I want top surgery, but I want to keep my feeling in my nipples and don'tt want pancake nipples . What do I do?

I appreciate your question.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 sensationThe 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!Dr Schwartz

Hello Ashtonftm,Thank you for your question.  There are options available in order to preserve nipple sensation in FTM top surgery.  However, this completely depends on your current breast size and skin laxity.  Larger breasts are very difficult to completely reduce and give a fully masculine contour while keeping the nipple sensation intact.  However, smaller breasts are much more amenable to nipple sensation preservation techniques and a masculine contour can be achieved much more consistently.  I would recommend meeting with a plastic surgeon with experience with this type of surgery so you can be examined and discuss your goals so you can work together to come up with a plan.Best of Luck!Dr. Rednam