Breasts are a prominent feature of the female physique and may prevent trans-men from feeling comfortable in their new gender role. Attempts to conceal their breasts by binding or flattening the breasts with constrictive materials is not only uncomfortable but can also lead to permanent disfigurement. Chest masculinization surgery or Top Surgery alleviates physical and emotional anguish and has been shown to increase satisfaction with individual patient’s body image and improve quality of life.
There are two types of surgical techniques that are favored for masculinizing top surgery: Either a double incision mastectomy (which removes all of the breast tissue) with repositioning of the nipple or peri-areolar tissue resection with liposuction for chest contouring. The choice of procedure is dependent on the amount of breast tissue, amount of excess skin and nipple areolar complex position. No two patients are alike hence every procedure is catered to the patient’s body type and goals.
All of our new patient consults are scheduled for an hour. We want to hear your story and understand what your goals are for your body. We will complete a detailed assessment that will include a comprehensive history and physical along with a photographic assessment of where you are begging this phase of your journey. You will receive a detailed surgical plan and a set of post-operative instructions. Our goal is to provide you with a better understanding of your options and alternatives. Our surgical plans are individualized because every patient’s goals are different for their chests. We want to provide you with information that meets your expectations and helps you make an informed decision. Your post-operative care plan is designed to optimize your outcomes.
Surgery is performed on an outpatient basis, most often in our own, on-site licensed surgical center. We have a dedicated team that understands the needs of the transgender community and are passionate about your care. Within 4-6 weeks, all incisions typically have healed and most patients have resumed their normal level of activity.
Pain is not the biggest complaint after Top Surgery as most patients report that they have a lot of “tightness.” Sure, everyone feels like they had surgery, but because we also use a long acting nerve block much of the pain can be suppressed. We also provide everyone with a long acting anti-inflammatory (Celebrex) to limit unnecessary inflammation along with a shorter acting narcotic to be used only if needed. Most patients have minimal pain and can return to regular activity in about 2 weeks. If undergoing a double mastectomy incision pattern, drain placement may be required to prevent fluid buildup.