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Board Certified Plastic Surgeon
Board Certified Plastic Surgeon
Board Certified Plastic Surgeon
Each option for chest masculinization surgery has its benefits and it’s shortcomings. Each option also has certain indications but there is definitely some overlap where some patients may have the option to choose.
It looks from the photo that you have shared that you would likely be a candidate for double incision top surgery. Skin laxity is important but even more important is the native position of your nipple areolar complex. Even though your nipples are positioned above the breast fold, it would seem likely that after the breast tissue is removed, the dissection completed and the inframammary fold elevated, it should be possible to remove the skin above the entire nipple areolar complex without leaving any remnant areolar pigment. Even if this were to be the case, this can be removed down the line. The indications for this procedure has widened to the point where almost all can have this surgery performed due to a successful experience treating younger and younger individuals who have higher native nipple positions, denser tissue and less saggy skin.
In my hands, the double incision top surgery allows for the most uniform removal of breast tissue creating a flat contour to have your skin and fat redistribute beautifully over your pec muscle, enhancing definition. The inframammary fold is also repositioned to sit just beneath the border of the pectoralis muscle. Many studies have been done to analyze the ideal male nipple position, and although there is certainly acceptable variation within the “ideal” it is distinctly different from the ideal female nipple areolar complex position. In addition to achieving a smooth flat contour of the chest, nipple placement is almost equally important in chest masculinization surgery. The double incision procedure allows optimal control over both of these elements. This is why whenever possible, I try and guide my patients towards this procedure.
The periareolar surgery uses the margin of your areola to remove breast tissue and conceal the scars within, and although fewer scars seems appealing to many, the nipple-areolar complex remains in a distinctly feminine position and true flatness of the chest, and repositioning of the inframammary fold is much harder to achieve. Similarly, the keyhole technique will raise the nipple areolar complex and the tissue that has to be left behind to keep the nipple alive will contribute to some chest wall thickness and therefore there will still be some breast mound.
To find out which options are best for you, be sure to meet with a board certified plastic surgeon who is experienced with trans-care, knows what he or she is talking about and can answer your questions thoroughly, has before and afters to show you, and has patients who are happy to share their experience with you.
Board Certified Plastic Surgeon
Depending on the amount of laxity your have in your breasts, you may still be eligible for a double incision top surgery, which would allow a much greater control in terms of creating a flat chest with smooth surface appearance and ideal nipple-areolar complex position for the anatomic male chest. See a board certified plastic surgeon who has experience in trans-care.
Board Certified Plastic Surgeon
Your workouts just leading up to surgery will not make a difference for the difficulty of, or the outcome from your surgery. Feel free to keep with your regular routine. The only caveat is you should be well rested and well hydrated before your surgery in order to have an easier recovery from your anesthesia.
You will then need 4-6 weeks after surgery before you can go back to most workout routines including weight lifting, group fitness, etc. Some surgeons will allow you to return earlier but I recommend that patients can return to cardio at the earliest after 2 weeks but no weight lifting, group fitness, yoga, etc (including legs and squats!) for 4 weeks.
Board Certified Plastic Surgeon
Restoring the volume of your breasts after breast feeding is one of the most common indications for breast augmentation. Without being able to examine you or at least evaluate some photos, it is not possible to determine if augmentation alone would suffice, or if you would need to consider a breast lift at the same time. In most cases, I would not recommend a saline implant for this indication, as the incompressible nature of saline makes it feel more "bouncy" than "squishy," the weight is no less than 30% heavier than the corresponding size silicone implant and your skin has already lost its elasticity, the weight is more likely to cause the skin to overstretch and make your breasts look like they have drooped, and if its the case where your skin is also thin to the pinch, there is a much higher risk of seeing the rippling of saline implants through your skin.
Seek the consultation of a surgeon certified by the American Board of Plastic Surgery for the best guidance pre-operatively which will lead to the best outcome post-operatively.
Sincerely,
Marc Everett MD
Board Certified Plastic Surgeon
When the implant size is appropriately selected within certain parameters that fit the size of the breast, and with proper dissection to create the pocket, animation deformity should not be noticeable with any regular movements of the arms or flexion of the chest. When performed well, some animation deformity may be observed when patient gives maximal flexion, or really, really trying to move the implants. Proper dissection first requires knowledge of anatomy and normal anatomical variants and understand of the process that causes the animation deformity in order to prevent it.
Placing the implants above the muscle has certain trade offs you have to be willing to accept. There is higher risk for capsular contracture and most surgeons would tell you that experience shows greater ptosis or droop of the implant when the skin-alone is responsible for holding the weight of the implant. All breast augmentation has some risk of implant visibility but it is significantly higher in subglandular placement of the implant and really shouldn't be performed in someone with a thin "skin pinch."
You should only choose a surgeon who is certified by the American Board of Plastic Surgery who demonstrates an understand of the many nuances of breast augmentation in order to have the best outcome possible.
