Female-to-male (FTM) top surgery is becoming a highly requested treatment among females who desire to have their breasts reduced to appear more masculine. One of the most visible differences between the male and female body is the feminine breast versus the masculine chest. Also called male chest contouring, this procedure uses the subcutaneous mastectomy technique to remove fat and breast tissue to recontour the chest. During the process, the board-certified plastic surgeons at Austin-Weston will also reposition the nipple-areolar complex (NAC) for a masculine-looking outcome. For females with larger breasts or those with unhealthy or lax skin elasticity, excess skin will be removed so the chest skin is taut and firm. The NAC may also need to be reduced. Since the ideal male chest is not flat but slightly rounded from developed pectoral muscles, pectoral implants may be added for a more masculine chest.
To learn more about FTM surgery, or if you have questions regarding any procedure that changes the overall look of your gender, we invite you to call the skilled surgeons at Austin-Weston, The Center for Cosmetic Surgery.
"Austin-Weston is amazing. My first experience with them was in 2007 when I had a life-changing breast reduction. I healed quickly, had minimal scarring and was able to finally buy a shirt that buttoned within weeks of the surgery. 10 years later, I'm still thrilled with the results.For the past year, I've been seeing Savannah for laser hair removal of some hair in undesirable places. Each time, Savannah is incredibly nice and gentle... And there's a noticeable difference each time. After 6 full sessions and a few touch ups, you can't even tell! And after 30 years on this earth, she informed me that I did not have oily skin and switched me over to an Austin-Weston moisturizer that has greatly improved my complexion and made my skin look so much better!The hair removal has greatly improved my confidence and I'm so excited about the results!"- N.C. / Yelp / Dec 12, 2017
"I've been seeing dr. Christopher knots for a little over a year now at Austin Weston Center I've been seeing dr. Christopher Knotts for fillers and Botox I have to say he is the most talented plastic surgeon I've ever been he has a very artistic eye and he is so very kind and he listens to what you want and I highly recommend dr. Christopher Knotts at the Austin Weston Center for any kind of plastic surgery you will not be disappointed"- D.F. / Yelp / May 01, 2018
"Jocelyn is a miracle worker ! She wholly has an aesthetic eye for detail and perfection. I've come to her at least four times now. Each time, she has taken the time to listen (and truly listen! Not cutting me off or dismissing my concerns or questions like previous medical professionals I have encountered). I usually come with a list of 5-7 questions and an ideal beauty goal in mind. She is very knowledgeable and patient. And most of all, she's realistic in her approach and practice. I appreciate that very much. She doesn't upsell procedures like other greedy doctors and nurses. As you can tell, I've had appalling experiences in the past. But, Jocelyn has shown me the light! I feel valued as a patient whenever I come into the Austin-Weston Center. I will never let anyone else touch my face but her! [Update] I am beyond satisfied with the results that Jocelyn has given me! The fillers look so natural and has enhanced my facial features . I am so pleased:)"- F.T. / Yelp / Apr 27, 2018
"Dr. Knotts is simply one of the best doctors in the field of cosmetic surgery. He cares about conditions faced by his patients, listens to their concerns, and actively works with them to address the issue. He is considered as an authoritative figure in the field, based on the success of procedures he performed, and the extensive paper and journal articles he has written on the subject."- J.H. / Healthgrades / Apr 21, 2018
"One of the Best Doctors in His Field - Dr. Knotts is simply one of the best doctors in the field of cosmetic surgery. He cares about conditions faced by his patients, listens to their concerns, and actively works with them to address the issue. He is considered as an authoritative figure in the field, based on the success of procedures he performed, and the extensive paper and journal articles he has written on the subject."- Anonymous / Vitals / Apr 20, 2018
The are many surgical techniques that can be used in FTM top surgery. Our surgeons will typically select based on the starting size of the chest and patient’s skin elasticity. All techniques preserve the patient’s natural nipple and areola, but the placement is usually changed to fit the new contour. Common subcutaneous mastectomy techniques include:
- Buttonhole technique
- Double incision
- Inverted T/T-Anchor
- Minimal scar
FTM top surgery is generally performed as an outpatient procedure with the patient under general anesthesia at an accredited surgical facility. After the surgery, the patient will be put in a compression vest that they should wear for at least 3 – 4 weeks to minimize bruising and swelling. We will go over any specific recovery instructions and schedule follow-up appointments to check the patient’s healing. Our team of aftercare nurses can also offer information on scar care management to help minimize the appearance of surgical scars.
Plan Your Procedure
FTM Top Surgery FAQs
Other Body Surgeries?
To fully transform from a female body to a male, body contouring surgeries like liposuction can help to make the body more masculine. One of the most popular FTM body contouring surgeries removes fat from the hips, thighs, and buttocks since the male lower body is typically more narrow than the female.
HRT Therapy Before?
While patients are not required to be on hormone replacement therapy (HRT) before their FTM top surgery, it can give better results. The testosterone can help develop the patient’s pectoral muscles, which will create a more natural contour.
Avoiding Dog Ears?
“Dog ears” are often associated with FTM top surgery as a description of the excess skin and fat that can bulge out of the stitches. Dog ears can be avoided with extra liposuction during the procedure for the fat below the arm pits and on the side of the chest. Patients can avoid developing dog ears after their surgery by maintaining a healthy, stable weight.
CHANGE YOUR SHAPE TODAY
To learn more about female-to-male top surgery and the other plastic surgeries we offer to help create the unique look you desire, we invite you to call our Reston, VA cosmetic surgery office. The board-certified plastic surgeons at Austin-Weston treat our patients with compassion and offer skill with an artistic approach to surgery that leads to natural-looking outcomes. Schedule your consultation to learn more.