Would my chest qualify for a minimal-scarring top surgery procedure? (Photos)

Question

I have been on testosterone for 11 months I have also lost 2 stone I am 5 feet and 6 inches. I was wandering if my chest would qualify for a minimal scarring top surgery procedure

Alberto Enrique Perez Banuelos, MD · Answer

Hello. From what I see in your clinical case, a skin and large gland resection is the best, with preservation of the sensitivity of the areola, but the scars are simulating the contour of the pectoral muscle, so you don't have to worry as much about they. If for some reason they become unsightly, there are possibilities of improving them with other retouching techniques.

Russell Sassani, MD · Answer

Thank you for your question jackporter. Based on your pictures, it appears that your nipple and areola are below the level of your inframammary fold and there is an excess of skin and breast tissue below the level of the fold as well resulting in breast "ptosis". In order to make your chest as tight an flat as possible a standard double incision procedure and free nipple grafts would be necessary to place the nipple and areola into a more masculine position. If a minimal or peri-areolar approach were attempted, there would not only be nipple malposition, but there would be a lot of deflated and wrinkled skin left below the level of your fold. Patients that are best candidates for the minimal-scarring or peri-areolar approach are smaller breasted and have their nipple areola above the inframammary fold and also have a tighter, "non-ptotic" soft tissue envelope for their breast skin. As always an in-person consultation with a plastic surgeon, well-versed in top surgery can discuss the risks and complications of all the different procedures and come up with the best surgical plan tailored specifically for you. Good luck

Jaime Caloca, Jr., MD · Answer

Hello and Thank you for your question. You require the double incision Mastectomy with the nipple graft technique. You have too much skin in order to get away with less invasive procedures. I welcome any questions. Jaime Caloca Jr., M.D.-Board Certified Plastic Surgeon

Would my chest qualify for a minimal-scarring top surgery procedure? (Photos)

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