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
"Dr. Weston is very knowledgeable and professional. staff is friendly. clinic is a bit expensive, but you get good results."- M.Z. / Yelp / Sep 20, 2019
"Wow! This place is great. This was my first time ever going for a cosmetic procedure and let me start off by saying how friendly and kind the staff are here. Like, all of them were so nice. I am 23 and I went in for a consultation for sculpsure and also some injectable fillers for my mouth area. The doctor walked me through all of the options that would best fit my body type regarding the body contouring, though I ended up not going through with it for now until I have more money coming to me . HOWEVER I did get to address something that has been troubling me for a while, which was my asymmetrical lips (top one was a lot smaller than bottom) and the start of nasolabial folds (I hope I spelled that right). I am super into preventative skin care, and these were problem areas that simply could not be fixed with any at-home skincare tricks. I felt very embarrassed by them because even though I am 23, I felt like it was making me look older. So the doctor took the time to listen to all of my concerns and was INCREDIBLY SKILLED AND INTUITIVE when placing the injections. I actually have him a hug afterwards because I was so happy with the results immediately . So all-in-all I think this place is wonderful at what they do, making you look and feel your best and treating your unique problem areas in a safe and comfortable environment."- C.F. / Yelp / Sep 18, 2019
"Austin-Weston Center for Cosmetic Surgery Dr. Christopher Knotts As I approached 60, I started noticing a tired look about my face, especially my eyes. This started me thinking about cosmetic surgery and finding a way to get a 'refreshed" look. Wasn't sure what that was or what I needed, but I started searching for not just a good cosmetic surgeon, but the best cosmetic surgeon in the DMV that I could find. I googled, researched, requested recommendations from other physicians and had consultations with cosmetic surgeons who made my short list. Through my research, I stumbled across Dr. Christopher Knotts who was recommended as "someone worth checking out." Best advice I ever received. Although I had been to the Austin-Weston Center in the past for injections and fillers, I was not familiar with Dr. Knotts as he was fairly new to the practice. So I scheduled a consultation. I was immediately drawn to his warm demeanor and honesty. I wanted a doctor that I could trust and who was concerned about me as a person and what I wanted from my surgery. These are the qualities I found in Dr. Knotts. I did not make a knee-jerk reaction, but continued my research and consultations with other surgeons. None measured up to the qualities I found in Dr. Knotts. A year after my initial consultation with Dr. Knotts, I started to realize that he was the best. Dr. Knotts is an extremely skilled surgeon. He is very patient, listened to my concerns and made recommendations for the best possible results. Again, I cannot say enough about his honesty and integrity. Dr. Knotts and the entire staff at the Austin-Weston Center made me feel very comfortable throughout the entire process. The staff was very responsive and supportive of my needs and never failed to answer my questions or return phone calls. Cosmetic surgery is quite a journey, and I am so glad that I took this journey with the best cosmetic surgery center and doctor in the DMV. If you are considering cosmetic surgery, I strongly recommend that you take a very close look at Dr. Knotts and the Austin-Weston Center."- C.C. / Yelp / Sep 18, 2019
"Savannah Marks is the best esthetician I've ever had. She is very knowledgeable about the products she uses. If you are interested in having a peel or other procedures, I recommend Savannah . Anne"- A.H. / Facebook / Sep 12, 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.