Two years (HRT), is it time for breast augmentation (BA)? Or should I wait? (33MTF)

You have been on hormones long enough. However, size needs to be determined by you and your surgeon.  Your breasts are not symmetrical, and you have high inframammary folds.  Therefore, it is not a routine breast augmentation. Trans breasts are often much more difficult and require considerable experience.Gary J. Alter, M.D.Beverly Hills, CA - Manhattan, NYC

After two years of a stable hormone regimen, your breast development has likely reached a point where it may not progress much further naturally. At this stage, many individuals find that their breasts reach a plateau, and if you're not satisfied with the current appearance, breast augmentation could be a consideration. The implant size will depend on various factors like your body frame, chest width, and your goals for the result. Your surgeon will use a combination of techniques like physical measurements, external sizers, and photos to help you visualize potential results. You can also bring in "wish pics." It's also important to note that the choice of implant shape and profile (low, moderate, or high) will impact the overall look, so you should feel comfortable discussing these options with your surgeon.


ABOUT DR. VYAS
Dr. Krishna Vyas, MD, PhD, MHS, is a highly trained plastic surgeon specializing in aesthetic surgery and breast surgery, including breast augmentation, reduction, lifts, and gender-affirming surgery (such as chest masculinization and feminization). With advanced training from institutions like Harvard, Mayo Clinic, and Johns Hopkins, Dr. Vyas is recognized for his expertise in breast and chest sensory nerve restoration. His PhD in clinical and translational science focused on stem cells, fat grafting, and improving outcomes in aesthetic surgery and breast surgery. Dr. Vyas has served on the editorial board for several medical journals and platforms and has over 200 research papers and talks. His research focuses on aesthetic surgery, regenerative medicine, stem cell biology, fat grafting, breast surgery, and gender-affirming surgery. Recognized for his expertise, Dr. Vyas was appointed an Instructor of Surgery at Mayo Clinic and served as an Assistant in Surgery at Harvard Medical School and Massachusetts General Hospital.


Dr. Krishna Vyas, MD, PhD, MHS
Harvard, Johns Hopkins, & Mayo Clinic Educated
Double Fellowship Trained
Aesthetic Plastic Surgeon
New York, New York

Breast augmentation is a personal choice, and many factors can influence whether it’s the right time for you. If you feel that your breast development is not meeting your expectations, consider a consultation with a board-certified plastic surgeon who specializes in breast augmentation for transgender women.

It ultimately depends on your personal goals, body proportions, and how you envision your results. It's essential to discuss this in detail with your surgeon, as they can help you choose the size and placement that will achieve your desired look while considering your anatomy.