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
"Absolutely best experience ever. I switched out my current and plants to a slightly larger size and the procedure went perfectly. Excellent results excellent service excellent doctors and nurses. I would highly highly recommend this Center for any type of cosmetic or plastic surgery. They make you feel so nice about yourself, are so friendly and so energetic and upbeat. Now I know why they're reviews are so good.Special shout-out to dr. Weston, nurse Carla, nurse Jennifer, nurse shawntia, and anestist Mike. All were amazing! Don't go anywhere else, with every penny and the drive to get here."- A.L. / Yelp / Mar 09, 2018
"Best dermal filler artist I’ve ever been to! She’s amazing and so honest and great at what she does. True artist! Do you see my lips!??! My cheeks?!!! I’m addicted! Ladies she’s the bomb!"- S.S. / Google / Mar 07, 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 for non-surgical enhancement.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!"- F.T. / Yelp / Feb 19, 2018
"I am so happy I chose Austin-Weston for my Mommy Makeover! Dr. Weston is quite simply one of the kindest doctors I have ever met. He did a marvelous job and I feel fabulous! The nurses that work there are fantastic as well. Friendly, kind, caring and very good at what they do. I saw Jocelyn for the first time today for Botox and she was just delightful. Highly recommend Austin-Weston!!!!! Don't bother looking anywhere else."- H.G. / Yelp / Feb 16, 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.