Firstly, I'm a trans male (FTM) and unfortunately I have a D cup. Top surgery is too expensive right now, but I plan on starting hormones soon. I'm looking for a few facts on the affects of hormones (T) on breasts if any. Do they cause any shrinkage at all or any other kind of side effects to breasts?
FTM Transgender - What are the Effects of Hormones on Breasts?
Doctor Answers 9
Testosterone effects on breast tissue
Hormones for FtM SRS
Male hormones will suppress estrogen. This will lead to some decrease in breast volume but not to a decrease in breast skin. You can expect your breasts to droop as the volume decreases. To get from a D cup to a male chest contour you will need a formal surgical procedure at some point.
Testosterone may cause acne and hair development on your chest. If you develope hair it will likely be permanent, even if you stop the hormones.
Hormone Therapy Effects on Breasts
Thanks for the post. While hormone therapy may reduce the breast tissue to varying degrees, it will not address the skin excess. Given that you are a D cup, you will likely have too much skin even if you experience significant decrease in the amount of tissue from the hormones. Based on this, you will likely need top surgery (most likely double incision top surgery) to truly achieve the contour you desire. Financially speaking, many practices offer financing plans to help patients.
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The 2 major methods are double incision mastectomy with nipple grafting and keyhole.
It depends on the size of your breasts as to which method would be best for you and the ability to maintain nipple sensation
The decrease in estrogen will shrink your breasts but ultimately you may still need surgery
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!
Hormones and Surgery
Effects of Hormones on Breasts
T and Double Incision Mastectomy
Breasts and testosterone in FTM transformations
I agree with Dr. Greenwald, your D cup breasts will need surgery eventually to tailor the excess skin. Hormone therapy is not going to provide adequate skin reduction by itself.