MTF top surgery

Although hormone therapy significantly helps breast growth, in many cases it is not enough or does not turn out to be the one desired by transgender women. In these cases, a MTF top surgery is recommended, also called augmentation mammoplasty.

WHAT IS MTF TOP SURGERY?

MTF (male-to-female) top surgery is a surgical procedure performed on transgender women as part of their gender affirmation process. The surgery involves the placement of breast implants, typically made of silicone or saline, to increase the size and shape of the breasts. The goal of MTF breast augmentation is to provide transgender women with more feminine-looking breasts that are in proportion to their body, helping them align their physical appearance with their gender identity and improve their overall quality of life and well-being. Our team will be with you every step of the way.

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    MTF Top Surgery Results

    At IM GENDER, we understand that having access to before and after cases of trans breast surgery is important to make a decision. In the images provided, you can view actual cases of patients who have undergone this surgery at our clinic, giving you an idea of the results and helping you make a more informed decision.

    POSTOPERATIVE PERIOD

    Your surgeon will usually provide you with guidelines for postoperative care. Among these: when to start wearing a bra after surgery, how to sleep or when is the right moment to have a shower after the surgery. 

    In general, you may be advised to wear a supportive, non-underwire bra or a surgical compression garment for several weeks to provide support and help reduce swelling.

    You should sleep on your back for at least the first month after your chest surgery. Although it will always depend on the recovery of each patient.

    You will usually be able to shower within 24-48 hours after surgery, but it’s essential to follow your surgeon’s specific instructions. Be cautious not to let the water pressure hit your incisions directly and avoid submerging your breasts in water (e.g., baths, swimming pools) until your incisions are fully healed.

    RECOVERY

    Recovery time can vary, but most patients can expect to return to work and light activities within 1-2 weeks. It is important to avoid heavy lifting and strenuous exercise for 4-6 weeks to allow the body to heal properly.

    Once the drains are removed, the patient’s recovery is much faster. After 10 days of breast augmentation surgery, the decrease in inflammation begins to be noticed. In a month, when the bands and the bra are removed, the results of the operation begin to be appreciated. Although it will not be until 6 months when the breast can be seen 100% recovered.

    The result of MTF top surgery is an increase in breast size and a more feminine contour to the chest. The exact result will depend on the individual’s anatomy, implant type and size, and surgical technique used. Most patients report feeling more confident and comfortable in their bodies after the procedure. It’s important to have realistic expectations and to communicate your desired outcome with your surgeon during the consultation process.

    RISKS

    All surgeries always have some risks. These are rare complications, but they can happen:

    • Scars from surgery on the chest or circles around the areolas.
    • Hematomas and seromas under the skin. 
    • Infection that may require treatment with oral antibiotics.
    • Loss of nipple sensation.
    • Irregular contours.
    • Capsular contracture.
    • Anaesthesia reaction. 

    FAQS ABOUT MTF TOP SURGERY

    What is transgender breast augmentation like?

    Breast augmentation is a relatively short procedure, usually lasting between one and two hours. General anaesthesia is typically used.

    There are three possible ways in which the prosthesis can be implanted:

    • Axillary incision:the prosthesis is inserted via an incision in the armpit, which strategically hides the scar.
    • Inframammary fold incision:the incision is made in the inframammary fold and hidden in the groove under the breast.
    • Areolar incision: it could be only in the inferior area or all around the areola.

    Your plastic surgeons will evaluate all the possibilities according to your characteristics and medical history before advising you on one of these options.

    It is common for drains to be inserted during the operation, which are removed after approximately 48 hours. They help to reduce inflammation and post-operative discomfort to a minimum.

    What type of implants are used in MTF top surgery?

    There are several types of implants that can be used in MTF top surgery. The most commonly used implants are silicone and saline. Silicone implants are filled with a cohesive silicone gel that closely mimics the feel of natural breast tissue, while saline implants are filled with sterile saltwater solution. Your surgeon will help you determine which type of implant is best for you based on your individual goals and anatomy. They will also discuss the different shapes, sizes, and textures of implants available to help you achieve your desired outcome.

