FTM Top Surgery* is the most commonly performed gender-affirming surgery for trans masculine people. Our surgeons at the Crane Center for Transgender Surgery have perfected Top Surgery techniques, following in the pioneering footsteps of Dr. Michael Brownstein.
Double Incision Top Surgery
The double incision procedure requires an incision around the lower border of the pectoralis muscle and around the nipple. For large chested patients desiring a masculinized chest, this is the best top surgery option to remove the breast tissue and reposition and reshape the nipple-areola complex. Typically, we do not use drains for Double Incision Top Surgery.
Keyhole Top Surgery
The keyhole procedure is best for patients that are small breasted. The procedure does not remove any extra skin or re-position the nipple/areola complex. If a patient has extra skin that would need to be removed to maximize his aesthetic result or need the nipple/areola complex positioned into a more male appearing location, then the Double Incision method should be considered. Patients with chests larger than an “A” cup are not a good candidate for the Keyhole procedure. Keyhole top surgery is better suited for smaller chested individuals with little to no redundant skin. With the keyhole top surgery procedure, a small incision is made around the nipple-areola complex to remove existing breast tissue.
Male Chest Contouring & Body Masculinization
Liposuction and liposculpting can be used as adjunct procedures to further accentuate the results of your Top Surgery. At the same time as your top surgery, liposuction can be used to remove unwanted fat deposits from under your armpits, and throughout your abdomen and flank regions to give you a more sculpted masculine appearance. Liposculpting is an individual approach, and our surgeons can talk with you in detail to find a regimen that works best with your body, and that helps to finely tune and highlight your masculinity.
Top Surgery and Patients Under 18
We are very accustomed to treating patients who are less than 18 years old and follow the current World Professional Association of Transgendered Health (WPATH) guidelines. Consent of both parents and two surgery referral letters from mental health care professionals are required. Additional requirements will be discussed at the time of consultation.