If I have a bra size, 32 , will I be able to get keyhole top surgery?

Question

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question and your concerns.

The two major methods I use for FTM top surgery are double incision mastectomy with nipple grafting and keyhole. Keyhole (also known as peri-areolar) is ideal for small chested transgender men, up to a b-sized chest, with good skin elasticity. During this procedure, an incision is made all around the border of the areola. Additionally, a second, larger concentric circle incision is made and the resulting ring of skin removed. Breast tissue removal and additional liposuction may be performed. A "drawstring" technique is used to bring the skin together and connect it to the edges of the areola, which may be made smaller and more oval in shape to achieve a more masculine looking chest. 
Which method we choose for your top surgery will depend on the size of your breasts. But, rest assured, no matter how much breast tissue there is to remove, there is a surgery for you. Our aim is to help you feel comfortable, happy, and confident in your own skin. 
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!
Dr. Schwartz
  
Board Certified Plastic Surgeon
  
#RealSelf100Surgeon
  
#RealSelfCORESurgeon

Babak Dadvand, MD · Answer

Hi,Thanks for the post. The bra number is not the main determinant of surgical technique. The technique mainly has to do with the size of the breast, how much excess skin there is, the skin tone, and the location of the nipples. Smaller breasts wit no skin excess and good skin tone do very well with keyhole surgery. Larger breasts with loose excess skin will do better with double incision. There are other techniques other than these two but these are the two most common approaches. The bra number only refers to the circumference of your chest wall and doesn't necessarily correlate to breast size. Sincerely,Dr. Dadvand

Sheldon Lincenberg, MD · Answer

Keyhole surgery is successful for small breasts and elastic breast skin. Please post a photo of your chest for review.

Josef Hadeed, MD, FACS · Answer

A keyhole technique is best suited for small chested men with good skin elasticity.  A consultation with a board certified plastic surgeon who specializes in chest masculinization can help you to determine which technique is best suited for you.

Lisa M. DiFrancesco, MD · Answer

Thank you for your question. Keyhole surgery is usually appropriate for patients with a small cup size A or less. Larger cup sizes have extra skin and the keyhole technique is not a good way to address the extra skin.

If I have a bra size, 32 , will I be able to get keyhole top surgery?

Answers (6)

Answer: Top surgery technique

Answer: Top surgery technique

Answer: Keyhole top surgery

Answer: Keyhole top surgery

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Everything you need to know about Masculinizing Top Surgery

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If I have a bra size, 32 , will I be able to get keyhole top surgery?

Answers (6)

Answer: Top surgery technique

Answer: Top surgery technique

Answer: Keyhole top surgery

Answer: Keyhole top surgery

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Recommended reading

Everything you need to know about Masculinizing Top Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.