An Overview of FTM Top Surgery
Patients who are considering FTM top surgery are generally looking at mastectomy and/or chest reconstruction to make their chests look more like that of a biological male. While hormone replacement therapy does lead to the growth of breasts for MTF patients, it does not get rid of breasts for FTM patients, which is why they seek out one or both of these procedures.
Many trans men request bilaterall mastectomy as part of their FTM top surgery protocol. This involves removing both of the breasts. In the case of trans men who originally had breasts of moderate to large size, the process involves grafts and the reconstruction of the areola and nipple. This lets the doctor resize the nipple to male proportions more easily and put the nipple in a place where it would appear on a biological man’s chest.
Some surgeons break down the mastectomy into two steps. The first involves the removal of the breast contents through an incision within or around the areola. After that, the doctor waits about a year before performing the second surgery, to allow the skin near the incision to retract. The second surgery gets rid of the extra skin. The benefits of this two-stage process include significantly less scarring and freedom from having to remove and graft the areola-nipple. That removal and grafting frequently interferes with sensitivity in the nipple.
Trans men who have smaller breasts do not have to go through the two-step procedure. instead, the surgeon makes an incision around the areola, in what is known as a peri-areolar procedure. This keeps the scars small. The nipples remain larger but there is less risk of damage to the nerves that give the nipples their sensation.
In the case of male chest reconstruction within the larger process of FTM top surgery, there are some smaller procedures that accompany the mastectomy for maximum aesthetic benefit. In some cases, a fold of skin forms at the corner of a surgical incision, generally when the angle of the cut is more than 30 degrees. Too much skin gathering has taken place at this point, leading to the formation. Sometimes this shows up after the surgery, after as long as three months or more of settling. In that case, the surgeon may want to go back and change the revision lines to smooth the area out.
Some other common remedies when surgery does not result in an formed nipple. While grafts do reduce sensation, they also allow a more masculine look from the nipple — and the precise placement where it would go on a man’s chest. Doctors will prop the patient up on the table while he is still under anesthesia to identify the right spot for the graft. In extreme cases, it’s even possible to tattoo the area around the areola so that it appears in place. This is most commonly necessary when the mastectomy and chest contouring end up costing the patient his original nipple and no suitable reconstruction can take place.
FTM top surgery can be one of the most important aesthetic elements of the entire transition procedure. Because the area of the chest is one of the most visible signs of both femininity and masculinity, a person identifying as a man but in the biological body of a woman wants to get rid of his breasts in the vast majority of cases, in order to take on the physiological shape of his sexual identity.
The providers listed in our directory have all helped many patients make the transition to a masculine body so that they can live out their true sexual identity rather than remaining trapped inside the body of someone that they consider a stranger. Because every person’s transition story is unique, it is crucial to find the practitioner with whom you feel the most comfortable and that has the track record of success that you deserve. Sexchangeoperation.net has been the first online stop for many people in your situation who are now living as happy, successful, fulfilled men.