I'm FTM but only want bottom surgery. As far as breast augmentation, I think I still want implants? Is this unusual?

Question

After coming out a few years ago I've done all this discussion about top surgery and what that'd be like, but after further consideration, I like my chest. If fact, I believe this was my only minor disappointment in starting to take testosterone. However, I don't regret the shots, or the legal changes made deeming me male. I just want to have a non flat chest. Is this even possible, and how unusual is it?

Jaime S. Schwartz, MD, FACS · Answer

Excellent question. 
  
In my practice, we understand that transgender patients are on a journey to aligning their physical body with their gender identity, and that the journey can be a long and sometimes difficult one. Our goal is to help you feel comfortable, happy, and confident in your own skin. Top surgery is the most commonly performed gender reassignment surgery for transgender individuals. Although the decision is very personal, many transgender people say this procedure was a vital step toward alleviating their gender dysphoria and the key to being more comfortable with their appearances. But ultimately the decision will be yours. 
During your initial consultation, we determine based on your individual goals and desired body shape how to tailor your top surgery specifically to you. Breast enhancement can be achieved with a breast augmentation with breast implants, or with a fat transfer. If you are a good candidate for breast implants, I have found that the size of implant best for you is dictated by your chest wall measurements. Once we determine that we can choose the profile based on what you want or need to achieve. If you are seeking a natural look, then the diameter of the implant should be equal to or, more ideally, smaller than the width of your breast. The breast width is a measurement of how wide your breast is at the base, which should be measured at the level of the nipple. Choosing an implant that is smaller in diameter than your breast width will avoid the "side breast" fullness that is often associated with a more artificial appearance. If you are a good candidate for a fat transfer, the fat can be removed from any unwanted areas including hips, flanks, and abdomen. I perform the fat grafting in multiple planes including under the muscle to give the best, most natural enhancement to my patients. Fat grafting is a great solution for someone who wants to bring their breast size up a cup or so and use natural tissue vs. an implant. However, it can also be combined with an implant or used as a secondary procedure to fill in areas that are flat or thin. It should not affect nipple sensation, mammograms, cancer risk or breast feeding. The great thing about a fat transfer to the breasts is that once it is injected, it becomes part of your body, meaning if you gain or lose weight, the transferred fat can do the same.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,Your question is confusing. You are FTM but you are asking about breast implants. Typically, in FTM patients, the goal is to masculinize the chest, not make them larger or more feminine. If I am misunderstanding, please clarify.Sincerely,Dr. Dadvand

Sheldon Lincenberg, MD · Answer

Dear sir,
Thank you for your question. It still needs some further clarification however. Do you want to keep your natural breasts or even enhance your natural breasts or do you want to remove the breasts and create an enhanced male appearing chest? Please specify your goals.

I'm FTM but only want bottom surgery. As far as breast augmentation, I think I still want implants? Is this unusual?

Answers (3)

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I'm FTM but only want bottom surgery. As far as breast augmentation, I think I still want implants? Is this unusual?

Answers (3)

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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.