Repairing uneven contouring, loose skin, and low nipples after FTM (transgender) peri-areolar breast removal? (Photo)

Question

I had a peri-areolar breast removal procedure in 2011 followed by a revision in 2012. I am still dissatisfied with the results and am looking to fix the poor lipo/contouring job (which left dents and fat pockets throughout my chest) and the small-to-moderate amount of leftover skin. I am also interested in raising my nipples higher on my chest if at all possible (even slightly), but my priority is to achieve a normal-looking and -feeling flat male chest without lumps or sagging skin.

Anthony Deboni, MD · Answer

There are certainly options available to improve your chest.  This may involve fat grafting in conjunction with skin modification to reposition nipples and revise skin.  A complete exam by a surgeon who performs a large volume of breast and transgender surgery is your next step.  Best Regards.The information above should not be considered a substitute for consultation with a board-certified plastic surgeon to address individual medical needs. Your particular facts and circumstances will determine the plastic surgery treatment which is most appropriate for you.

Jed H. Horowitz, MD, FACS · Answer

It's usually suggested to wait 6 to 12 months depending on the reason for a #revision and it's still early in your healing. The ideal technique best for you is difficult to determine online by photos alone. There are several methods used which depend upon the patient’s breast or chest #size before surgery. Considerations include the #laxity of skin, the #size of the #areola, the amount of #fat and recent weight #gain or weight #loss. 
The most common procedures include the #periareola, #buttonhole, #double incision, and #anchor patterns. I often use #liposuction along with the double #incision for larger breasts, and, some variation for smaller breasts; depending upon the position of the areola. The female breast nipple and #areola are often centered on the breast. However, the nipple and areola are lower and closer to the outside edge of the #pectoralis muscle in the male patient. Shaping the side of the chest may also be required and can be performed with #suctioning; along with contouring of the muscle, as noted above, to provide the best definition for the chest. A board-certified plastic surgeon with specialization is such breast procedures will #confirm the technique best suited for your revision during an in-person evaluation.

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.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

Gary Lawton, MD, FACS · Answer

Finding a surgeon who specializes in transgender top surgery is the most important thing to do moving forward.  The plan for revising your surgery must be developed based on very careful analysis of your anatomy and goals.  There is hope however for a better outcome.

Gary J. Alter, MD · Answer

Your appearance can definitely be improved. The areolae can be elevated to take away some loose skin.  If you have indents, fat injections may help.  The exact plan can not be determined until you are examined.

Repairing uneven contouring, loose skin, and low nipples after FTM (transgender) peri-areolar breast removal? (Photo)

Answers (9)

Answer: There are options

Answer: There are options

Answer: Revision of FTM chest contouring

Answer: Revision of FTM chest contouring

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.

Repairing uneven contouring, loose skin, and low nipples after FTM (transgender) peri-areolar breast removal? (Photo)

Answers (9)

Answer: There are options

Answer: There are options

Answer: Revision of FTM chest contouring

Answer: Revision of FTM chest contouring

Browse related questions

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.