    Will I lose sensation in my breasts or nipples after MTF breast augmentation?

    There is a possibility of temporary or permanent changes in nipple or breast sensation following the surgery. However, many patients experience a return of sensation as the nerves heal over time.

    What is the price of a MTF top surgery?

    The price of a trans breast operation can be different depending on the case of the person. It must also be taken into account if the chest surgery is decided to be combined with other treatments. A first visit is recommended to assess the patient’s case to make a personalised budget.

     

    TIPS AFTER MTF TOP SURGERY

    SURGICAL BRA

    You must wear the band and bra 24 hours a day, even to sleep. You can only remove them for showering and for postoperative therapeutic treatment.

    SPORT

    Before restarting your sports routine, consult with your doctor when it is appropriate to start and what type of physical activity is the most appropriate until your complete recovery.

    Postoperative visits

    It is very important that you do not miss any of the visits after your surgery so that the IM GENDER medical team can evaluate your progress.

    Would you like to see more of IM GENDER’s experiences and testimonials?

    Anna La Spisa
    Anna La Spisa
    28 Noviembre 2023
    Esperienza positiva chirurghi ottimi, infermiere molto preparate e dolcissime, Aida e Rosa super umane, ma la dottoressa Brandalisio ha fatto la differenza su tutti, preparata, umana, dolce, disponibile, un'amore di persona. Una critica costruttiva devo farla tutto lussuoso ma non pensato per stendere pochi indumenti lavati
    Tone Vik
    Tone Vik
    31 Julio 2023
    I had GRS in May 2023. Here is a short summary of my experience. When you contact the clinic, you’ll get a personal patient coordinator that will answer and support you through the whole process, both before and after the surgery. The communication is professional, personal and efficient. WhatsApp is the main communication platform, and it works very well. The clinic is beautiful and top notch on all levels. You almost forget that you are in a clinic and might think of it more as a hotel (with surgery services). Please see the attached pictures, and you will understand what I mean. The staff is warm and friendly and really do what they can to make you feel comfortable, from the nurses to the cleaning personnel. It is really nice to be so well looked after, and I have such good memories from my week at the clinic. The surgeons, I was so fortunate to have Dr. Labanca, but they are all world class, which ensures that the results probably will exceed your expectations. Of course this is a very personal opinion, but for me it was like that. It’s hard to describe how happy I am now. You can bring a friend or a family member for no extra cost the week you are at the clinic. My best friend came down on the 5th day, and that was also one important factor when I chose this clinic. The support you get from having a friend or family member present is almost priceless. A short 5 minute walk from the clinic you’ll find apartments you can stay at for an additional week or two while you recover and heal. It was very reassuring and comforting to have the clinic so close the two weeks I stayed after checking out from the clinic. An important part of the healing process is to just move your body, and the beautiful city of Sant Cugat is a nice 20 minute walk from the apartment, where you can enjoy shopping, restaurants and just the nice relaxing atmosphere. The aftercare and regular follow up when you have left the clinic ensures that everything is working as it should, and if not, they will correct at no extra cost. The aftercare period lasts one year after the surgery. To sum up, you are really in the best hands and in the best place at IM Clinic. I highly recommend this clinic for GRS.
    Victoria Timoniere
    Victoria Timoniere
    24 Abril 2023
    Due mesi fa ho avuto la grande fortuna di affidarmi al team di IMgender , un esperienza indimenticabile che mi ha cambiata la vita facendomi rinascere finalmente nel corpo giusto . La clinica è super moderna è attrezzata , pulita e tutto lo staff è super gentile e accogliente .
    Renn Love
