Minneapolis Plastic Surgery

A: Without knowing your height, weight etc, it would be difficult to say if a 240cc implant will get you to a "D" cup. We use a pre-op sizing process that helps patients visualize what they may look like after surgery. This allows to like what they see rather than focus on a cup size. Best wishes. Dr. Gervais

A: Thanks for the helpful photos. You can get a breast augmentation without implants if you wish. The larger the implants the more fullness you will achieve. You will still have some sagginess but can be corrected in the future with a breast lift. Best wishes. Dr. Gervais

A: Dear SourMapes, Many factors go into choosing implant profile for breast augmentation. During the consultation we evaluate each patient's breast size (width, volume, spacial distance between breasts, symmetry, etc) chest wall dimensions and height and weight. We then discuss expectations and what the patient desires. We then come up with a plan that best meets all these factors. I think that many trans women ask for or receive HP implants because many do not have as much natural tissue to begin with and/or they are looking for larger breasts and the bigger the implant, the wider they become. Therefore a HP implant is needed to match the patients chest/breast dimensions. In your specific case, I would determine how large you would like to be and choose the implant that accomplishes your volume needs and your wish to narrow the space between your breasts. Best wishes, Dr. Gervais

A: Your breasts are small, but not small enough for periareolar (keyhole) surgery to work; plus, your areolas (and nipples) are too large. Removal of the nipple/areola complexes and "just going without" will leave your chest looking abnormal-enough that you will likely be self-conscious about your appearance, limiting your ability to ever remove your shirt, wear swim trunks without a t-shirt, or feel comfortable in a locker room. Trust me on this! Keep your parts, just reduce the nipple and areola sizes and ensure they are grafted to an appropriate masculine position. Sure, you will have scars, but if your surgeon skillfully places them to mimic your pec creases rather than slope down like a mastectomy scar, they can be pretty acceptable once they fade. It's taken me many years to learn how to minimize dog ears and poorly-positioned scars, but if you look at my website's before and after photographs (or those here on RealSelf), you can see how my results stack up against other surgeons performing this surgery. I state this not to "brag" but to support my recommendation. This surgical procedure (transgender mastectomies) is NOT being taught in most plastic surgical programs, and top surgery is NOT the same as mastectomies taught in our general surgery programs for cancer surgery, nor is this a "mega" breast reduction/lift. Female scar patterns are as bad as transmen being described by "she" or "her." Your anatomy requires skin reduction (double-incision) total mastectomies, proper scar position and orientation along your lower pec borders, avoidance of dog ears, as well as nipple and areola reductions and placement of your masculine-sized nipple areola complexes in masculine position. Anything else will land you a place on the "disasters of top surgery" page, and require re-do surgery. Best wishes! Dr. Tholen