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
"Very professional staff with the highest regard for their patients. Highly recommend!"- L.P. / Yellowpages / May 14, 2019
"There is so much greatness to be said about my experience here, this little comment section will not due enough justice to what I need to express...so I'm just going to make a YouTube video😂......but to start, Dr. Courtney Caplin was my surgeon, she did her thang on my full tummy tuck and lipo! But these are the most personable, caring and down to earth surgeons that I have ever did a consult with, Im so Thankful that God put them in my path. The Bedside manner of Courtney is... above and beyond, I stayed at the overnight recovery center and let me tell you it was nice, first I had my husband and my two teenage boys with me, we are a close knit family so they all wanted to be with me, Do you know the staff had no problems with my two boys staying over with me and my husband😳...they made them feel so welcomed and at home, the girls even pulled out a blow up bed for them!!! The evening after my surgery Courtney came into the recovery room before going home and that's when I met Dr.Nuveen, he helped her put me in my compression garment...he talked to my husband and my boys and even took my oldest son to show him where extra sheets was if they needed them!!! ❤️ This place! I'm 11 days post op today and feel good, this waist is 👌🏾😜 popping...(minus the swelling..lol)"- O.H. / Facebook / May 11, 2019
"I would just like to take a min to thank dr naveen for going above and beyond to make sure I’m happy with my body. I have always had insecurities with my body and I haven’t been the easiest procedure. Back story, I use to be 300lbs and very unhappy with my hips. The way my body carries its weight it has caused many back issues. Dr Naveen is making sure to fix the weight pulling on my spin. We have another procedure coming up where he will be helping to remove and fix some issues after procedure one. He will do whatever it takes to make sure you’re happy!!! That right there wins me over!!!"- K.C. / Google / May 10, 2019
"I loved the staff, Dr. Caplin was amazing. they really do listen to what you want and make you feel so much comfort and they do their best to accommodate your needs. After all a very wonderful experience. Definitely will go back for other procedures in the future. I really do recommend them ❤"- D.V. / Google / May 09, 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.