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 11, 2017
"If you are thinking about plastic surgery and can't decide, consider Austin-Weston center for cosmetic surgery. I am 50 years old and first, I hesitated too, but after talking to Dr. Knotts I knew that I was in the right place. Dr. Knotts has great bedside manners, always does what's best for his patients and gives realistic, honest opinions. His work is amazing and after surgery my face looks 15 years younger. People realize that something has changed but cannot tell what exactly I had done. There are no traces of scars and my face looks natural! I feel different and my confidence is back. I love looking at myself in the mirror now! The staff was also very helpful and I will certainly come back again!"- N.I. / Yelp / Jun 12, 2019
"Excellent experience from start to finish. From my initial consultation through my final check up I experienced excellent customer service and excellent medical care from the Austin-Weston team. Dr. Knotts provided me with exceptional care for which I am very grateful. My results are amazing. Everything was very professional and no question went unanswered. The facility is amazing and everyone is so kind and caring. Upfront pricing and no up-selling, so no surprises when it comes to the pocketbook. I highly recommend Austin-Weston!"- N.O. / Yelp / May 09, 2019
"Dr. Poindexter is a sculptor. He was my surgeon for my under chin liposuction. The before and after pictures are beautiful and PERFECT! I cannot even tell you how grateful I am that I went forward with this. Anything done to your face is anxiety inducing. This entire place - Austin Weston - is exactly what you want in a cosmetic surgery facility. He also does my injectables - forehead Dysport. Clap clap clap."- S.L. / Yelp / Apr 22, 2019
"Dr Weston is a excellent Dr. He is the best plastic surgeon on the east cost when it comes to facial feminization. I have had numerous surgeries performed by Dr Weston and his staff. Dr Weston and his staff have always been corteous and professional. Chloe"- Anonymous / Healthgrades / Apr 20, 2019
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 the 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.
At Austin-Weston, we know that each patient case is unique, which is why the cost of your procedure will be dependent on a number of factors. Unfortunately, most insurance companies do not cover cosmetic procedures. However, we offer a variety of financing options and payment plans that can help make your treatment affordable. To learn more, call our front desk to schedule a private consultation. During this time, we can discuss your treatment plan and estimate your costs.
Plan Your Procedure
- Average Cost
- From $9,150
- Recovery Time
- 1-2 Weeks
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 armpits 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.