FTM TOp Surgery Overview@headingTag>
One of the most visible differences between the male and female body is the masculine chest versus feminine breasts. Female to male (FTM) top surgery, also called a chest reconstruction or male chest contouring, can be performed using either the subcutaneous mastectomy procedure or double incision mastectomy with liposuction of the chest to remove breast and fat tissue. In both ftm top surgery techniques, the surgeon contours the chest muscles for a masculine appearance. For larger breasts or patients with greater skin elasticity, excess skin will also be removed so the chest skin is taut and firm and the nipple-aerolar complaex (NAC) is then resized and repositioned. A large NAC must be reduced and reshaped before it is repositioned for the most masculine chest. Since the ideal male chest is not flat, but slightly rounded from developed pectoral muscles, some gland is left in place and shaped overlying the pectoralis muscle to act as natural "pectoral implants" for a more masculine chest. At Cosmetic Surgery Affiliates in Oklahoma City, cosmetic surgeons Dr. Erik Nuveen and Dr. Courtney Caplin will help patients create their best FTM top surgery plan.
"Would give more stars if I could! Amazing group of people working here and very considerate, helpful, encouraging, and overall I had a even better experience than I could have ever expected. I'm very grateful for their opinions, timeliness, care, and most importantly my surgery outcome! Could not recommend a better plastic surgeon and staff!"- Anonymous / UCompareHealthcare / Nov 20, 2016
"MY DRIVE WAS WORTH MY WONDERFUL EXPERIENCE - Dr Nuveen made was the best choice in Dr.'s and i drove 4.5 hours to see him and would gladly do it again. I couldnt be happier with my results and i am only 6 days post-op! Positive Comments I am 100% happy with my results and with my overall treatment. I cannot say enough about my breast lift with augmentation results as well as the compassionate care i received. General Comments I would never go any where else for any cosmetic surgery!"- Anonymous / UCompareHealthcare / Apr 19, 2017
"On 4-25-17 I took one of the largest leaps of faith into Dr. Courtney Caplin's hands! I had a consultation for a Tummy tuck a few months back and absolutely fell in love with how professional, caring and concerned she was about my comfort in choosing her for my procedure. Which meant so much to me as well. I decided to pay my deposit and set my date! 1 week before my surgery I got "cold feet and emailed Dr. Caplin my concerns. Right after the office closed she called me from her personal cell phone and discussed all my fears with me for about 30 minutes! I didn't even think doctors still did that! I was so much more confident and set on her being my doctor for tummy tuck and Lipo. When I arrived everyone was so friendly and hyped me up for the changes I desperately dreamed of! From prepping me, to waking me up, the office team was amazing friendly and kind. I'm now 4 days out from my surgery and couldn't be more pleased. Dr. Caplin has kept in touch with me to make sure I've been comfortable and everything has turned out like I imagined. Of course I have a road of recovery ahead but I have the confidence I need to get through it from picking the best doctor I could have for my journey! I highly recommend her for her knowledge in her field and for the love she has for what she does!"- J.M. / Google / Apr 17, 2017
"Dr Nuveen and Staff are absolutely amazing!!! I had a breast lift with augmentation. I did all of my consultation online so when i first met him i was very nervous. Dr Nuveen walked in with a smile and calmed my fears in a matter of seconds. I was very self conscious of my body and he made me feel beautiful in the most respectful manner. I am currently 6 days out and feel great about my results. I have no doubt he is the best surgeon and will gladly drive 4.5 hours again for any future cosmetic procedures. I cannot brag about his staff enough! I emailed them several times pre-op with fears and many questions i had and always had a same day response. I am very excited for my final results! Thank you so very much DR. Nuveen and staff I am so very blessed to been under your care! As a Nurse i have never met such a kind DR who loves what he does and truly cares for his patients the way you do! Don't trust my words??? Well let the future photos speak for themselves!"- A.M. / Google / Apr 10, 2017
"Totally satisfied! - He couldn't have done better, exceeded my expectations"- Anonymous / Vitals / Apr 05, 2017
TOP Surgery Surgical Technique@headingTag>
The are many surgical techniques that can be used in FTM top surgery and the plastic surgeon will typically choose based on the starting size of the chest and patient’s skin elasticity. All techniques preserve the patient’s natural nipple and areola, but the placement is usually changed to fit the new contour. Common subcutaneous mastectomy techniques include:
- Buttonhole Technique
- Double Incision
- Inverted T/T-Anchor
- Minimal Scar
FTM top surgery is generally performed as an outpatient procedure with the patient under general anesthesia at an accredited surgical facility. After the surgery, the patient will be put in a compression vest that they should wear for at least 3 – 4 weeks to minimize bruising and swelling. The plastic surgeon will go over any specific recovery instructions and schedule follow-up appointments to check the patient’s healing. The plastic surgeon can also offer information on scar care management to help minimize the appearance of surgical scars.
Plan Your Procedure
FTM Top Surgery FAQs@headingTag>
Other Body Surgeries?@headingTag>
To fully transform from a female body to a male, body contouring surgeries like liposuction can help to make the body more masculine. One of the most popular FTM body contouring surgeries removes fat from the hips, thighs, and buttocks since the male lower body is typically more narrow than the female.
HRT Therapy Before?@headingTag>
While patients are not required to be on hormone replacement therapy (HRT) before their FTM top surgery, it can give better results. The testosterone can help develop the patient’s pectoral muscles, which will create a more natural contour.
Breast Cancer Risk?@headingTag>
There is no clear answer on whether or not FTM top surgery reduces or eliminates the risk of breast cancer. While less breast tissue means a lower chance of cancer cells in the breast tissue, the higher levels of estrogen from hormone replacement therapy (HRT) typically increases the risk of breast cancer. Patients should continue to perform regular self-breast examinations and have their doctor perform a chest exam annually to check for abnormalities.
Avoiding Dog Ears?@headingTag>
“Dog ears” are often associated with FTM top surgery as a description of the excess skin and fat that can bulge out of the stitches. “Dog ears” can be avoided with extra liposuction during the procedure for the fat below the arm pits and on the side of the chest. Patients can avoid developing “dog ear” after their surgery by maintaining a healthy, stable weight.