Hello I am a FTM male, I am quite concerned of keyhole top surgery based on the size of my fat balloons on my chest. Keyhole surgery is my only option because my parents don't want big scars on me (I could care less) but I'm terrified that I am to big. I still have a long way to go till I can get surgery but is there anyway I can stop the growth of them to make it possible.
Answer: Transgender, Top Surgery, FTM, Gender Reassignment, Male Breast Reduction, Breast Reduction, Female to Male 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. 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. I require all transgender clients who are considering a top surgery to have been on hormones for at least 18 months prior to their breast augmentation. The reason for this is that hormones alone may result in an increase of breast tissue development, and other significant physical changes. The two major methods I use for FTM top surgery are double incision mastectomy with nipple grafting and keyhole. Keyhole (also known as peri-areolar) is ideal for small chested transgender men, up to a b-sized chest, with good skin elasticity. Double incision mastectomy procedure is ideal for medium to large chested transgender men, c-cup or larger. During this procedure, the skin on the chest is opened along two horizontal incisions, at the top and bottom of the pectoral muscle. (The muscle itself is not touched.) The skin is pulled back and the breast tissue is then removed. In both techniques, additional liposuction may be performed to adjust the contour of the chest. In addition, the areola complex can be resized and made smaller and more oval for a more masculine appearance. Which method we choose for your top surgery will depend on the size of your breasts. But, rest assured, no matter how much breast tissue there is to remove, there is a surgery for you. Our goal is to help you feel comfortable, happy, and confident in your own skin. 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
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Answer: Transgender, Top Surgery, FTM, Gender Reassignment, Male Breast Reduction, Breast Reduction, Female to Male 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. 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. I require all transgender clients who are considering a top surgery to have been on hormones for at least 18 months prior to their breast augmentation. The reason for this is that hormones alone may result in an increase of breast tissue development, and other significant physical changes. The two major methods I use for FTM top surgery are double incision mastectomy with nipple grafting and keyhole. Keyhole (also known as peri-areolar) is ideal for small chested transgender men, up to a b-sized chest, with good skin elasticity. Double incision mastectomy procedure is ideal for medium to large chested transgender men, c-cup or larger. During this procedure, the skin on the chest is opened along two horizontal incisions, at the top and bottom of the pectoral muscle. (The muscle itself is not touched.) The skin is pulled back and the breast tissue is then removed. In both techniques, additional liposuction may be performed to adjust the contour of the chest. In addition, the areola complex can be resized and made smaller and more oval for a more masculine appearance. Which method we choose for your top surgery will depend on the size of your breasts. But, rest assured, no matter how much breast tissue there is to remove, there is a surgery for you. Our goal is to help you feel comfortable, happy, and confident in your own skin. 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
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October 20, 2017
Answer: FTM top surgery hello nathanpine Personally, I frequently use liposuction along with the double incision for larger breasts and some variation for smaller breasts depending upon the position of the Areola. And the female breast the nipple is often centered on the breast but in the male patient the nipple and Areola is lower and closer to the outside edge of the pectoralis muscle. #scar #options
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October 20, 2017
Answer: FTM top surgery hello nathanpine Personally, I frequently use liposuction along with the double incision for larger breasts and some variation for smaller breasts depending upon the position of the Areola. And the female breast the nipple is often centered on the breast but in the male patient the nipple and Areola is lower and closer to the outside edge of the pectoralis muscle. #scar #options
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July 31, 2017
Answer: Recommend inverted T approach In my experience, the inverted-T approach (while keeping the nipple attached, which both "heals and feels" better - that is, less scarring/tension on the nipple, and at least some sensation is retained) is necessary for even smaller B-cups (and beyond), as there is little way to control the amount of skin that remains (or how much it retracts) with less aggressive approaches. Unfortunately, once the breast areas have stretched, it is difficult to get skin to shrink/retract (even with weight loss, or binding), although some patients on adequate doses of testosterone report that their chest size decreased at least a cup size.
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July 31, 2017
Answer: Recommend inverted T approach In my experience, the inverted-T approach (while keeping the nipple attached, which both "heals and feels" better - that is, less scarring/tension on the nipple, and at least some sensation is retained) is necessary for even smaller B-cups (and beyond), as there is little way to control the amount of skin that remains (or how much it retracts) with less aggressive approaches. Unfortunately, once the breast areas have stretched, it is difficult to get skin to shrink/retract (even with weight loss, or binding), although some patients on adequate doses of testosterone report that their chest size decreased at least a cup size.
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June 19, 2017
Answer: Keyhole top surgery Having a C cup bra size probably indicates that your breasts are too big for the keyhole procedure. There will be too much skin left over. Although the scars from the double incision are larger, they may be somewhat less noticeable if you're on testosterone and have significant hair growth on your chest. Some patients get tattoos to cover them.A visit to a plastic surgeon's office will help you to understand if you're a candidate for the procedure, and what aesthetic outcomes are realistic in your particular case. In order to get a qualified, ethical, and expert opinion on your surgical options and expectations, always schedule an in-person office consultation with a plastic surgeon certified by the American Board of Plastic Surgery. I'm happy to see you for a free consultation in my New York office. Best of luck, Keith M. Blechman, MD New York, NY
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June 19, 2017
Answer: Keyhole top surgery Having a C cup bra size probably indicates that your breasts are too big for the keyhole procedure. There will be too much skin left over. Although the scars from the double incision are larger, they may be somewhat less noticeable if you're on testosterone and have significant hair growth on your chest. Some patients get tattoos to cover them.A visit to a plastic surgeon's office will help you to understand if you're a candidate for the procedure, and what aesthetic outcomes are realistic in your particular case. In order to get a qualified, ethical, and expert opinion on your surgical options and expectations, always schedule an in-person office consultation with a plastic surgeon certified by the American Board of Plastic Surgery. I'm happy to see you for a free consultation in my New York office. Best of luck, Keith M. Blechman, MD New York, NY
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January 3, 2018
Answer: C cup and keyhole top surgery? In my experience keyhole surgery works best in patients who are B cup or smaller. Larger breasts sizes are best managed by a double incision approach, although there is additional scarring with this approach the scars generally fade well and are readily accepted. The other important point to consider is correct masculine location of the nipple, this is easily performed in a double incision approach but difficult if not impossible for C cup breasts or larger using a keyhole approach. Parents are an important part of your support but ultimately FTM surgery is about you, if you are OK with double incision scars then it would pay to talk your parents into understanding why it is the best approach for you as an individual. All the best.
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January 3, 2018
Answer: C cup and keyhole top surgery? In my experience keyhole surgery works best in patients who are B cup or smaller. Larger breasts sizes are best managed by a double incision approach, although there is additional scarring with this approach the scars generally fade well and are readily accepted. The other important point to consider is correct masculine location of the nipple, this is easily performed in a double incision approach but difficult if not impossible for C cup breasts or larger using a keyhole approach. Parents are an important part of your support but ultimately FTM surgery is about you, if you are OK with double incision scars then it would pay to talk your parents into understanding why it is the best approach for you as an individual. All the best.
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