There are two main types of FTM (female-to-male) surgery:
Top surgery and bottom surgery.
Top Surgery: Top surgery is the surgical removal of breast tissue and reconstruction of the chest to create a more masculine appearance.
There are two main techniques used for top surgery:
⦁ Double incision: This technique involves making two incisions around the areola and a vertical incision down the center of the chest. This technique is typically used for people with larger breasts.
⦁ Keyhole: This technique involves making only two small incisions around the areola. This technique is typically used for people with smaller breasts.
Bottom Surgery: Bottom surgery is the surgical alteration of the genitals to create male genitalia. There are two main types of bottom surgery for FTM individuals:
⦁ Metoidioplasty: This technique involves lengthening and enlarging the clitoris to create a phallus. A urethral lengthening procedure may also be performed to allow the person to stand to urinate.
⦁ Phalloplasty: This technique involves creating a penis from tissue taken from another part of the body, such as the forearm or thigh. A urethral lengthening procedure is also performed.
Both top surgery and bottom surgery are major surgeries that come with risks, such as bleeding, infection, and scarring. It is important to talk to a qualified surgeon about the risks and benefits of each type of surgery before making a decision.
In addition to top surgery and bottom surgery, some FTM individuals may also choose to have other surgical procedures, such as hysterectomy (removal of the uterus) and oophorectomy (removal of the ovaries). These procedures are not always necessary, but they may be desired by some individuals for a variety of reasons.
Ultimately, the decision of whether or not to have FTM surgery is a personal one. There is no right or wrong answer, and what is right for one person may not be right for another. It is important to do your research and talk to a qualified surgeon to make the best decision for you.
Female-to-male (FTM) gender confirmation surgeries, also known as masculinizing surgeries, are available to individuals who seek to align their physical characteristics with their male gender identity. The specific surgeries chosen will depend on individual preferences, goals, and discussions with healthcare professionals.
Here are some common types of FTM surgeries:
⦁ Chest Masculinization Surgery (Top Surgery): This surgery involves the removal of breast tissue and reshaping the chest to create a more masculine appearance. There are different techniques available, including double incision mastectomy, periareolar (keyhole) mastectomy, and nipple grafting. The choice of technique depends on factors such as breast size, skin elasticity, and personal preferences.
⦁ Hysterectomy and Oophorectomy: Hysterectomy involves the removal of the uterus, and oophorectomy involves the removal of the ovaries. Some individuals may choose to have these surgeries as part of their transition to remove reproductive organs that may cause discomfort or dysphoria. It is important to discuss the potential benefits, risks, and considerations with healthcare professionals.
⦁ Metoidioplasty: Metoidioplasty is a surgical procedure that involves releasing the clitoral ligaments and enhancing the growth of the clitoris through testosterone use. It can also include urethral lengthening and scrotoplasty to create a more masculine genital appearance. This procedure is typically suitable for individuals who have experienced significant clitoral growth due to testosterone use.
⦁ Phalloplasty: Phalloplasty is a more complex procedure that involves constructing a neophallus using various techniques. This may include the use of tissue grafts from other parts of the body (such as the forearm or thigh) or implants. Phalloplasty can also involve additional procedures like urethral lengthening, scrotoplasty, and erectile prostheses to enhance functionality.
It’s important to note that FTM surgeries are highly individualized, and not all individuals pursue every type of surgery. Each person’s goals, priorities, and personal circumstances may differ. It is crucial to consult with experienced gender-affirming surgeons and healthcare professionals who specialize in transgender healthcare to discuss the available options, associated risks, benefits, recovery processes, and expected outcomes based on individual needs and preferences.
Remember that surgical procedures are significant decisions, and it’s important to have a thorough understanding of the potential risks, benefits, and expected outcomes. Working closely with healthcare professionals and seeking support from trans-affirming communities can provide valuable guidance and support throughout the surgical journey