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Harmonize Your Body
With Your Internal Self

FTM top surgery is a gender-affirming surgical procedure primarily aimed at transgender men or individuals assigned to females at birth who identify as male. It involves the surgical alteration of the chest to create a more masculine appearance, aligning the physical body with your gender identity. This surgery typically entails the removal of breast tissue (subcutaneous mastectomy) and reshaping of the chest to achieve a flatter, more masculine contour.

The procedure can vary depending on factors such as the amount of breast tissue present, skin elasticity, and desired aesthetic outcomes. Our surgeons may use various techniques, including double incision mastectomy, periareolar mastectomy, or keyhole surgery, tailored to each patient’s unique needs. FTM top surgery plays a crucial role in alleviating gender dysphoria, enhancing self-confidence, and improving overall well-being by bringing your external appearance into harmony with your internal sense of self.

patient wit doctor during exam for breast enhancement in Washington, DC

Benefits of FTM Top Surgery:

  • Alleviates gender dysphoria
  • Enhances self-confidence and body image
  • Improves mental health and overall well-being
  • Facilitates alignment of physical appearance with gender identity
  • Reduces discomfort or distress associated with chest incongruence
  • Increases comfort in clothing and social interactions
  • Provides a sense of empowerment and authenticity

What Happens During the FTM Top Surgery Consultation?

During the top surgery consultation, you’ll meet with our plastic surgeons, Dr. Lauren Patrick and Dr. Catherine Hannan, to discuss your goals, medical history, and the surgical process. We’ll begin by listening attentively to your concerns and understanding your desired outcomes. Our surgeons will conduct an evaluation of your chest anatomy, assessing factors such as skin elasticity, breast size, and nipple placement to determine the most suitable surgical approach.

You can expect a thorough explanation of the various surgical techniques available, including double incision mastectomy, periareolar mastectomy, and keyhole surgery, tailored to your specific needs. We’ll discuss the potential risks and complications, the expected recovery process, and post-operative care instructions. This consultation serves as an opportunity for us to address any questions or apprehensions you may have, ensuring you feel informed and confident as you embark on this journey to affirm your true gender identity.

Your FTM Top Surgery Options

Double Incision Mastectomy

During a double incision mastectomy, horizontal incisions are made across the chest, allowing for the removal of excess breast tissue and skin. The nipple-areola complex is usually resized and repositioned to achieve a natural appearance. Double incision mastectomy is often preferred for individuals with larger chest sizes or those seeking significant masculinization. This technique provides comprehensive reshaping and sculpting of the chest.

Periareolar Mastectomy

During a periareolar mastectomy, an incision is made along the border of the areola, allowing access for the removal of breast tissue and reshaping of the chest. This is suitable for those with smaller chest sizes or those seeking a more subtle chest contouring effect. Periareolar mastectomy often results in minimal scarring, as the incision is discreetly placed around the areola, and it can also involve resizing the nipple-areola complex.

Keyhole Surgery

Keyhole surgery, also known as a periareolar or nipple-sparing mastectomy, is a specialized technique in which small incisions are made around the border of the areola, allowing for the removal of breast tissue through a minimally invasive method. Keyhole surgery is typically suitable for individuals with very small chest sizes and minimal breast tissue, as it does not involve extensive reshaping of the chest or repositioning of the nipple-areola complex.

You Might Be A Candidate If…

  • You identify as a transgender man.
  • You are able to fully consent to treatment.
  • You have persistent, well-documented gender dysphoria.
  • You desire a more masculine chest contour.
  • You are at least 18 years old, or you have written consent from your parents/guardians.
  • Your medical and/or mental health issues are reasonably under control at the time of surgery.
  • You have stable mental health and are emotionally prepared for the surgical process.
  • You do not have any medical conditions that could pose risks during surgery.
  • You have realistic expectations about the outcomes of FTM top surgery.
  • You understand the potential risks and benefits associated with the procedure.
  • You are committed to following pre-operative and post-operative care instructions.
  • You have discussed FTM top surgery with healthcare professionals.
  • You have received a letter from your therapist confirming your readiness for FTM top surgery.
  • Your therapist confirms your gender dysphoria has been consistent for at least two years.
  • Your therapist confirms that you are not under the influence of any mental disorders.
  • Your therapist confirms that you are suffering from acute distress.

What Is Recovery from FTM Top Surgery Like?

Recovery from FTM top surgery involves a period of adjustment and healing, during which you may experience various side effects, such as swelling, bruising, and discomfort. It’s essential to follow your surgeon’s post-operative instructions to promote optimal healing and minimize complications. During the initial recovery period, you’ll likely need to refrain from strenuous activities and lifting heavy objects to allow your chest to heal properly.

Most individuals need at least a week or two off from work or school. While you may notice immediate improvements in your chest contour, full recovery can take several weeks to months, during which swelling gradually subsides and scars fade. Your surgeon will provide specific aftercare guidelines, including wearing compression garments, keeping your incisions clean and dry, and attending follow-up appointments to monitor your progress.

Inspiring Confidence
With Natural Results

Washington Women Plastic Surgery is proud to offer compassionate care for individuals seeking FTM top surgery. Led by board-certified plastic surgeons Dr. Patrick and Dr. Hannan, our practice specializes in providing natural-looking results that inspire confidence and align with your gender identity. With our collaborative approach, you benefit from the combined expertise of two highly skilled surgeons, resulting in streamlined procedures, minimized anesthesia fees, and superior outcomes. Schedule your consultation to take the next step toward living authentically as your true self.

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