Alright. I am a young man trapped in a young woman's body, and I am likely going to start hormone therapy within the next month. Of course, I have the "breast problem". I currently have a 36 A breast size. Once I start hormones, is there any way to tell how much breast fat will transfer to the abdominal region? And how much surgery would be necessary in the future to get the remaining tissue out? The best estimate you can give would be very greatly appreciated.
Female-to-male transition questions?
Doctor Answers 8
Amongst transitioning men, you are in an envious position because you are starting with small breasts. A photo of your chest would help to refine my answer, but in general you may be a good candidate for a short scar technique. This would be either the shaving technique designed originally in Brasil which leaves no scars, the periareolar technique with a scar around the areola, or the comma technique with a scar that curves downward from the areola.
I hope that your transition goes smoothly.
Double incision mastectomy with nipple graft
FTM Top Surgery and the Costs
Depending on the Top Surgery procedure and surgeon you choose, the #cost for your Top Surgery will vary. Typically, but not always, the #Keyhole and #Periareolar Top Surgery procedures are less expensive than the #Double Incision method, by as much as $2,000.00 USD. In general, the cost of FTM Top Surgery ranges from $3,500.00 - $9,000.00 USD. This may or may not include consultation fees. A down payment is usually #required to secure a surgery date. The amount of this down payment varies by surgeon but usually ranges between $500.00 - $2,000.00 and up to 50% of the total Top Surgery cost.
Often there are #hidden fees in addition to the surgeon's fees. Such as the Anesthesiologist's fee, potentially facility fees, pathology fees and other medical test fees. It is important to gather all the cost information for Top Surgery from all of the surgeons you consult with. Additionally, you will also incur post-operative costs such as a medical compression vest, medications, paper tape, gauze, scar care and more.
It's best to begin by seeking a plastic surgeon with #board #certification and experience in this type of procedure. You should feel comfortable with your surgeon and his or her office staff. They should be open-minded regarding gender surgery. It’s important for your surgeon to have an aesthetic eye for body contouring, you should be comfortable with the surgical facility that your doctor uses and it should be certified.
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Given your size, you would probably do great with the keyhole procedure that limits the scar.
The best way to assess and give true advice would be an in-person exam.
Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.
best of luck!
Female-to-male transition questions
FTM Top Surgery
Thanks for the post. Testosterone therapy will not transfer fat from your breast to the abdomen or any other area. What it may do is reduce the fatty content in the breast and increase the size of the pectoralis muscle. As mentioned by my colleagues, you do not need to be on hormone therapy before or after top surgery. The surgical technique best suited for you will be based on how much fat and breast tissue you have, how much excess skin you have, how good the skin tone is, and the position and size of your nipples/areolas.
Female to male top surgery questions
Female to male transgender questions about top surgery.
Although you have small(er) breasts (36 A-cup), starting hormone therapy does not cause "transfer" of breast fat to any other area of your body. However, testosterone does cause some reduction of fatty tissues (breasts and elsewhere), strengthening of muscle and increase of muscle mass, hair growth, voice deepening, etc. You do not need to be on testosterone therapy to undergo "top surgery," but should have lived full time as a male for at least a year. Depending on the amount of breast tissue present at the time of transgender mastectomies, periareolar excision (scar only around the areola) of the breast tissue may be possible, though this would not be recommended if you have larger areolas, or large(r) amounts of breast tissue and skin that would require skin-reducing, areola-reducing, and nipple-reducing mastectomies.
For examples of each of these types of transgender mastectomies, click on the web reference link below. Seek ABPS-certified plastic surgeons who have performed transgender surgery for many years, as top surgery is not something that is taught as part of "standard" plastic surgical training, and requires experience with this subset of patients. Best wishes! Dr. Tholen
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.