Is it possible to have a mastectomy performed for non-medical reasons?
Doctor Answers 1
Breast removal with respect to gender issues
First of all, congratulations on owning who you are and the fluid nature of how you want to live. There are several ways to answer your question depending on what concerns you most:
- If your primary concern is breast cancer risk, going with a nipple sparing mastectomy with reconstruction that creates a size and shape that answers to your need to have a more neutral, rather than feminine, appearance would be a good idea. This can be done with a small implant, or with fat grafting, depending on how much you want to change.
- If it is more of a cosmetic concern, a standard breast reduction is always an option.
- If you don't want extreme surgery, but want less volume, body sculpting with a combination of skin tightening, liposuction, and glandular tissue removal with a percutaneous device like the EnCor is possible as an out-patient and with no real "incisions" just nicks in the skin to allow the probes to be placed. This may have the least impact, but will also look the most natural. An ultrasound of your breasts would be helpful to see what options are realistic.