Mastectomy, also known as “top surgery,” is a surgical procedure commonly sought by transgender individuals assigned female at birth who are transitioning to a male gender identity. The purpose of the procedure is to remove breast tissue and create a more masculine chest appearance.

For transgender men (female-to-male or FTM), mastectomy is an important step in affirming their gender identity and alleviating gender dysphoria. The surgery helps create a flatter chest contour that is more consistent with their male gender identity.

There are different techniques for mastectomy in transgender men, including:

  1. Double Incision Mastectomy: This technique involves making horizontal incisions across the chest to remove breast tissue. It is often used for individuals with larger breasts or excess skin.
  2. Periareolar or Keyhole Mastectomy: This technique involves making small incisions around the areola to remove breast tissue. It is generally suitable for individuals with smaller breasts and minimal excess skin.

The specific surgical technique recommended will depend on factors such as breast size, skin elasticity, and the individual’s desired outcome. It is important to consult with a qualified and experienced plastic surgeon who specializes in transgender surgeries to discuss the options, potential risks, benefits, and expected results.

Mastectomy is a significant surgical procedure, and the recovery process can vary from person to person. It typically involves a healing period of several weeks, during which time physical activity and lifting heavy objects may be limited. It is important to follow post-operative instructions provided by the surgeon and attend follow-up appointments for proper wound care and monitoring.

It’s worth noting that individual experiences and preferences for transition-related surgeries may differ. Some transgender individuals may opt not to undergo mastectomy or may choose other procedures that better align with their transition goals. It’s important for each person to make informed decisions based on their unique needs, in consultation with qualified healthcare professionals and support networks.