In regards to FTM top surgery, what would be some reasons a surgeon would opt for reduction rather than a full mastectomy?
Doctor Answers 7
FTM top surgery
a breast Reduction and a FTM top surgery are two different procedures with different outcomes. Breast reduction reduces the size of the breast and top surgery removes all breast tissue to masculinize the chest. Be sure that you choose a board certified plastic surgeon that specializes in FTM top surgery and works closely with the transgender community.
FTM top surgery vs breast reduction
FTM Top Surgery
Thanks for the post. It is really a very insightful question that you pose. I stress to my patients that this is not a breast reduction. This is chest masculinization. A masculine chest has very specific features that require certain techniques in the operating room. Just reducing the size of the breasts will not necessarily make it more masculine in appearance. You are absolutely correct that only performing a breast reduction will not give trans man the desired result he is seeking.
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Breast Reduction vs Mastectomy
Reduction vs. mastectomy
In contrast, the FtM mastectomy considers the male chest contouring as integral to the procedure. Breast removal preserves the proper amount of skin to cover the pectoral muscles and preserves a layer of fat/breast gland to give a smooth shape to the chest. This avoids a hollow or concave look to the chest. This layer is very important and should be balanced with the thickness of the fat layer next to the pectoral muscle on all sides. Because some breast tissue remains, lifelong surveillance for breast cancer is still recommended and some surgeons emphasize that fact by calling the procedure a breast reduction.
It is often semantics
You are correct that most of the breast tissue should be removed. One can never remove all of it but most is fine. The scar patterns and nipple relocation depends on the breast size and amount of skin present. Sometimes this can be performed through minimal incisions.
A good experienced surgeon who understands the breast and male chest should perform these procedures as the contour of the side of the chest is the difference between an improved female chest and a true male chest. Research and choose your surgeon wisely. He/she should be a board certified plastic surgeon who is experienced in breast reduction, reconstruction and gynecomastia surgery.
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.