As a male, is it possible to have D cup size breast augmentation surgery. I'm 5'9" 180lb athletic 34 1/2" chest

Thank you for your question Andrew.This is a very common request in my practice in downtown Toronto.Yes it is feasible to get a D cup result but make sure you visit a plastic surgeon experienced in male and breast augmentation.  Although the technique is somewhat similar, the planning, the implants and incisions are different.You will need to choose a large implant if you want to get to a D cup.  You don't seem to be very wide so you will will need a high projection for your implant  And the implants will need to be placed on top of the pectoral muscles as it is not recommended to go much bigger than 400-425cc under the muscle in the first setting.  I favor under the fascia.  The chances of symmastia is slightly higher and it is important to leave a space between the breast untouched.  It will also take several weeks/few months for the breasts to shape and the skin to stretch.Seek an experienced plastic surgeon used to work with MTF patients.



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Dr. Marc DuPéré, Toronto aesthetic
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It is possible although it does depend a bit on one's anatomy. If you are transitioning and you have started some breast growth and the skin is somewhat loose, a larger implant can be feasible. Often a large implant is necessary if you have a larger frame. One may require a six or 700 mL implant to achieve this.

Thanks for your question. After doing this kind of surgical procedure for transgender patients for over two and a half decades, I think I can help you.The short answer is "Yes." But the proper answer depends on physical examination of your anatomy and whether or not hormone therapy has been continued long enough to cause some changes in your formerly male anatomy.Transgender augmentation requires understanding of anatomic differences between cismales and transmen, and can allow aesthetically-pleasing results in one stage surgery for some patients, or two-stage surgery for others. Knowing when to do which operation and then performing the procedure(s) skillfully is the key. It's not just about choosing big (enough) implants. Especially in an "athletic" patient with large(r) pec muscles and tight skin, or in transmen who choose no hormone therapy.For more information and photos, click on the web reference link below. Best wishes! Dr. Tholen