{"id":46866,"date":"2024-12-24T14:22:58","date_gmt":"2024-12-24T11:22:58","guid":{"rendered":"https:\/\/gkotsikas.gr\/epanaprosdiorismos-filou\/"},"modified":"2025-07-17T12:27:57","modified_gmt":"2025-07-17T09:27:57","slug":"ftm-top-surgery","status":"publish","type":"page","link":"https:\/\/gkotsikas.gr\/en\/plastic-surgery\/reconstructive-surgery\/ftm-top-surgery\/","title":{"rendered":"FTM Top Surgery"},"content":{"rendered":"\t\t
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Reconstructive Surgery\n<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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FTM Top
Surgery<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Female-to-Male (FtM) gender-affirming surgeries focus on masculinising the chest through mastectomy, reconstructing the external genitalia and modifying facial characteristics to align with a male appearance. Chest masculinisation surgery, commonly known as \u201cTop Surgery\u201d, is the most frequently performed procedure among individuals with gender dysphoria. In most cases transgender mastectomy represents the initial and often sole surgical step in the transition process.<\/p><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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BRIEFLY<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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Procedure time
2-3 hours<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Anesthesia
General<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Hospital stay
1 night<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Back to the office
10-14 days<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Female to Male Top Surgery<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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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.<\/h3>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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About FtM Top Surgery<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Postoperative Recovery<\/span><\/a><\/path><\/svg><\/span><\/path><\/svg><\/span><\/span><\/h2>

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.<\/span><\/p>

Most individuals can resume daily activities within 7-10 days, while strenuous physical exercise is permitted after one month.<\/span><\/p><\/div><\/div>

Scar Healing<\/span><\/a><\/path><\/svg><\/span><\/path><\/svg><\/span><\/span><\/h2>

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.<\/span><\/p>

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.<\/span><\/p><\/div><\/div>

Potential Complications<\/span><\/a><\/path><\/svg><\/span><\/path><\/svg><\/span><\/span><\/h2>

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.<\/span><\/p><\/div><\/div>

Nipple Sensation After Top Surgery<\/span><\/a><\/path><\/svg><\/span><\/path><\/svg><\/span><\/span><\/h2>

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.<\/span><\/p><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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\"FTM_Topsurgery_Double_Incision_before\"\"FTM__Topsurgery_Double_Incision_After\"<\/div>
<\/span><\/span><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\"Double<\/figure><\/div>
\"Periareolar\"<\/figure><\/div>
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<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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FtM Top Surgery techniques\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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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\u2019s individual preferences:\n<\/h3>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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