I had FTM top surgery 8 weeks ago with a board-certified plastic surgeon who was highly recommended, but didn't get the desired results. I've been advised to see a chest contouring specialist to have excess skin excised & the nipples repositioned. Can the concavity be fixed or will it always be sunken in? Can my areolas/nipples be resized? If so, and they are resized & moved, will I have scars from where they are now? Can I ever have a male-appearing chest or should I change my expectations?
February 8, 2017
Answer: Top surgery revision It's not unusual to require a revision to a top surgery. This may take the form of removing excess residual skin, or fat grafting to fill out a concavity. If in fact a revision is warranted it's usually best to wait until at least six months after the initial procedure to allow the healing process to stabilize and determine what irregularities will actually remain after the tissues have settled in. In order to get a qualified, ethical, and expert opinion on your surgical options and expectations, schedule an in-person office consultation with a plastic surgeon certified by the American Board of Plastic Surgery. Best of luck,Keith M. Blechman, MDNew York, NY
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February 8, 2017
Answer: Top surgery revision It's not unusual to require a revision to a top surgery. This may take the form of removing excess residual skin, or fat grafting to fill out a concavity. If in fact a revision is warranted it's usually best to wait until at least six months after the initial procedure to allow the healing process to stabilize and determine what irregularities will actually remain after the tissues have settled in. In order to get a qualified, ethical, and expert opinion on your surgical options and expectations, schedule an in-person office consultation with a plastic surgeon certified by the American Board of Plastic Surgery. Best of luck,Keith M. Blechman, MDNew York, NY
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February 8, 2017
Answer: Can I fix this FTM top surgery result? Hello, I can certainly understand your frustration with your result. Although I did not see your before pictures, I can only assume based on the ideal "before and after" that you show, that your chest was similar to that before photo. If so, you very likely had the wrong procedure for your anatomy and this is why the result occurred. You certainly can have a revision to improve the appearance of your chest. However it is unlikely to ever look as good as it would have if it would have been done appropriately in the first place. The concavity occurred because a flap of the appropriate thickness was not left behind. Only for this part, you may need fat grafting. This may or may not correct in one operation and you are likely to need additional procedures. A pectoral implant may be an option as well. In either case, I would only know by examining you in person. You may also require resection of excess skin and possible free nipple grafts. Again, I would need to see you in order to determine this. I know this sounds like a lot to deal with, but you need to know that the situation can be dramatically improved.
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February 8, 2017
Answer: Can I fix this FTM top surgery result? Hello, I can certainly understand your frustration with your result. Although I did not see your before pictures, I can only assume based on the ideal "before and after" that you show, that your chest was similar to that before photo. If so, you very likely had the wrong procedure for your anatomy and this is why the result occurred. You certainly can have a revision to improve the appearance of your chest. However it is unlikely to ever look as good as it would have if it would have been done appropriately in the first place. The concavity occurred because a flap of the appropriate thickness was not left behind. Only for this part, you may need fat grafting. This may or may not correct in one operation and you are likely to need additional procedures. A pectoral implant may be an option as well. In either case, I would only know by examining you in person. You may also require resection of excess skin and possible free nipple grafts. Again, I would need to see you in order to determine this. I know this sounds like a lot to deal with, but you need to know that the situation can be dramatically improved.
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May 14, 2016
Answer: Be patient It is still early and the final result has not presented itself. You should wait at least 6-9 months to make a determination of how your chest looks. Then a revision can be performed if needed. Most likely a skin eduction and placing the lower incisions at an even level, removed excess skin, relocate the nipples and reduce their size. We do not see any pre operative photos so we cannot criticize your surgeon. These sometimes have to be stage procedures.
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May 14, 2016
Answer: Be patient It is still early and the final result has not presented itself. You should wait at least 6-9 months to make a determination of how your chest looks. Then a revision can be performed if needed. Most likely a skin eduction and placing the lower incisions at an even level, removed excess skin, relocate the nipples and reduce their size. We do not see any pre operative photos so we cannot criticize your surgeon. These sometimes have to be stage procedures.
Helpful