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
"There are so many positive things I could say about Dr. Courtney that I thought it would be best to write a review considering reading other reviews before my procedure is how I came about choosing this place. Beforehand, I had went to several Doctors for consultations and all told me that they wanted me to split my procedure up into two sessions. One for the lift and then to come back six months later for the implant. I personally thought that was too expensive and secondly two recoveries. Now I’m already heavy chested but I still wanted an implant along with a lift. As soon as Dr. Courtney walked in the room, it was literally love at first site. She did reserve the right that safety does come first and that if in the process, she felt that it wouldn’t be safe to add and implant than she would not do so. I was ok with that. When I would up from my procedure, I saw that she gave me exactly what I wanted and more. I am VERY pleased with the excellent customer service provided and will definitely come back again soon. Thank you so much Dr. Courtney!"- E.H. / Google / Jul 11, 2019
"Dr. Caplin and her staff are very compassionate people. Absolutely recommend her!"- S.M. / Google / Jul 10, 2019
"If you are looking for an amazing plastic surgeon, LOOK NO MORE! Dr. Nuveen is AMAZING not only is he amazing at what he does but he’s an amazing person in general. He’s very caring towards his patients and he makes sure you understand everything that is going to happen and is happening. I will never go to another surgeon. But let me brag on his staff!! They are awesome as well!!! Very caring, comforting, understanding and have patience. Dr. Nuveen has done so much for me and my confidence is much better! Trust me when I say, THIS IS THE PLACE FOR YOU!"- J.A. / Google / Jul 06, 2019
"I can’t say enough wonderful things about Dr. Nuveen and his staff. Dr. Nuveen not only did a perfect job on the surgical procedures I had done, but took the time and care I needed each and every time I was in. I will forever be thankful, and a customer of Dr. Nuveen and his staff. I will be recommending him to all of my friends and family! Thank you Dr. Nuveen and CSA!"- J.B. / Google / Jun 23, 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.