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
"Dr. Nuveen performed a breast augmentation for me 6 years ago and did an excellent job. Couldnt be happier. I became a woman after my endometriosis hormones never developed breasts."- M.K. / Google / Nov 15, 2019
"Dr. Caplin did my Mommy Makeover and I’m loving my results!"- K.C. / Facebook / Nov 08, 2019
"I started out a little apprehensive as I has never had a cosmetic procedure. Dr Nuveen took the time to explain the process in a language I could absorb. I have only great memories of my procedure and will have results to last forever. This doctor and staff made me feel as thou I was their only patient. I recieved a follow up phone call the night of my surgery by the Doctor himself.Truely a caring and wonderful experience. Thank you."- R.M. / Google / Nov 08, 2019
"Dr. Nuveen did my first surgery in 2011. Did a fantastic job! After such a great experience I decided to drive from Dallas, TX back to Cosmetic Surgery Affiliates. Dr. Caplin did my second surgery on Oct 31st. 2019 and she knew exactly what I asked for. She was the sweetest doctor and her staff were amazing too. I love how caring and understanding she is. She puts herself in your shoes and really takes her time to research and answer any questions for her patients. Both followed up with me after surgery from their personal phones in the evening time to check up on me. I left today after my post op feeling knowledgeable, great and I can’t wait to see my final results in a few weeks. I can’t thank enough. Thank you, Dr. Caplin! I will not go anywhere else. Highly recommended!! Blessings, Amy Lopez :)"- A.L. / Google / Nov 01, 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.