Yes, you can have FTM top surgery if you have a history of breast augmentation or reduction. However, there are some factors that may affect the outcome of your surgery.

  • The type of breast augmentation or reduction you had: If you had a breast augmentation with implants, the surgeon will need to remove the implants before they can perform top surgery. If you had a breast reduction, the surgeon may be able to use some of the excess skin from the reduction to create a more masculine chest.
  • The size of your breasts: If you have large breasts, the surgeon may need to make larger incisions during top surgery. This can increase the risk of scarring.
  • The location of your scars: If you have scars from previous breast surgery, the surgeon will need to take these into account when planning your top surgery. They may need to make their incisions in different locations to avoid the scars.

It is important to talk to a surgeon about your individual circumstances before you decide to have FTM top surgery. The surgeon will be able to assess your eligibility for surgery and discuss the potential risks and benefits with you.

Here are some additional resources that you may find helpful:

  • The World Professional Association for Transgender Health (WPATH) website:
  • The American Society of Plastic Surgeons (ASPS) website:
  • The Trevor Project:

Yes, it is possible to have FTM top surgery if you have a history of previous breast augmentation or reduction. However, it’s important to discuss your specific situation with a qualified surgeon experienced in FTM top surgery. They will evaluate your individual circumstances and determine the most appropriate surgical plan for you. Here are some important considerations:

  1. Evaluation of Previous Surgeries: Your surgeon will evaluate the results and outcomes of your previous breast augmentation or reduction surgeries. They will consider factors such as the amount of breast tissue remaining, the position of existing scars, and any potential complications or revisions that may have occurred.
  2. Impact on FTM Top Surgery: The previous breast surgeries may impact the planning and execution of FTM top surgery. For example, the presence of existing scars from previous surgeries may influence the choice of incision placement for FTM top surgery.
  3. Expectations and Desired Results: It’s important to communicate your goals and expectations for FTM top surgery with your surgeon. They will take into account your previous surgeries and work with you to develop a surgical plan that aligns with your desired results.
  4. Scar Management: If you have existing scars from previous breast surgeries, your surgeon may discuss scar management techniques to optimize the appearance of scars and minimize their visibility.
  5. Individual Variation: Each person’s situation is unique, and the impact of previous breast surgeries on FTM top surgery will vary. Your surgeon will assess your specific circumstances and provide personalized recommendations based on their expertise and experience.

Having a history of previous breast augmentation or reduction does not necessarily exclude you from FTM top surgery. It’s crucial to have open and honest discussions with your surgeon about your medical history, previous surgeries, and desired outcomes. They will guide you through the process, provide you with personalized recommendations, and develop a surgical plan that takes into account your individual circumstances and goals.