Sincerely,
Marc Everett MD
Board Certified Plastic Surgeon
Dear Jubilant,
Looking at your picture, there is only a mild degree of asymmetry in size and in nipple-areola position. In person, or with intra-operative sizers, it would be easier to decide if two different size implants would improve your outcome. The other thing I would suggest is discussing with your surgeon whether a dual-plane dissection on the left with a small separation of the breast from the muscle beneath to allow the breast to redrape over the implant, allow the nipple-areola complex to "drift" upwards to match the other side by increasing the length of the lower pole.
Choose only a surgeon certified by the American Board of Plastic Surgery who understands the concepts and nuances of performing a masterful breast augmentation.
Sincerely,
Marc Everett MD
Board Certified Plastic Surgeon
Like everyone else in this forum has been so strong to recommend, the decision to undergo breast augmentation, or corrective breast surgery, or reconstruction or anything is that of the patient alone. It's absolutely ideal to have your support systems in place and have everyone on the same page, but at the end of the day, only one person truly lives with your body and that's you.
The other comment that has been made is where we as surgeons certified by the American Board of Plastic Surgery would advise, if you are expecting to be expecting sooner rather than later, it might be in your interest to have corrective breast surgery after your breast feeding and breast regression is complete only for the sake of longevity of your results and effectiveness of your dollars spent. If you aren't planning for this anytime soon, then live your life now and understand that pregnancy and breast feeding may change the shape of your breasts.
Sincerely,
Marc Everett MD
Board Certified Plastic Surgeon
I had my breast augmentation performed by Dr. Everett and could not be happier with my decision. This was my first surgery and I was nervous, to say the least. Dr. Everett and his beautiful wife Jacqueline were so patient with all my questions and so accommodating, before, during and after the procedure. I felt at all times like I was in the best hands. I am almost 5 months post-op today and in love with my new breasts. surgery. I decided on 300cc silicone implants. I was a 32A before. I haven’t had a bra fitting yet, but I seem to be fitting a 34C or 32D. Photos are in reverse chronological order. All after photos were taken between 2-4 months after surgery. I will post more later, as I don’t believe they are entirely done dropping and fluffing.
I had a great experience with Dr Everett! He is very attentive, knowledgeable, and patient - after my surgery I was so impressed with the changes, they were pretty much exactly what I envisioned beforehand and the scarring has been minimal. At the first consultation I knew I would go with Dr. Everett because he answered my millions of questions without rushing, I sat there for probably 45 minutes or an hour. I cancelled my other consultations I made with other surgeons after the consult, because I knew I wanted to proceed and felt confident in his abilities. After the procedure he was very quick to respond anytime I texted random questions, and the healing process has been very easy. I had a great experience, and highly recommend Dr. Everett!
10/10 experience. His team is very respectful and professional. Felt very comfortable with him. The results from my surgery exceeded my expectations. Now I feel like I have the body I always meant to be in.
I had a phenomenal experience as a patient of Dr. Everett. He and his team were the consummate advocate for my case. Dr. Everett is highly skilled, innovative, and dedicated to reaching a result that not only meets the medical need, but also exceeds expectations in terms of what you can expect to look back at you in the mirror each day. Dr. Everett, his surgical coordinator, Jacqueline, and their administrative assistant have all been highly accessible and supportive throughout my whole experience. Highly recommend!
He cares about his patients and wants to not only make them look better but feel better too. I can feel he genuinely wants to help each & every person that walks through his door. Dr. Everette & his wife/coordinator spent a solid hour with me explaining the procedure, showing me images of the actual surgery, showing me what I would look like and how the breast blood supply worked. Dr. E.said that half his practice is breast reduction. Dr. E. & his wife, made me feel like I just picked the guy who is going to help me.
Where do I begin? I’m a confident woman who’s battled life changes with my body since my teens; losing and gaining weight, three healthy pregnancies and large birthweight babies... I didn’t want to look like a Barbie or a Vixen during this process. I wanted to look like I made healthy decisions and have it show outwardly. Dr Everett, his beautiful wife Jacqueline and his attentive staff have become part of my care team. They’re family. I call and text them with random questions a bunch and they are patient and take their time making me feel comfortable. My body concerns were that I wanted to look natural and that’s just what he did. A much needed Breast augmentation and liposuction of the back and bra rolls done on two separate occasions - feels like I’ll enhance my results as I also work out with a personal trainer at the gym on a regular basis. I was top heavy previously, now thanks to Dr. Everett’s vision my measurements are proportionate to my frame, my back pain is from carrying too large breasts is eliminated and I no longer pop buttons when I zip or button a shirt or my winter coat. I’m able to wear layers and the extra moisture where there was extra skin previously is no more. To top off these amazing benefits and beautiful aesthetic results, the scars are barely there. Peek a boo! I do not feel nor appear to have been through a meat market chop shop surgeon, which was my fear. Dr Everett cuts and sutures beautifully. His patience shows. He listened to me. As I write this tears well up in my eyes. I’m finally putting myself first and tackling the areas of my body that have been sources of insecurity since I was younger, much of it hereditary. I’ve carried my body issues well in the past by dressing strategically, but golly my future looks and feels effervescent as I now feel lighter and more agile. Swimsuit season here I come! I’m a maid of honor at a wedding in a few weeks, I cannot wait to stun when I make my entrance. My dress should melt onto my body beautifully. Of this I am confident. Get it done in 2021! Health is wealth. Self care is the best care. Thank you team Everett from the bottom of my heart. From now on this momma will take better care of herself and I will consult Dr. Everett as part of my care team in the future should I decide to improve any other areas that I am in question about in the future. I’m happy. Don’t hesitate, do it! Invest in you for once. Best to all.
