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
"I recommend Dr. Nuveen to anyone who is serious about investing in themselves!! Everyone at CSA is AMAZING!!"- K.M. / Facebook / Sep 06, 2019
"I saw Dr. Nuveen for FFS, and all I have to say is wow! Dr. Nuveen and all of the staff as a whole always listened to me and went above and beyond to make me feel comfortable, discussing everything every step of the way. They were always there to answer questions both pre and post-op, even on weekends. The results were fantastic as well, and if I ever had another surgery in the future, I would definitely go back to Dr. Nuveen and his expert staff. I wish I could give more than 5 stars, and I highly recommend anyone looking for a highly trained team to reach out here."- E.S. / Google / Aug 28, 2019
"47yrs, 1st BA Chose NATRELLE 605 SCF Gummy Bear Implants. I Love Them! - I have celiacs. I bruise really easy and it always looks really bad. I had several consults that the surgeons weren't comfortable after I stated " I will bruise and it will probably turn black." About a week later I developed a hematoma in the right breast. Dr. Nuveen and his nurses noticed it right away then off to the surgery area we went. He notified his staff of the emergency so they could let his other patients know there would be a delay. I didn't realize it was an issue just thought it was a normal bruise. They had me fixed up in about an hour. So far my new breast are healing well and are starting to drop. I love the way I look in clothes for the first time in my life. Everyone is amazing there. They answered all my questions and put me and my husband at ease. There is always someone available for any emergency at anytime of the day."- J. / RealSelf / Aug 20, 2019
"I just left a consultation with Dr. Nuveen and I am blown away. These type of appointments are always very uncomfortable for me. Having to stand in front of a complete stranger in my intimates and discussing my flawed body as the main topic of conversation is quite humiliating. However, instead of getting right to the problem, Dr. Nuveen took his time to get to know me and establish a trust that he has my best interest at heart. I didn’t feel like I was at another doctors ap...pointment at all. When we reached the point of discussing my flaws, I felt like I was just asking a new friend for his opinion. But it doesn’t start or end there. His staff was also very warm and welcoming-which says a lot about the physicians of this group. I believe they can completely set the mood of their practice. The staff at this office feels comfortable enough to be themselves-warm and welcoming. I just felt very comfortable from start to finish. I am looking forward to working with this group in the near future. If you are in the market for a cosmetic surgeon, give them a visit. You will not be disappointed."- M.C. / Facebook / Aug 14, 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.