Alright. I am a young man trapped in a young woman's body, and I am likely going to start hormone therapy within the next month. Of course, I have the "breast problem". I currently have a 36 A breast size. Once I start hormones, is there any way to tell how much breast fat will transfer to the abdominal region? And how much surgery would be necessary in the future to get the remaining tissue out? The best estimate you can give would be very greatly appreciated.
Female-to-male transition questions?
Doctor Answers 5
Double incision mastectomy with nipple graft
Female-to-male transition questions
FTM Top Surgery
Thanks for the post. Testosterone therapy will not transfer fat from your breast to the abdomen or any other area. What it may do is reduce the fatty content in the breast and increase the size of the pectoralis muscle. As mentioned by my colleagues, you do not need to be on hormone therapy before or after top surgery. The surgical technique best suited for you will be based on how much fat and breast tissue you have, how much excess skin you have, how good the skin tone is, and the position and size of your nipples/areolas.
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For examples of each of these types of transgender mastectomies, click on the web reference link below. Seek ABPS-certified plastic surgeons who have performed transgender surgery for many years, as top surgery is not something that is taught as part of "standard" plastic surgical training, and requires experience with this subset of patients. Best wishes! Dr. Tholen
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