Is it possible to have top surgery without having the nipples removed, revised, or graphed on? I enjoy the sensation in my nipples and do not want to lose that. Or would a breast reduction be a better option? Basically I want a flat chest with my original nipples.
I Am a Ftm Transsexual Interested in Top Surgery but I Do Not Want my Nipples Changed?
Doctor Answers 7
FTM "Top Surgery" chest masculinization without nipple-grafting
Yes, it is definitely possible to leave the nipples attached (as in a breast reduction, only a more "extreme" form of the same), in order to retain at least some sensation, especially if you are starting at a C/D-cup or smaller with a relatively minimal "drooping" effect. I agree that healing after full-thickness nipple grafting is often unpredictable, with high potential for partial nipple loss, thickened scars, pigmentation irregularities, etc., which is why this alternative "nipple-sparing" technique (with the incisions closed in an "anchor"-pattern) was developed and refined.
FTM breast removal
The male chest contouring procedures all have one characteristic in common and that is the removal of the breast tissue underneath the nipple. Because this tissue contains the sensory nerves that go to the nipple, there is a substantial likelihood that you will lose sensation of the nipples. Preservation of this tissue in a breast reduction procedure is what maintains the nipple sensation in approximately 92% of women.
I hope that this info helps.
The 2 major methods are double incision mastectomy with nipple grafting and keyhole.
It depends on the size of your breasts as to which method would be best for you and the ability to maintain nipple sensation
The best way to assess and give true advice would be an in-person exam.
Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.
best of luck!
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FTM Top Surgery Options
Thanks for the post. To truly answer your question it would have been helpful to have a photo. That being said, men with smaller breasts (A-small B cup) and fair to good skin tone do well with procedures where the nipples are not removed. Typically a combination of liposuction and excision of excess breast tissue through an incision along the bottom half of the areola is performed. The results are very good. Men with larger breast, droopy breasts, and excess skin will not do well with this procedure and will need the double incision Top surgery.
FTM without nipple graft
The information above should not be considered a substitute for consultation with a board-certified plastic surgeon to address individual medical needs. Your particular facts and circumstances will determine the plastic surgery treatment which is most appropriate for you.
Cannot have both
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.