Trans woman breast augmentation - under or over muscle? (Photo)

Question

I would love to have a breast augmentation. Not sure if it would look good or not. I have a wide chest and I'm scared they'll be to spread apart. Thoughts . What's the best option? Over or under muscle? Nipple incision or under? I would like a small C.

Elizabeth Kiwanuka, MD, PhD · Answer

Breast augmentation for transgender women requires thoughtful consideration to achieve a natural, proportionate look that aligns with their goals. Given your concerns about having a wide chest and the possibility of the implants appearing too spread apart, several key considerations can help ensure a satisfying outcome.
Implant Placement: For individuals with a wider chest, including many transgender women, placing the implants under the muscle (submuscular placement) is often recommended. This method provides a more natural breast contour, particularly in those with less natural breast tissue, and helps minimize the gap between the implants.
Incision Site: Choosing between a nipple incision (periareolar) and an under-the-breast incision (inframammary) depends on various factors, such as the type of implant and your personal anatomy. The inframammary incision is generally favored for its ability to facilitate precise placement of the implant, especially when using submuscular placement. The periareolar incision can be more discreet but is worth discussing in terms of potential impacts on nipple sensation.
Implant Type and Size: To achieve your goal of a small C cup, it’s important to select the size and shape of the implant that best fits a wider chest. Consulting with a plastic surgeon experienced in working with transgender patients is crucial. They can provide tailored advice based on a thorough assessment of your specific needs and body type.

Trans woman breast augmentation - under or over muscle? (Photo)

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Trans woman breast augmentation - under or over muscle? (Photo)

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