MASCULINISING CHEST SURGERY

FTM top surgery

FTM top surgery is one of the first surgeries that some trans men request. Removing the breasts is often one of the first steps in matching their body contours to their gender.

WHAT IS FTM top surgery?

FTM top surgery is the surgery that allows removal of the glandular breast tissue while preserving the nipple and areola, and adapting the size of these if necessary. There are three techniques for mastectomy, and the choice depends mainly on the size of the breasts. In addition, your surgeon may advise prior liposuction of the area to minimise scarring.

The aim of this procedure is to achieve a smooth, symmetrical chest, resulting in masculinisation of the thorax.

FTM top surgery results

This intervention achieves a flatter chest and a harmony between the areolas, the nipples and the rest of the body.

FAQS ABOUT FTM top surgery

Who can undergo FTM top surgery ?

All those trans men who want to achieve a smooth, flat and symmetrical chest, resulting in a masculinization of the chest.

How long does the FTM top surgery take?

This procedure is performed under general anesthesia and usually lasts 2–3 hours.

How painful is FTM top surgery?

You may feel some pain for the first couple of days, but don’t worry! Your surgeon will prescribe medication to lessen the pain.

How much is top surgery FTM?

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

Mastectomy trans

How is FTM top surgery performed?

To achieve a smooth, masculine chest, IM GENDER’s team of surgeons will perform a subcutaneous mastectomy to preserve the mammary areolas (adapting their size to a more masculine standard) and the nipples. This procedure is performed under general anesthesia and usually lasts 2–3 hours.

Three different techniques can be used for mastectomy, depending mainly on the size of the breasts:

    • Periareolar technique. When the breast is small, this surgical technique is usually chosen. It consists of making an incision around the areola, through which the glandular tissue is removed. This technique allows scarring to be kept to a minimum.
    • Extended periareolar technique. This technique is usually used when the breasts are voluminous. Basically, it consists of making the periareolar incision plus another incision that is extended towards the armpit area through which the glandular tissue is removed. In this case, the scars are more evident than in the periareolar technique, although over time they may be concealed by body hair.
    • Free graft technique. When the breasts are really voluminous or when the patient is considered a “heavy” smoker, the surgeon usually opts for areola grafts during surgery.

All these techniques can be combined with a reduction in the size of the areola and nipple, which will improve the final result in some cases. Prior liposuction can also be used to reduce the size of the scars and improve the pectoral contour.

RECOVERY FROM FTM top surgery

What is recovery like after a FTM top surgery?

During the operation, a drain is placed in each breast to facilitate drainage of retained liquids from the operated area and thus avoid haematoma. These drains are removed after 48 hours. Afterwards, you will have to wear a compression garment, band or T-shirt for one or two weeks, depending on the medical team’s assessment. This compressive band prevents the formation of haematomas and facilitates the modeling and adaptation of the skin.
24 hours after the operation, you will be able to return to your normal life, with the express limitation of exertion and weight bearing.

How should I sleep during the FTM top surgery recovery period?

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.

When will I be able to play sports again after a FTM top surgery?

Before restarting your sport routine, consult your doctor when it is appropriate to start and what type of physical activity is the most appropriate until your complete recovery. Remember that during the first days you should not take weight or make efforts with the upper part of the body

THE RESULTS OF FTM top surgery

What is the result after a FTM top surgery?

The results are excellent and can be seen immediately, although you must wait for the swelling to go down before checking the final shape. Your breasts are smoother, while your areolas and nipples are in harmony with your chest’s new masculine appearance, which is aesthetically similar to that of a cis man.

When does the chest start to change after this surgery?

Once the drains are removed, the patient’s recovery is much faster. After 10 days of FTM top surgery, the decrease in inflammation begins to be noticed.

Can I still feel my nipples after top surgery?

Generally, you will lose erotic sensation, but after this surgery you can expect your nipples to be sensitive to pressure sensation or temperature. Also, you may experience some tingling that will normally go away within a few weeks or months.

TIPS AFTER FTM top surgery

COMPRESSION GARMENT

You must wear a compression garment (such as a girdle, band or compression shirt) 24 hours a day, even sleeping during the first week or days, as advised by the medical team. You can only take it off to shower.

DRAINS

You will wear drains for the first 48 hours to improve fluid removal. These drains will be removed by a member of the IM GENDER team.

RETURN TO SPORTS

Before restarting your sport routine, consult your doctor when it is appropriate to start and what type of physical activity is the most appropriate until your complete recovery. Remember that during the first days you should not take on weight or make efforts with the upper part of the body.

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 IM GENDER’s Gender Unit? Do you want to know the price of a FTM top surgery?