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I Am a MtF Transgender Wanting Breast Implants - Options?

I would like to go as big as possible however I do not have a large amount of breast tissue and would preferably go over the muscle because of recovery and I do like to work out I am quite leand and 6ft 2 tall - however if I went under the muscle i would have more tissue to cover the implant I am definitely thinking silicone not saline. Any help would be appreciated xxx

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breasts 6 ft 1 in to 6 ft 4 in options transgender

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5 Doctor Answers | Asked by Carminee in Melbourne, Australia

Doctor Answers (5)
Community Comments (3)

Transgender breast augmentation options.

I have been doing transgender breast augmentations for over two decades, so hopefully I can offer some useful thoughts. First of all, transgender or not, below the muscle does NOT automatically imply "longer" or "more difficult" recovery. This is true for all augmentations, not just transgender patients. Careful surgical elevation of the pectoralis major muscle with precise control of bleeding points (as well as use of IV Decadron, oral Robaxin, oral Celebrex, and Marcaine in... more

Breast augmentation for SRS

I have been caring for patients with with GID for over twenty years and also have a busy breast augmentation practice. It is rare that I recommend an under the muscle approach for the following reasons: 1) under the muscle is more painful; 2) under the muscle bleeds more and has a higher risk of post-op bleeding; 3) there is a potential space behind the muscle that extends into the neck, making implant migration more likely; 4) muscle activity can move the... more

Breast Augmentation for transgender

I have had the privilege of taking care of transgender patients in all different stages. I have used both saline and silicone implants in the submuscular position with nice results.. it depends on what the patient is looking for. Sometimes a staged procedure is necessary to achieve the final goal - for example, if a patient wants a larger look than we can achieve on the first surgery, we can re-assess the situation after 6-8 months to see if the body will allow for a larger implant. more

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"I want to be as big as possible"

I have zero experience with GID but it seems to me if your skin envelope is tight and you want to be as big as possible, would you consider wearing a BRAVA to expand the envelope prior to augmentation and possibly to add fat to subcu space for better coverage?

Breast implants

It is hard to tell without looking at photographs. But from my experience with M to F going under the muscle is preferable for adequate coverage of the implant. I also agree that a silicone contour profile implant will give the most natural appearance. Of course taking your chest measurements will help determine the size appropriate for you. Good luck!

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Comments (3)

Carminee
31 May 2013

Thanks for the comments.. I ended up getting 600cc Mod Plus Silicone Dual Plane placement so basically under the muscle that was over a year ago now I am very happy with them. Perfect shape just not quite big enough (of course) I am actually have them re done in a few days to 800cc High Profile Silicone... Fingers crossed they look as good as my current version!

Beth Ann CD
30 May 2013

Doctors have told me going more than 350 cc increases the risk of problems after surgery. What another comment said about 750 cc implants in males is not safe and no reputable surgeon would give real women implants that big the first time they had them.

MaxBayville
21 Jan 2013

I have done more breast augmentation procedures on M2F transgenders than any other surgeon in Florida. I continue to recommend above the muscle implants as the recovery is quicker, the implants do not move when you push yourself off a chair (important when you wear a low cut dress showing your cleavage and I have a method for rapid intra-operative breast expansion that enables a M2F transgender to get implants larger than 500cc. For even larger implants, I use a breast implant expander and have gone as high as 750cc. For a tasteful C cup (most desired), I like to use a silicone implant about 300-450cc. Good Luck to all the gurls out there.

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Gender Reassignment Surgery: Q&A