Female to Male Top Surgery
For healthy individuals, a preoperative assessment is conducted on the day of surgery. The procedure itself is performed under general anaesthesia and typically takes between 2-3 hours, depending on the preferred surgical technique. The excised breast tissue is always sent for histological examination.
Absorbable internal sutures are used, thus eliminating the need for removal. The patient remains in the hospital overnight for post-op care and monitoring and is discharged the following day with comprehensive instructions and a prescribed course of antibiotics.
About FtM Top Surgery
Postoperative Recovery
Upon discharge, the patient will have an elastic compression bandage around the chest and two drains in place in order to remove excess fluid from the surgical site. These drains are removed within a few days at a follow-up clinic appointment. The elastic bandage is then replaced with a special compression vest, which is worn for approximately 4-6 weeks.
Most individuals can resume daily activities within 7-10 days, while strenuous physical exercise is permitted after one month.
Scar Healing
All surgical incisions result in scarring. Despite advanced surgical techniques, some individuals may experience hypertrophic or keloid scars at the incision sites or around the areolas.
To optimise healing, patients are provided with specific scar management instructions, including the application of silicone dressings and healing creams. Chest hair growth in the area can also help conceal minor scarring or slight asymmetry.
Potential Complications
Early complications include haematoma, infection or nipple and areola necrosis. These are very uncommon and can often be prevented with meticulous surgical technique and patient compliance to postoperative care guidelines.
Nipple Sensation After Top Surgery
When the Double Incision technique is performed, the nipple and areola are repositioned as grafts, leading to a sensory response akin to normal skin. In all other techniques, nipple sensitivity is generally preserved.
FtM Top Surgery techniques
The primary goals of Top Surgery include the removal of breast tissue, the elimination of excess skin and the fixation of the nipple and areola at the location of the masculine breast. The choice of mastectomy technique depends on the size and degree of ptosis (sagging) of the breasts, as well as the patient’s individual preferences:
Photos Before & After
DO YOU HAVE QUESTIONS?
What You Need to Know
Who is eligible for Top Surgery?
Chest masculinisation surgery is performed on adult patients and, in some cases, minors with parental consent. The procedure is suitable for Trans men and Non-Binary individuals. It is also safe for those undergoing hormone therapy; however, a temporary pause in hormone use may be recommended preoperatively to minimise the risk of thrombosis.
Which surgical technique is best for me?
The appropriate surgical technique depends on factors such as breast size, skin elasticity and individual preference. A consultation with the Plastic surgeon will help determine the optimal approach to achieve the desired outcome.
Can breast tissue reappear after surgery?
No, as the breast gland is completely removed. However, significant weight gain may lead to fat accumulation in the chest area.
Will I need additional surgery in the future?
In most cases, no further surgery is required. However, minor revision procedures may sometimes be necessary to refine the aesthetic outcome.
When can I return to exercise?
Strenuous physical activities can typically be resumed one month after surgery. Lighter activities may be reintroduced gradually under medical guidance.
Can I see photos of previous patients?
All publicly available images have been shared with patient consent. During your consultation, additional images of different techniques and outcomes can be reviewed to provide a clearer understanding of the results.
How much does Top Surgery cost?
The total price varies depending on the surgical technique and patient anatomical characteristics and is determined following a clinical assessment.
