Top Surgery

Top surgery is also known as a subcutaneous mastectomy.  The goal of this surgery is to create a more masculine- looking chest by removing or minimizing the breasts.  The results should have an aesthetically pleasing male contour and minimal scarring.

This process can be achieved using a combination of excision (surgical removal) and/or liposuction.  There are a few techniques that are used.  The techniques listed below are chosen based on each individual’s case.  For example, a patient with a small amount of breast tissue is likely to go with the just liposuction technique, where as a patient with larger breasts will go with the double incision technique.

Surgical Techniques:

“Top surgery” is typically one of the first procedures that FTM patients undergo. This involves the removal of breast tissue to create a male chest. There are two main surgical techniques that can be used to reconstruct the chest. Which technique is used depends on the amount of skin and breast tissue present. 

For those with a lot of excess skin and breast tissue, the most common procedure is the bilateral simple mastectomy with nipple grafts, commonly known as the double incision (DI) surgery. This procedure does leave a scar on each side of the chest, but the scars are generally placed along the lower border of the pectoral muscle fold to help hide the scaring. While the scars are permanent, they should fade significantly with time. The area around the nipple (the areola) is reduced to an appropriate male size and is repositioned to an appropriate male location.

For those with minimal excess skin and breast tissue, another technique called a Subcutaneous Mastectomy is preferred as it removes breast tissue leaving only a small “key hole” incision. The clear advantage is that there is much less scarring. 

Come visit us today for a free consultation. We will provide you with a customized treatment plan that makes it as safe and easy as possible for you to have the look and results you desire.

Nipple Grafting on Double Incision Top Surgery

Top surgery with Laser Liposuction


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