There are several different types of FTM top surgery procedures, each with its own advantages and disadvantages. The most common types of FTM top surgery procedures are:
- Double incision top surgery: This is the most common type of FTM 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. Double incision top surgery typically has the longest recovery time, but it also provides the most natural-looking results.
- 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. Nipple-sparing mastectomy has a shorter recovery time than double incision top surgery, but it may not provide as natural-looking results.
- Keyhole top surgery: This is the least invasive type of FTM top surgery. It involves making a small incision around the nipple, and the surgeon removes the breast tissue through this opening. In some cases, implants may be inserted. Keyhole top surgery has the shortest recovery time of all the FTM top surgery procedures, but it may not provide as natural-looking results as the other procedures.
- Inverted-T top surgery: This type of surgery is similar to double incision top surgery, but it involves an additional vertical incision that is made below the breastbone. This incision allows the surgeon to remove more breast tissue and create a flatter chest. Inverted-T top surgery typically has a longer recovery time than nipple-sparing mastectomy, but it may provide more natural-looking results than keyhole top surgery.
The specific procedure that is right for you will depend on your individual anatomy, preferences, and goals. It is important to talk to a surgeon about your options to decide which procedure is best for you.
Here are some additional things to consider when choosing an FTM top surgery procedure:
- The size of your chest: If you have larger breasts, you may need a more extensive procedure, such as double incision top surgery.
- Your desired results: If you want a completely flat chest, you may need a more extensive procedure. If you are happy with your current nipple size and shape, you may be able to have a nipple-sparing mastectomy.
- Your recovery time: The recovery time for FTM top surgery varies depending on the procedure. Double incision top surgery typically has the longest recovery time, while keyhole top surgery has the shortest recovery time.
- The cost of surgery: The cost of FTM top surgery varies depending on the procedure and the surgeon. It is important to factor in the cost of surgery when making your decision.
Ultimately, the decision of which FTM top surgery procedure is right for you 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 talk to a surgeon and a therapist or counselor to get the information you need to make the best decision for yourself.
FTM (female-to-male) top surgery procedures encompass several techniques that can be tailored to meet the individual’s specific needs and desired outcomes. The choice of procedure depends on factors such as breast size, skin elasticity, nipple position, and the patient’s preferences. Here are some of the common types of FTM top surgery procedures:
- Double Incision Mastectomy with Nipple Grafts: This technique is often used for individuals with larger breasts or excess skin. It involves making horizontal incisions beneath the pectoral muscles, extending from one side of the chest to the other. The breast tissue is removed, excess skin is excised, and the remaining skin is reshaped to create a flatter, more masculine chest contour. The nipple-areola complex is resized, repositioned, and grafted back onto the chest.
- Periareolar or Keyhole Mastectomy: This technique is suitable for individuals with smaller breasts and less excess skin. It involves making incisions around the areolas to remove the breast tissue. The incisions are typically smaller and heal well, resulting in less visible scarring. This technique is often used for individuals with minimal breast tissue who desire a more subtle chest contour.
- Buttonhole or Inverted-T Mastectomy: This technique is a variation of the double incision mastectomy. It involves making a horizontal incision beneath the pectoral muscles and extending vertically down the midline of the chest. This additional vertical incision allows for more precise contouring and better control over nipple placement.
- Minimal Scar or Modified Periareolar Mastectomy: This technique is designed to minimize scarring by making incisions solely around the areolas. It is suitable for individuals with smaller breasts and minimal excess skin. The breast tissue is removed through liposuction and/or direct excision, and the areolas are resized and repositioned to create a more masculine appearance.
- T-anchor or Inverted-T Mastectomy: This technique combines the double incision mastectomy with a vertical extension that forms a “T” shape. It allows for more extensive reshaping and contouring, particularly in cases with significant excess skin and breast tissue.
It’s important to consult with a skilled surgeon experienced in transgender surgeries to discuss the available options and determine the most suitable procedure based on individual factors and desired outcomes. The surgeon will evaluate factors such as breast size, skin elasticity, and nipple position to recommend the most appropriate technique for achieving the desired results.