The Breast implants for MTF?
Doctor Answers 1
Transgender Breast Augmentation - the secret to cleavage and beautiful form
You have made a very astute observation. Most breast augmentations performed do have a widely separated appearance and lack cleavage. In transgender patients who are genetic males this is even more pronounced. It is the result of the technique used by most -what the public calls "under the muscle" and what plastic surgeons call dual-plane. the muscle which resides only above the implant tends to push the implant down and outward leading to increased separation and bottoming out with time. This is even more pronounced in genetic males because of chest wall dynamic and the relatively stronger pectoralis major muscle. This is why I use a technique called the "Cold-Subfascial Breast Augmentation." With this technique, I leave the muscle in its natural place and lift a strong layer called fascia off of the muscle. I use this fascia to shape the breast and create a kind of support bra inside the breast. in this manner i have the ability to make the breast start softly just next to midline like a natural beautiful breast. I hope this helps!
All the best,
Rian A. Maercks M.D.