Am I a good candidate for Breast Augmentation? MtF, Transgender, 5'11", 140 lbs, 35 years old (Photo)

Question

I'm coming up on a full year into HRT. For the most part, my body feels like it's leveled off after some fairly significant change in my first 6 months of HRT and at my age, I'm not expecting much more breast development from HRT. I'm wondering if I'm a good candidate for breast augmentation. I've seen trans patients wind up with breasts that are small, tight and look 'glued on' which I really want to avoid. Currently I measure 32" underbust and 36" over.

Joshua Cooper, MD, FACS · Answer

I think based upon your current breast anatomy, you can expect to have nice results from transgender breast augmentation.  You appear to be a great candidate. When you meet with a plastic surgeon he/she should discuss the differences between genetic male and female chest anatomy with regards to the shape of the chest, location of the nipples, etc. Placing silicone implants under the muscle usually helps provide more natural results. Definitely meet with a plastic surgeon certified by the American Board of Plastic Surgery who has experience with transgender breast augmentations and enjoys helping transgender patients during their reassignment journey.

Rigo J. Mendoza, MD · Answer

Thank you for sharing your pictures.  You look like you would be a good candidate.  I would recommend finding a plastic surgeon experienced with MTF transgender - less chance of getting the look you want to avoid.  I prefer silicone implants above the muscle if you have enough breast tissue.  In MTF patients, since the muscle is bigger and stronger than in a genetic female, you get more of a firm, tight breast when you go under the muscle.  As another post mentioned, you can do an expander first to stretch out the tissues, but it does add to the cost a fair amount.

Robert H. Hunsaker, MD · Answer

You should be able to have nice results. You do have some natural breast tissue there. The larger you go the more "fake" it will look since there is not a lot of natural cover. It is always a matter of degree. Surgery is a bit different in the genetic male so be sure to see a surgeon experienced in BA in transgender patients.

Sheldon Lincenberg, MD · Answer

You raise a very good question by asking how to avoid the "small, tight, glued-on" look. There are several characteristics of breasts which give them a more natural look. First, the width of the breast should bulge out beyond the side of the chest, therefore you should choose the widest implants that your chest can carry. Second, the breast skin should be slightly redundant, allowing the breast to sag. This will naturally occur over time but may take years if you choose large implants. One way to shorten the "dropping" period is to undergo a tissue expander surgery before the breast augmentation surgery. It will add substantial cost to the bottom line.

Am I a good candidate for Breast Augmentation? MtF, Transgender, 5'11", 140 lbs, 35 years old (Photo)

Answers (4)

Answer: Natural breast appearance

Answer: Natural breast appearance

Recommended reading

Everything you need to know about Feminizing Top Surgery

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

Am I a good candidate for Breast Augmentation? MtF, Transgender, 5'11", 140 lbs, 35 years old (Photo)

Answers (4)

Answer: Natural breast appearance

Answer: Natural breast appearance

Browse related questions

Recommended reading

Everything you need to know about Feminizing Top Surgery

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