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 results should I expect after transmasculine top surgery?

The final results of transmasculine top surgery can help alleviate the feelings of gender dysphoria that some individuals may experience.

The removal of the female breast tissue typically also removes some sensation in the chest. Over time, some sensation to the chest skin and nipples may return, and scar lines will improve, although they'll never disappear completely. There are trade-offs, but most transmen feel these are small compared to the large improvement in their quality of life and the ability to look and feel like a man.

Although the breast tissue is removed during the procedure, and growth of breast tissue is suppressed by testosterone therapy, the risk of developing breast cancer is not zero. Careful monitoring of breast health through self-exam is essential to your long-term health.

When you go home, if you experience shortness of breath, chest pains, or unusual heartbeats, seek medical attention immediately. Should any of these complications occur, you may require hospitalization and additional treatment.

The practice of medicine and surgery is not an exact science. Although good results are expected, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedure and another surgery may be necessary.

Following your physician's instructions is key to the success of your surgery. It is important that the surgical incisions are not subjected to excessive force, abrasion, or motion during the time of healing. Your doctor will give you specific instructions on how to care for yourself.



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