Female to male: what can I expect from testosterone therapy as far as breast size?

Question

I was born intersexed, so feel like I might be a little ahead of the process. What can I expect from testosterone therapy as far as brest size? I have small breast now, no drooping at all.

Jaime S. Schwartz, MD, FACS · Answer

Good question. We require all transgender, and non-binary, patients undergoing a top surgery to be on hormones for at least 18 months prior to their procedure. The reason for this is that hormones alone may result in a decrease of breast tissue, increased body and facial hair, and other significant physical changes. But keep in mind, ultimately, you may still need surgery to achieve the results you want. 
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

Babak Dadvand, MD · Answer

Hi,Thanks for the post. Testosterone has 3 effects on the breast: 1) Variable decrease in breast tissue and thus size 2) Increase in size of pectoralis muscle 3) Development of chest hairThese effects occur to variable degrees from one person to he next. Sincerely,Dr. Dadvand

Brian Arslanian, MD · Answer

Thanks for the question.  This can vary in my experience.  Some patients can experience a dramatic decrease in breast volume, but I have seen others that have very little response.  Most would suggest giving it a full year to assess the type of response.  After that you can consider TOPS surgery if there is still a substantial amount of breast tissue, excess skin, and larger areolas.  Hope this helps.  
"The above answer has been given without seeing this patient and cannot be substituted for actual in-person examination and medical advice; it is only opinion. Seek in-person treatment with a trained medical professional for appropriate care."

Josef Hadeed, MD, FACS · Answer

You may expect some small decrease in your breast size after approximately one year of testosterone therapy.

Karthik Ram, MRCS, DNB · Answer

Hello, thanks for sharing your query. Testosterone treatment helps in redistribution of body fat and also reduces the breast volume. The results can take upto 6 months and stabilize beyond that. After treatment once size of breast reduced the surgery can be performed via a periareolar incision minimizing scars. Consult a board certified plastic surgeon.

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