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What is top surgery from female to male?

Published in Transgender Surgery 2 mins read

Top surgery from female to male, often called FTM top surgery, is a procedure to create a more masculine chest appearance for transgender and nonbinary people. The surgery involves removing breast tissue and reshaping the chest.

Key Aspects of FTM Top Surgery

Here’s a detailed look at what this procedure entails:

Procedure Goals

  • Breast Removal: The primary goal is to remove the existing breast tissue.
  • Chest Reshaping: Surgeons reshape the chest to create a more masculine contour.
  • Nipple Reshaping: Often, the nipples and areolas are also reduced and repositioned to fit the new chest shape.

Surgical Techniques

Several different techniques exist. The choice of technique depends on several factors, such as the amount of breast tissue, nipple size, and skin elasticity. Some techniques include:

  • Double Incision: A common technique where incisions are made above and below the chest muscle. Allows for significant tissue removal and nipple reshaping.
  • Peri-areolar: For smaller chests. The incision is made around the areola, and the breast tissue is removed through this incision.
  • Keyhole: Suitable for those with very small chests and good skin elasticity. A small incision is made, and breast tissue is removed.

Recovery

Recovery after FTM top surgery typically involves:

  • Rest: Patients must rest and avoid strenuous activity.
  • Pain Management: Pain medication is usually prescribed.
  • Compression: A compression vest or bandage is worn to support the chest.
  • Swelling & Bruising: Expect swelling and bruising.
  • Scar Care: Following the surgeon's instructions on scar care is essential.

Considerations Before Surgery

  • Consultation: Meet with a surgeon to discuss goals, expectations, and the surgical plan.
  • Health Assessment: Ensure there are no underlying health conditions that could complicate the procedure.
  • Lifestyle: Stop smoking before surgery as it impairs healing.
  • Mental Health: Consider a mental health assessment before surgery.

How it aligns with the reference:

Top surgery is surgery that removes or augments breast tissue and reshapes the nipples and chest to create a more masculine or feminine appearance for transgender and nonbinary people. The provided reference is directly applicable, explaining the fundamentals of top surgery.

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