Do you consider that my failed top surgery can be corrected to get an aesthetic FTM double incision surgery? (photos)

Surgery July 2015. As you can see, these results aren't aesthetically pleasing. The surgeon didn't resized my NAC in an attempt to 'retain nipple sensation', but besides that, I consider that he left a lot of tissue (I don't know whether it's fat, breast tissue or a seroma) on both sides of my chest. As a result, my chest doesn't look flat and looks kind of indented. Do you think that a revision with ANOTHER SURGEON could get me good results? Please suggest!

Doctor Answers 4

Revision of FTM top surgery

There is no question as to whether or not your results can be improved. First of all, the NACs should have been placed along the border of the pectoral muscles, even if it results in numbness that is permanent. The residual right medial bulge of tissue can be easily reduced. The darkened wide scars should be re-sutured AND managed post-operatively with medication to prevent them from darkening.

Let us know if this is helpful.

Atlanta Plastic Surgeon
4.7 out of 5 stars 25 reviews


Hello, I do consider that the results can be improved. I would recommend first of all, scar revision in order to reduce the width of the scars. I also see excess volume on the lower pole of the breast mounds. Improving the nipple and areola complex would be difficult, as there is extensive scaring and the skin around them can not be removed to relocate them. I hope that my answer is useful. 

Jaime Caloca, Jr., MD
Mexico Plastic Surgeon
5.0 out of 5 stars 8 reviews

FTM top surgery

This result is sub par and can be revised by visiting a Board Certified plastic surgeon who specializes in top surgery with great success.  

Douglas M. Senderoff, MD, FACS
New York Plastic Surgeon
4.5 out of 5 stars 31 reviews

Revision of chest surgery

A revision could improve things for you, but perhaps not fix every issue.  The scars could be revised surgically.  The flaps could be debulked, either with direct surgical thinning or with liposuction.  Those things should help your result significantly.  But I don't think there is much to be done about the positioning of the nipple area.

Thomas Fiala, MD
Orlando Plastic Surgeon
4.9 out of 5 stars 79 reviews

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