American Society of Plastic Surgeons
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Transmasculine Top Surgery

Female-to-Male

The goal of transmasculine top surgery is to remove the breast tissue (mastectomy) from both breasts and create a masculine appearance to the chest.

What are the steps of transmasculine top surgery?

Transmasculine top surgery includes the following steps:

Step 1 – Anesthesia

Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.

Step 2 – Mastectomy to remove the breast tissue

A mastectomy will remove the breast tissue present on your chest. Sometimes, excess skin will need to be removed as well.

Step 3 – Creating a masculine shape

After the breast tissue and any excess skin is removed, the remaining tissues must be repositioned to create a masculine contour to the chest.

Step 4 – Repositioning the nipple and areola

Sometimes the nipple and the areola need to be reduced and/or repositioned on the chest after the mastectomy is performed. The nipple and areola tend to be smaller and lie slightly more lateral and inferior on the male chest.



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