FTM top surgery results

The primary goal of FTM top surgery is to masculinise the chest by removing breast tissue and reshaping the chest area. The results are:

• Flat, contoured chest: The removal of breast tissue creates a flatter chest, eliminating the appearance of feminine curves.
• Improved chest symmetry: Surgeons aim to achieve a symmetrical chest that complements the patient’s body proportions.
• Natural-looking nipple placement: Depending on the technique used, the nipples and areolas are resized and repositioned to create a masculine aesthetic.
• Minimised scarring: While scarring is inevitable, our skilled surgeons use advanced techniques to reduce their visibility.

FTM top surgery results are permanent and create a more traditionally masculine chest contour.

The surgical technique used for FTM top surgery significantly influences the final results. There are three primary methods for performing the surgery:

• Periareolar technique: Ideal for patients with small chests, this technique involves making an incision around the edge of the areola. The glandular tissue is then removed through this incision, resulting in minimal scarring and a natural chest appearance. This method is less invasive, but it may not be suitable for patients with larger breasts.
• Extended periareolar technique: Used for larger chests, this technique includes a periareolar incision along with an additional incision extending towards the armpit. It provides access to more tissue removal, but the scars can be more visible. With time, body hair and skin care can help conceal these scars.
• Free nipple graft technique: This method is employed when the chest is large or when patients are considered “heavy smokers.” The nipples and areolas are grafted onto the chest in a new position. Although the scars are more prominent, this technique allows for better shaping of the chest.

The choice of technique will depend on factors such as the patient’s chest size, skin quality and personal preferences, and it is determined during the initial consultation.

During recovery, it’s normal to experience some bruising and discomfort. Full recovery takes a few months, but initial results can be seen within the first six weeks. Following the medical team’s advice and attending follow-up appointments are important to ensure a smooth healing process.

One of the main concerns after masculinisation surgery is scarring. The extent and visibility of scars depend on the technique used and how well the body heals. Scarring may take a year or longer to fade, and proper post-operative care, such as using silicone scar sheets and avoiding sun exposure, can reduce their appearance.

• Periareolar technique: Minimal scarring around the areola.
• Extended periareolar technique: Additional scarring towards the armpit that can be concealed over time.
• Free nipple graft technique: Larger scars, but with potential for improved chest contour.

In terms of sensation, many patients experience some changes in nipple sensitivity post-surgery. While some erotic sensation may be lost, many report retaining sensitivity to pressure and temperature, which may improve as the healing process continues.

FTM top surgery typically results in a flatter, more masculine chest contour. Patients report feeling more comfortable and confident in their bodies after the surgery. Here’s what you can expect before and after the procedure:

• Before surgery: Patients often experience discomfort or dysphoria due to the presence of breast tissue, leading to the desire for a flatter chest that aligns with their gender identity.
• After surgery: Post-surgery, the chest appears flatter and the breast tissue is removed. Areolas and nipples are often resized and repositioned to fit the new shape, resulting in a harmonious appearance that is aesthetically similar to a cisgender male chest.

It’s important to note that the final results may take several months to become fully visible as swelling subsides and scars begin to fade.

As with any surgery, there are potential risks and complications associated with FTM top surgery. Some of the most common are:

• Hematoma or seroma formation.
• Nipple or areola necrosis.
• Unsatisfactory scarring.
• Reaction to anaesthesia.

These complications are generally rare and working with an experienced surgical team reduces these risks. It is essential to maintain open communication with your surgeon and attend all post-operative follow-up appointments.

The psychological benefits of FTM top surgery are significant. Many trans men report an improvement in mental health and well-being after surgery. The alignment of physical appearance with gender identity often reduces dysphoria and enhances overall quality of life.

While the recovery process may require patience, achieving a masculine chest contour brings a sense of relief and confidence that allows patients to live more comfortably in their own bodies.