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M to F Transgender- Anatomical Shape over the Muscle?

This is how I would like to have my implants done when I have them done next month. I am sure there are negative aspects to my decision but I would like to know of anyone who has performed a BA on a trans patient this way and had good results?

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5 Doctor Answers | Asked by Carminee in Melbourne, Australia

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Transgender Breast Augmentation

Thanks you for your question. I have done many breast augmentation on transgendered women. I perform a lot of augmentation with silicone implants above the muscle but I always use round silicone implants with great results. The problem with anatomical implants is that they can rotate. also, because anatomical implants are textured to try to prevent rotation of the implants, the scar tissue can adhere to the implant and you can see more rippling or folding of the implant. more

Breast implants for transgender

The most natural implant with least complications will still be submuscular, round , silicone, not too big at first. Transaxillary will limit scars or saline transumbilcal with increase in size to gel as a second procedure

Anatomical implant over the muscle for transgender patient is not advised.

While your question is entirely reasonable, I can attest to this being a suboptimal choice for a M-F transgender patient, even if you have been on estrogens for some time, have developed some breast tissue of your own, and have lost some of your physiologic pectoralis muscle bulk. Submuscular (partial, since the inferolateral portion of your implant will be subfascial (submammary) placement of a smooth, round, cohesive 5th generation silicone gel implant is definitely your best option... more

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Anatomic shaped implants

While there are a number of special factors that need to be taken into account when considering breast augmentation in a M to F transgender patient, I do not believe that my basic "rules" for augmentation change. I typically recommend sub-muscular placement of round implants. Sub-muscular placement increases soft tissue coverage and camouflage of the implant while (probably) decreasing the risk of capsular contracture. I have operated on a number of M to F... more

Transgender Breast Augmentation?

Thank you for the question. No, I generally advise all my breast augmentation patients to have their procedures done in the partially submuscular position and use round breast implants. In my opinion, there are a lot of advantages of placing implants in the submuscular position and disadvantages in using anatomical shaped implants. Although no technique, placement of implant, or type of implant is perfect I think the potential need for revisionary... more

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