954.589.0722
305.756.8743
South Florida Plastic Surgeon

Male to Female (MTF)

Sex reassignment surgery (SRS), also called “gender reassignment surgery” (GRS) or “gender confirming surgery,” is a procedure designed to change transgender patients’ bodies so that their appearances better match their identities.

Although patients may choose to undergo SRS for a variety of reasons, many suffer from physical dysphoria, social dysphoria, or both. Physical dysphoria is a strong discomfort with the mismatch between identity and body, and social dysphoria is a strong discomfort with how other people perceive them. Patients desiring what we call “MTF” surgery include not just transsexuals, but anyone assigned male at birth who identifies as female, feminine, or a woman some or all of the time.

Breast Augmentation

The breast augmentation procedure provides patients with full breasts that project from the chest, and it can help transgender women achieve a more feminine physique. Breast augmentation for transgender patients is generally performed when hormone therapy fails to provide satisfactory enlargement of the breasts.

Since genetic male breast tissue is not much different from female breast tissue, transgender breast augmentation uses conventional breast augmentation techniques. This procedure is usually performed on an outpatient basis under general anesthesia and takes about one hour to complete.

Implant Type

Breast implants come in a range of materials, textures, and shapes.

Silicone implants consist of an outer silicone shell filled with cohesive silicone gel. New silicone implants, commonly called “gummy bear implants,” have been developed with a more highly concentrated silicone gel that reduces the risk of rupture and increases safety. Saline implants consist of a silicone shell filled with a sterile saltwater solution and can be filled after they are inserted into the breast pocket.

In addition to the material of the implant, patients also have the choice between smooth or textured implants and round or anatomically shaped (teardrop) implants.

During your consultation with Dr. Alexander, he will help you decide which incision location and implant type will best suit your needs.

Dr. Alexander will begin the breast augmentation procedure by making an incision for the implant to be inserted. The most preferable site for this incision is around the areola (the darker skin surrounding the nipple) because it allows for the most inconspicuous scarring. Dr. Alexander will then insert either silicone or saline implants, usually beneath the muscle for a more natural appearance and reduced risk of rippling. Once the implants are in place, the incisions will be sutured closed.

Following surgery, patients can expect to have some swelling and discomfort, which can be controlled with medication. Patients may also have a change in the sensation of their breasts immediately after surgery, but this usually resolves with time. Most normal activities can usually be resumed within a few days of surgery.

Removal of Loose Silicone From the Breasts

With the ever-growing popularity of plastic surgery comes the advent of risky and often illegal techniques to achieve a desired look. “Pumpers” are non-medical persons who inject loose silicone into areas of the body that the patient desires to augment. Unfortunately, loose silicone can migrate to different areas of the body and cause infection, disfigurement, scarring, and even death.

For patients who qualify, Dr. Alexander can remove loose silicone from the breasts, and in a few months he can perform breast augmentation surgery to safely and effectively achieve fuller breasts for the patient.

Brazilian Butt Lift for MTF Transgender Patient

This procedure adds curves to your figure by enhancing your rear end using your own fat tissue. The benefit of the Brazilian Butt Lift is that it removes unwanted fat from other areas, purifies it, and then transplants it to plump the butt. This procedure can give MTF transgender patients the attractive feminine backside they desire while slimming the surrounding areas.

Feminizing Rhinoplasty

Dr. Alexander utilizes a specialized technique known as feminizing rhinoplasty for transgender MTF patients who wish to attain a more feminine facial appearance. A more refined tip, narrower nasal bone, decreased nostrils or entire nose size, and an improved nasal profile are just some of the changes that can be achieved with this surgery.

At our South Florida offices, we welcome you to call 954-589-0722 to schedule a consultation or for any questions you may have concerning transgender procedures. You may also fill out our online virtual consultation form. As a well-known plastic surgeon in the transgender community, Dr. Timothy Alexander is vastly experienced in performing plastic surgery procedures for his transgender patients. He takes his time to dedicate himself to each individual’s needs and desires, and he is entirely confidential with the information of all of his clients.

*Although artificial and imperfect concepts, we use the terms “male,” “female,” “masculine,” and “feminine” to describe the characteristics that can be eliminated or achieved with this surgery.


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