I am a 39 y/o mom of 3 kids who had a previous umbilical hernia repair and was left a "mutant" navel as the result. I stumbled upon Dr Everett on this website and decided to go for a consultation. His wife and surgical coordinator who is AMAZING and so warm and genuine. I also decided to pick his brain a little about his views on anticoagulation after surgery.I really wanted to see if he would be engaging or not and he was, even excited about our discussion. If an MD is dismissive when you ask probing questions it is time to move on. He is so professional and I really trust his opinion. He does not do drainless tummy tucks, and it makes so much sense to me - where does all that fluid go if not out into a drain?When I got home I was feeling really crappy, and we were able to get in touch with him and hear his recommendations. I always felt as if he was so accessible and very responsive to questions. I am very swollen, but I still love my very natural results. I'm excited about my body for the first time in YEARS.
After a lifetime of wanting nice breasts, I finally underwent the procedure on 11/20/20 with Dr.Everett in NYC. Today is day seven post op and I am feeling pretty good. Most importantly, I love what I’m seeing so far. I still find it a little hard to believe that I did it. I hesitated for so many years for a few reasons: fear of undergoing surgery, potential complications afterwards including not being happy with the outcome and lastly cost. Today, I can say wholeheartedly that I have no regrets. I met with two other surgeons prior to Dr.Everett, and neither was as informative and thorough as he was. He took his time examining me and talking to me. This made me feel very at ease. I felt very comfortable with him and knew the day I met him that he would be the one to do my surgery. I cannot forget to mention Jacqueline his beautiful wife, surgical coordinator and receptionist. She is sweet and efficient and has facilitated everything from my first appointment to all the communication and transactions in between and up until now. Updated on 21 Dec 2020: I am feeling much better. I still feel sore and I have some itching and some peeling as seen in the photo. From what I can see my left breast has dropped a little whereas my right not so much. I still wear my compression bra at work but when I get home I take it off and stay without a bra as recommended by my doctor. I will sleep with a sports bra on however. I am also applying a cream to minimize scarring. Lastly..I am thrilled to finally wear a top which I’ve had forever and finally really like the way I look in it. Updated on 3 Feb 2021: I’m very pleased and happy with my progress so far. That being said, this is definitely a process that requires patience, but definitely worth the wait. I’m including a few more pics this time. A closer look at the incisions and also some side views. My left breast has come down more whereas my right one is still higher up as evident in the pictures. I feel it’s much more noticeable in the pics as opposed to in person. My breasts feel a little softer but there is still tightness on the right breast especially. I still feel some soreness from time to time and I am starting to feel a bit more sensation in the nipple area. Overall, I am happy with how I look and how I’m healing. I have no regrets at all and wish I would have done it sooner.
Dr. Everett performed a rather complicated breast reduction for me a few weeks ago. At 56, I never imaged my breast would look so amazing after this surgery. He total exceeded my expectations. During my consultation, he explained everything he would do in a way that I could easily understand. He and his wife made me feel comfortable from that first visit. Before the surgery, my daughter called Jacqueline for information and had many questions. Jacqueline was incredibly kind and patient with her. After my surgery, Dr. Everett and Jaqueline both called during the car ride home and checked in frequently between my scheduled check up appointments. I went in wanting my back pain to be gone, but the end results gave me much more. I feel much more confident and secure with myself!
You can tell from the time of consultation that Dr. Everett is 100% invested in your satisfaction and committed to your individual process. On the day of my surgery, he took his time explaining and measuring and notating every inch of my body, I was well aware of what he was doing and why it was being done. Most importantly I was CONFIDENT that I would be satisfied with my results. I laughed SO HARD (he’s hilarious) which completely eased my anxiety. The hospitality at his affiliation hospital was impeccable, and within 3 hours of leaving the hospital, Dr. Everett called me to check on me, and to make sure that I clearly understood my post op directions. I look forward to my next procedure! Dr. Everett is THE doctor to support in the manifestation of what ever body goals you want. One procedure down, two more to go!! His whole practice is a complete vibe!
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