I am an asian FTM and I was wondering what is the best type of top surgery for my chest? (Photo)

Question

Which type would contour the chest best? Can the nipple reduction be done with the peri-areolar surgery, if ever? Although I am concerned with the scars and would love to have minimal and less visible scars as much as possible, I am also concerned with the output as I don't want to have a lot of revisions after. Any advice is very helpful. Thank you.

Jed H. Horowitz, MD, FACS · Answer

It's best to begin seeking a plastic surgeon with #board #certification and experience in this type of procedure. You should feel comfortable with your surgeon and his or her office staff. They should be open-minded regarding gender surgery. It’s important for your surgeon to have an aesthetic eye for body contouring, you should be comfortable with the surgical facility that your doctor uses and it should be certified.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 which are described 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. Being each person varies, it’s important to be realistic about your goals and what is achievable. Your board-certified plastic surgeon will recommend the type best suited for you. The most important decision to be made before performing any surgical procedure is determining whether you are an ideal #candidate.

Keith M. Blechman, MD · Answer

For Asian FTM patients with small breasts, a periareolar approach can be very effective and have minimal scarring. Nipple reduction is also possible. In order to get a qualified, ethical, and expert opinion on your surgical options and expectations, schedule an in-person office consultation with a plastic surgeon certified by the American Board of Plastic Surgery.

Best of luck,Keith M. Blechman, MDNew York, NY

Best of luck,Keith M. Blechman, MDNew York, NY

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.You would be ale to have the breast tissue removed through your areola and a nipple reducion. 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

I would say that you would be a good candidate for nipple reduction and the periareolar surgery performed at the same time.

Gary J. Alter, MD · Answer

You have small breasts. The breast tissue can be removed with an incision along half of your areolae.  I would also reduce the size of your nipples. The scars are minimal.

Douglas M. Senderoff, MD, FACS · Answer

A peri areola approach would provide you with great results and minimal scaring.  There is a procedure I can do to shorten the nipple if its too protruding.  Be sure to choose a board certified plastic surgeon who specializes in FTM top surgery.

Sheldon Lincenberg, MD · Answer

Although there is no such thing as truly scarless breast removal, your pictures suggest that you would like the next closest option. Using a combination of a short (1cm) incision on the side of the chest and an equal one at the edge of the areola, the breast tissue can be taken out, the chest fat can be thinned, and the nipple can be reduced.This method was initially designed by Brasilian surgeons, however I have been using it successfully in selected patients for 8 years. Ask your plastic surgeon if he has experience with this technique.

Josef Hadeed, MD, FACS · Answer

Thank you for your question.  Based on your photos, it appears that you would be a good candidate for surgery performed through an incision along the lower half of your areola.  The size of your nipples could be reduced simultaneously.  However, an in person evaluation would provide the best determination.  A consultation with a board certified plastic surgeon who specializes in gender confirmation surgery can help you to understand what your options are.  Best wishes.

Babak Dadvand, MD · Answer

Hi Lee,Thanks for the post and the photos. Based purely on the photos, you would do best with a keyhole procedure (incision on the lower part of the areola) to remove excess breast tissue and fat in addition to a nipple reduction. These can be done at the same time. You should have excellent results with minimal scars. Sincerely,Dr. Dadvand

I am an asian FTM and I was wondering what is the best type of top surgery for my chest? (Photo)

Answers (9)

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