For every transitioning transgender man, attaining physically masculine attributes is an important stage in a profound, all-encompassing journey and includes not just one’s body, but the mind, spirit and emotions as well.
Top surgery (also called mastectomy) can achieve a sculpted, flat chest that reflects the ideal image of a strong and confident man. In a just a few hours, our natural-looking results can create a positive impact and ripple effect on the rest of FTM patients’ lives.
When you enter our San Francisco offices to meet with our team, you will truly encounter a home away from home. Our friendly, welcoming staff, state-of-the-art equipment and technology, and chic, soothing décor ensures an outstanding patient experience in a spa-like sanctuary.
Periareolar incision (keyhole)
Here, an incision is made encircling the areolar complex, allowing the surgeon to easily remove breast tissue and reshape the chest. This approach is ideal for those transmen who require minimal breast reduction and are in possession of good skin elasticity.
For men who require a more significant level of breast reduction, we use two horizontal incisions in an elliptical fashion to remove the breast tissue and excess skin. The final incision line will rest at the lower border of the pectoralis muscle. The nipples and areolas are typically removed as skin grafts, resized, and placed in a more masculine position on the chest. The Double Incision approach is performed in the vast majority of patients seeking Top Surgery.
For those with medium to large chests and an abundance of skin, an inverted T incision is used that goes down to the inframammary fold and then horizontally across the bottom of the breast.
This approach is similar to the double incision method, but resizes the nipple areolar complex in a way that preserves nipple sensation and sensitivity.
Nipple and Areola Tattooing
There is sometimes unpredictability in how the nipple areolar skin graft heals after top surgery. In most cases, healing goes quite well, but in some instances, there may be partial graft loss, scar contracture, or hypopigmentation (loss of pigment). In such a case, in-office tattooing can be performed to restore natural color and symmetry.