling and discomfort subsides after 2 weeks. A compression garment is worn for at least one month to optimize the contour of the male chest.
In the MTF top surgery, the recovery is similar to a traditional breast augmentation. No drainage tubes are necessary. A light compression bra will be given to you for your recovery. Most patients are without limitations at 1 month.
