Someone who feels like a man on the inside but was born physically like a woman (transgender) may suffer from physical dysphoria, social dysphoria, or both. Many seek out surgical enhancements to create a physical image that matches the gender with which they identify. Among the most notable of masculine traits is a firm and defined chest. One of the most popular procedures performed for female-to-male (FTM) sex reassignment surgery (SRS) is top surgery to create a masculine chest by removing the female breasts. With this procedure, FTM transgender patients can look more like the man they always knew they were.
How Is a Masculine Chest Achieved?
Getting rid of womanly breasts is among the first procedures many FTM transgender patients undergo. Dr. Tim Alexander is a highly experienced plastic surgeon who has performed many female-to-male gender confirmation surgeries. There are two different techniques he can use to reduce the breasts and create masculine contours:
- Periareolar incision: An incision is made around the edge of each areola. A ring of doughnut-shaped skin and breast tissue are removed, and the remaining skin edge is then pulled inward and attached to the areola. The areola can also be trimmed along the edge to reduce its size, and the nipples and areolas can be repositioned. The periareolar incision is ideal for those with moderately sized breasts and good skin elasticity.
- Double incision with free nipple grafts: A horizontal or U-shaped incision is made across each breast just below the nipple. Excess breast tissue, skin, and fat are removed. The remaining skin is pulled together and then sutured. Scarring will be beneath the crease of the pectoral muscle. Free nipple grafts are often used, which removes and trims the nipples before grafting them onto the chest in a more flattering position. Ideal patients have inelastic breast skin, large breasts, or saggy breasts.
Achieving a More Toned Chest With Pectoral Implants
Having a flat chest is an ideal male characteristic, and having toned chest muscles is also desirable. After having the breast tissue reduced and waiting at least six months between surgeries, pectoral implants can be utilized to create a more masculine and contoured upper body. Semi-solid silicone implants are inserted into the chest through incisions made in the armpits. A pocket is created under each pectoral muscle, and the implants are placed. Patients will achieve a well-defined chest that looks natural and lasts for many years.
If you are struggling with physical or social dysphoria and would like your physical traits to match those of the gender you identify with, Dr. Alexander can help you achieve your goals. Schedule your consultation by calling (954) 589-0722 or by filling out our online contact form.