For transgender men suffering from gender dysphoria, the decision to undergo female-to-male top surgery (FTM) is an important step in their transition journey to create a more masculine-looking chest. Choosing the right type of top surgery is crucial to ensure you achieve the desired results and feel more comfortable in your own body. But with several procedures available, how can you determine which type of top surgery is right for you? For a better idea of what to expect, below are the details about three FTM procedures, their differences, the results, and the recovery.
In general, female-to-male top surgery is used to create a flatter, more masculine-looking chest by:
However, there are several types of FTM top surgery to achieve your desired results. Here’s what to expect about the procedures, the recovery, and the pros and cons of each.
Double-Incision Top Surgery: This is the most popular top surgery procedure for transgender men. It involves two horizontal incisions along either side of the chest, which are then used to remove breast tissue and reshape the underlying chest muscles. The nipples may remain in their original position or be repositioned slightly higher on the chest.
Periareolar Top Surgery: This surgery is less invasive than double-incision surgery and involves making a circular incision around each nipple to remove excess breast tissue and create a flatter chest contour.
Note that some transgender men opt for both procedures—double-incision followed by periareolar—to achieve their desired outcome.
Keyhole Top Surgery: This is a less-invasive procedure than the double-incision and periareolar top surgeries. The surgeon makes one small incision in the center of the chest and then removes excess breast tissue through the keyhole. This method is ideal for transgender men who have smaller breasts or those who want to avoid large scars.
The right type of top surgery is a personal decision that should take into account your desired results, medical history, and comfort with scarring. Speak to your doctor and surgeon to determine which of these three procedures is best for you.
What to Expect After FTM Top Surgery
As with any surgical procedure, there are risks of bleeding, bruising, blood clots, poor healing, and infection. After the surgery, it is important to follow all the instructions given by your doctor and surgeon to minimize any risks and ensure proper healing. This may include taking antibiotics, wearing a compression garment for several weeks, sleeping on your back, restricting physical activity and the lifting of objects, and keeping the incision area clean.
More specific risks of top surgeries include:
However, after the recovery period is over, most patients feel confident in making the decision to undergo top surgery and are eager to move forward, living the life of their choosing.
Undergoing FTM top surgery is a big decision. If you or someone you love is ready to learn more about types of top surgeries, make your first call to North Carolina Specialty Hospital’s Dr. Keelee MacPhee. She is a highly skilled plastic and reconstructive surgeon with a focus on breast surgery and transgender reconstruction who is passionate about helping her patients become more confident and comfortable with their bodies. You’ll be welcomed in our nonjudgmental and supportive space, experience our high standard of compassionate care, and receive the latest surgical treatments available today. To make an appointment, simply click the link next to her photo.
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