FTM Top Surgery is a gender-affirming surgery procedure that creates a masculine chest. The process involves breast removal chest contouring and may also include nipple grafts nipple and areola resizing and repositioning. FTM Top Surgery in Kirkland aims to flatten the chest and give you appearance that correctly aligns with your of gender presentation.
At Tseng Plastic Surgery in Kirkland FTM Top Surgery for transgender men and nonbinary people removes breast or chest tissue. It can be one step in treating gender dysphoria, helping transgender men physically transition to their affirmed gender. Alternatively, it may be the only surgical step in an FTM physical transition.
If your chest size is naturally small, you might be eligible for nipple-sparing subcutaneous mastectomy, which spares your skin, nipple, and areola. However, if you have a larger chest, you might need to have your nipples and areolas taken off, resized, and placed back into position.
There are several FTM Top Surgery options, such as:
The most common surgical option, double-incision top surgery with nipple grafts, includes:
Best for patients with smaller chests, the procedure may involve:
Before having top surgery, most surgeons and insurance companies require you to obtain a letter of support from a mental health provider competent in transgender health. They will determine whether you meet the World Professional Association of Transgender Health (WPATH) standards of care.
These criteria include that you must:
It is important to note that masculinizing surgeries are commonly deferred until adulthood. And while hormone therapy isn't required before FTM Top Surgery Kirkland patients are encouraged to wait for the chest muscle to grow with testosterone therapy, to provide the best surgical result. If you've been taking testosterone therapy, you'll have blood tests to ensure your testosterone level is in your target range before surgery.
Your healthcare provider will also evaluate your health to screen for or address medical conditions that might affect or rule out treatment. Such an evaluation might include the following:
FTM Top Surgery in Bellevue and Kirkland, WA, uses specialized surgical techniques to contour and reduce the chest wall while positioning the nipples and areola and minimizing scarring. Remember that some chest tissue will likely remain regardless of the surgical technique. As such, Dr. Tseng will discuss continuing routine breast cancer screening. Additionally, if you carry genetic mutations that increase your risk of breast cancer, you might choose to have your nipples and areolas wholly removed.
After top surgery, you might need additional surgery or cosmetic procedures, such as tattooing, to:
To reiterate, if your chest size is small, you might be able to have surgery that spares your skin, nipple, and areola. This procedure:
However, suppose you have significant chest tissue. In that case, FTM Top Surgery may resize your nipples and areolas before placing them in a position that creates the appearance of a more masculine chest. This method can cause additional scarring and loss of sensation to the nipple; non-erotic feelings may take months or years to return.
After FTM Top Surgery Kirkland patients' chests will remain in a compression wrap for several weeks to prevent fluid from pooling. We may place small plastic tubes where Dr. Tseng removed chest tissue to drain any fluids accumulated after surgery. Patients must sleep with their torso elevated for the first week after surgery and avoid lifting more than fifteen pounds for several weeks.
Some other FTM Top Surgery recovery requirements include the following:
The outlook after FTM Top Surgery is excellent. While it can take a few months for the pain and scars to fade, you’ll likely have an improved self-image and quality of life after recovering. Your chest will be flatter and have a more traditionally masculine appearance, which can be a powerful treatment for gender dysphoria.
For some transgender men and nonbinary people, top surgery is vital to their sense of self. You deserve to love what you see in the mirror. Residents of Kirkland, WA, Bellevue, WA and nearby communities trust the skills and expertise of Dr. Mark Tseng, whose philosophy includes restoring and maintaining your natural beauty. Respect, agreement, and integrity are the cornerstones of his over two decades in practice. As such, Dr. Tseng is among the most experienced and dedicated plastic surgeons practicing in the greater Seattle area.
Relax in a luxurious, private environment where we focus on ensuring you are comfortable, cared for, and love your results.