FTM TOp Surgery Overview
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
"Words can’t begin to express how happy I am with my experience! Everyone is extremely friendly and welcoming. Follow up and organization are on point. My results- I can’t begin to explain how amazing they are! I lost 120lbs and was worried about which surgeon to pick who would really do my new body justice. I went to others who had limited before/afters and just wasn’t confident in them. After one consult with Dr. Nuveen I knew he was the doctor for me! He has perfected post weight loss body contouring to take a fraction of the time and heal 2x as fast. It sounded too good to be true. But I’m 8 days post op and I can honestly say he was right!!! I couldn’t imagine why someone would go anywhere else. You’re treated like royalty from day one. I’m forever going to sing the praises of Cosmetic Surgery Affiliates!!!"- A.F. / Facebook / Feb 28, 2019
"I’m ecstatic with my 90 day progress after lower blepharoplasty. Completely wonderful experience from start to finish. Couldn’t be happier. Thank you .. thank you ... thank you"- S.H. / Facebook / Feb 19, 2019
"I just got breast augmentation done by Dr.Nuveen, Him and his staff made me feel beyond comfortable answered any questions we had and I couldn’t be any happier with my results. If I ever wanted another surgery I will definitely be making the 9 hour drive back to this amazing team!"- T.P. / Facebook / Feb 08, 2019
"Dr Nuveen has been amazing to work with over the past 13yrs. He did my first breast augmentation with silicone after my 2 kids. The size was exactly what I had asked for and I loved them! Meeting with over 8 surgeons across Oklahoma Nuveen was the one I felt most comfortable with talking to and he actually listened and understood exactly what I wanted. Then I decided to get pregnant again, was able to nurse with them which was a blessing.Having them for almost 13yrs I decided to have them redone, we decided to go with a lift and new “gummy” implants. I am a month in post opp and EXTREMELY pleased with them! As long as you follow instructions and take care of yourself healing should be great and results will be awesome. I have referred 5 of my friends through the years and they all had a great experience as well. Highly recommend!A huge thank you to Dr. Nuveen and his staff you guys were great to work with and so much fun. Yes that sounds weird lol but the staff is my favorite, some of the sweetest people!"- J.C. / Google / Feb 08, 2019
TOP Surgery Surgical Technique
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
Other Body Surgeries?
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?
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?
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?
“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.