MTF top surgery, also known as transgender breast augmentation, is a surgical procedure that is performed to feminize the chest. The goal of the surgery is to create a more feminine appearance by removing breast tissue and/or inserting implants.

There are two main types of MTF top surgery:

  • Double incision top surgery: This is the most common type of MTF top surgery. It involves making two incisions across the chest, one under each breast. The surgeon then removes the breast tissue and reshapes the chest wall. In some cases, implants may be inserted.
  • Nipple-sparing mastectomy: This type of surgery is less invasive than double incision top surgery. It involves making smaller incisions around the areola, and the nipples are typically preserved. The surgeon then removes the breast tissue and reshapes the chest wall. In some cases, implants may be inserted.

The specific procedure that is performed will vary depending on the individual’s anatomy and preferences. The surgery is typically performed under general anesthesia and takes about 2-3 hours.

The recovery period for MTF top surgery is typically 4-6 weeks. During this time, the incisions will need to be cared for and the patient will need to wear a compression garment. There may be some pain and discomfort, but most patients are able to return to work and other activities within a few weeks.

The results of MTF top surgery are generally very good. The chest will be flatter and more feminine, and the nipples will be repositioned in a more natural location. The scars from the surgery will fade over time, but they will never completely disappear.

If you are considering MTF top surgery, it is important to talk to a surgeon about your individual circumstances and expectations. The surgeon will be able to assess your eligibility for surgery and help you make the best decision for yourself.

Here are some additional resources that you may find helpful:

  • The World Professional Association for Transgender Health (WPATH) Standards of Care: https://www.wpath.org/publications/soc
  • The American Society of Plastic Surgeons (ASPS) website: https://www.plasticsurgery.org/
  • The Trevor Project: https://www.thetrevorproject.org/

MTF (Male-to-Female) top surgery, also known as breast augmentation or chest feminization surgery, is a surgical procedure designed to reshape the chest area and create a more feminine appearance. The surgery involves removing excess breast tissue and, in some cases, placing breast implants to enhance breast size and shape. The exact details of the procedure can vary depending on the individual’s specific goals, body type, and the surgeon’s techniques. Here is a general overview of how MTF top surgery typically works:

  1. Consultation: The process begins with a consultation with a qualified plastic surgeon who specializes in gender-affirming procedures. During this consultation, the surgeon will assess the individual’s goals, medical history, and physical characteristics. They will discuss the various surgical options, potential risks and complications, expected outcomes, and postoperative care instructions.
  2. Preoperative preparations: Prior to the surgery, the individual may be required to undergo certain preoperative evaluations, such as blood tests, imaging scans, and possibly a mammogram. The surgeon may also provide instructions regarding medication use, smoking cessation, and other preoperative preparations.
  3. Anesthesia: On the day of the surgery, the individual will be given anesthesia to ensure comfort and pain control during the procedure. The type of anesthesia used can vary, and the surgeon will discuss this with the individual beforehand.
  4. Incision placement: The surgeon will make incisions on the chest in strategic locations to achieve the desired results. The specific incision pattern will depend on factors such as the amount of breast tissue to be removed, the desired nipple placement, and the individual’s anatomy. Commonly used incision techniques include periareolar (around the areola), double incision (horizontal incisions along the chest), or a combination of both.
  5. Tissue removal and reshaping: The surgeon will remove excess breast tissue, fat, and skin to create a flatter and more contoured chest. The remaining breast tissue may be reshaped and repositioned to create a more feminine appearance. If the individual desires larger breasts, the surgeon may also place breast implants at this stage.
  6. Nipple and areola adjustments: In most cases, the surgeon will reposition the nipples and resize the areolas to achieve a more proportionate and natural appearance. The nipples are usually resized and grafted to a higher position on the chest.
  7. Wound closure: Once the desired chest contour and nipple placement are achieved, the surgeon will close the incisions using sutures or other closure techniques. Drains may be placed to remove excess fluid or blood from the surgical site.
  8. Postoperative care and recovery: After the surgery, the individual will be moved to a recovery area, where they will be monitored for a period of time. The surgeon will provide detailed postoperative care instructions, which may include wearing compression garments, managing pain and discomfort, caring for the incision sites, and gradually resuming normal activities. Follow-up appointments will be scheduled to monitor healing progress and address any concerns.

It’s important to note that the specific techniques and details of MTF top surgery can vary depending on the surgeon, individual needs, and surgical goals. Consulting with a skilled and experienced plastic surgeon specializing in gender-affirming procedures is crucial to obtain personalized information and guidance tailored to your specific situation.