    Renn Love
    14 Abril 2023
    My experience with IM Clinic from the start to where I am today has been nothing but exceptional. From my initial contact with Aida, to my consultations with my surgeons Dr's Gómez, Herrero and Beltrán, my anaesthetist and care from the nurses. The cleaning staff were extremely discrete and the food for both myself and my wife, who was also looked after during my stay, was good. Myself and my wife were made to feel welcome from the moment we arrived. On the day of my surgeries my surgeons continuously re-assured me as they could see how nervous I was and it felt like nothing was too much trouble. My wife was also informed of my progress during surgery and reassured all was ok. I highly recommend IM Clinic and would not hesitate in returning, should I feel the need.
    Sun Belardinelli
    Sun Belardinelli
    11 Marzo 2023
    Ho aspettato qualche mese dopo l'operazione prima di scrivere questa recensione perché volevo essere sicuro dei risultati. La parola che mi viene in mente è PERFETTO, la clinica è perfetta, l'operazione è andata ancora meglio di quanto sognassi, il trattamento che ho ricevuto da TUTTI, medici, infermiere, tutto il personale, è stato impeccabile, caloroso e amichevole; mi hanno fatto sentire meglio che a casa (non solo a me, ma anche alla persona che mi accompagnava), ancora meglio di un hotel di lusso; mi hanno veramente trattato come un re, non solo come un paziente. L'operazione in sé è stata perfetta, il pre- e post- operatorio gestiti benissimo anche a distanza; mi hanno dato istruzioni chiare e medicinali appositi per curare le ferite e il dolore. Grazie a questo sono rimasto tranquillo per tutto il tempo, sapendo di essere nelle migliori mani. Un consiglio che mi sento di dare a chi vorrebbe operarsi da IM è: fate tutte le domande che vi vengono in mente e anche quelle che non vi vengono in mente! Soprattutto per chi viene dall'estero come ho fatto io è importante avere ben chiaro ogni dettaglio, e le persone con cui parlerete saranno felici di chiarire qualsiasi dubbio. Raramente ho trovato persone così pazienti, competenti e alla mano. Se e quando avrò bisogno di fare un'altra operazione la farò sicuramente da IM. Ormai ho trovato il posto dei sogni e non lo lascio più!
    Alexa Valianatos
    Alexa Valianatos
    10 Agosto 2022
    Hey, I am Alexa Valianatos and on 14th June i had my vaginoplasty surgery at IM Clinic. Here i found a greate, super friendly and profesional team which whose totally prompt answering to all my needs. Viewing my research before surgery and my experience in the clinic and after that, i can say that IM Clinic I'd the best clinic in Europe at least regarding my surgery tipe and my needs, i can say 100% that i found the 5* clinic . After two months from my surgery i already decide to make the next steps for next surgery in the same clinic . Many worm thank to doctor Ivan Mañero and entire clinic team . You are the best .
    Aaron O'Donnell
    Aaron O'Donnell
    19 Julio 2022
    Thank you IM Clinic!!! I had FtM Top Surgery (double mastectomy/gender reassignment) at IM clinic in July 2021. As I was travelling from the UK I was weary about the procedure, however their standard of care goes above and beyond to accommodate their patients and ensure maximum comfort. I had surgery with Dr Herrero, who was an absolute pleasure to meet and a brilliant surgeon. The team were a delight and made me feel genuinely safe and as comfortable as possible. The procedure I had is not very common and is somewhat hard to acquire in the UK, but the team at IM Clinic took me in with ease and listened to my worries and requests. The care i received at IM Clinic was impeccable - between the food, the staff, the surgery and everything else - i cannot fault it. I am forever grateful to Dr Mañero, Dr Herrero and the entire care team at the clinic. Thank you so much!! I am now one year post-op and happier than ever.

    IM GENDER team

    At IM GENDER we have been specialising in the care of transgender people for more than 20 years. Two decades of experience, professionalism, research and training endorse our medical team.

    Do you need more information about the IM GENDER Unit? Do you want to know the price of MTF top surgery?