There are several different types of MTF top surgery procedures, each with its own advantages and disadvantages. The most common types of MTF top surgery procedures are:

  • 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.
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  • 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.
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  • Keyhole top surgery: This is the least invasive type of MTF 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.
  • 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.
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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 a MTF top surgery procedure:

  • The size of your breasts: 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 MTF 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 MTF 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 MTF 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.

There are several different types of MTF (Male-to-Female) top surgery procedures, each with its own surgical techniques and incision patterns. The choice of procedure depends on various factors such as the individual’s anatomy, desired outcomes, and the surgeon’s expertise. Here are some common types of MTF top surgery procedures:

  1. Breast Augmentation with Implants: This procedure involves the placement of breast implants to enhance breast size and shape. It is typically performed when the individual desires a significant increase in breast volume. The implants can be inserted through incisions made in the inframammary fold (under the breast crease), periareolar incisions (around the areola), or in some cases, transaxillary incisions (in the armpit).
  2. Periareolar (Keyhole) Technique: This technique is suitable for individuals with minimal breast tissue and good skin elasticity. It involves making incisions around the areola to remove excess tissue and resize the areola if desired. Liposuction may be used to contour the chest and achieve a flatter appearance. The periareolar technique leaves minimal scarring but is generally not suitable for individuals with significant chest tissue.
  3. Double Incision: The double incision technique is commonly used for individuals with larger amounts of chest tissue. It involves making a horizontal incision along the natural crease beneath the breasts (inframammary fold) and another incision around the lower edge of the areola. Excess skin and breast tissue are removed, and the remaining tissue is reshaped to create a flatter, more feminine contour. Nipple grafting is performed to reposition and resize the nipples. This technique typically results in more visible scarring but can achieve significant chest masculinization.
  4. Inverted-T (Anchor) Technique: Similar to the double incision technique, the inverted-T technique is used when there is a significant amount of excess skin and breast tissue to be removed. It involves making incisions similar to the double incision technique but also includes a vertical incision extending downward from the areola to the inframammary fold, resulting in an anchor-shaped incision. The excess tissue is removed, and the remaining tissue is reshaped to create a more feminine chest appearance. Nipple grafting is also performed. This technique results in more extensive scarring but can achieve significant chest reshaping.

It’s important to consult with a qualified plastic surgeon who specializes in gender-affirming procedures to determine the most appropriate surgical technique based on your individual needs, body type, and desired outcomes. The surgeon will evaluate your specific situation and discuss the advantages, limitations, and potential risks associated with each technique.