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What is FTM Top Surgery?
FTM top surgery, which stands for female to male changes that are done on the top of your body, reduce and reconfigure female breasts into a male chest as part of a gender reassignment process. It’s also known as a bilateral subcutaneous mastectomy. This is more than removing breast tissue; the surgery is designed to create a flatter, more masculine chest contour. The procedure includes:
- Removing tissue
- Tightening excess skin, if needed
- Repositioning and modifying the nipple and areola, if needed
- Fashioning muscle into a more masculine-looking chest
In Manhattan, you have access to a specialist in female-to-male top surgery at Millennial Plastic Surgery. Dr. David Shokrian has the knowledge and skills you need to make your transformation a reality.
*results may vary
Clients’ Testimonials
Everything about my experience here was 5 star! from the nurses to the coordinator to Dr Shokrian, I could not be more pleased, and my results are amazing! this place is it! Never having my work done anywhere else! thank you so much to everyone at millennial plastic surgery!
Clients’ Testimonials
Had a procedure done a few days ago by Dr. Shokrian and he was so kind, professional & efficient! So far I am LOVING my results! And as for the staff, everyone was very polite and attentive. I am so happy I chose Millennial Plastic Surgery.!
Do I Need to Be on Testosterone Before I Can Get Top Surgery?
No. Testosterone is not required for FTM top surgery. Some patients take it before surgery and others never do. If you are on testosterone, keep your prescribing provider informed and follow your surgeon’s pre-operative instructions.
Requirements vary by surgeon and insurance plan, but typically include:
- A diagnosis of gender dysphoria documented by a qualified provider, including a letter of support if your insurance requires one
- Being 18 or older, the age of majority in New York
- Any other physical or mental health conditions being well managed
- The ability to give informed consent to the surgery
Our team can tell you what documentation your insurance plan requires.
How Much Does FTM Top Surgery Cost?
The final price of the top surgery depends on where you live and how much each portion costs. The expenditures for top surgery may include:
- Your physician
- Hospital fees
- An anesthesiologist
- Type of surgical techniques used
Insurance companies are not allowed to deny coverage because of your gender identity. As such, you probably need to provide documentation that your surgery is medically necessary. If you need any help with additional costs, financing options may be available through Millennial Plastic Surgery.
What Are the Options for Female-to-Male Top Surgery?
There are various methods of performing FTM top surgery. Many depend on your physical body, which means some options may not be available or recommended for you. Some of the options include:
- Periareolar top surgery, usually performed on those with smaller breasts and bodies
- Keyhole top surgery, performed on those with smaller breasts because no excess skin is removed
- Double incision top surgery with nipple grafts that often results in less sensation in the nipples because they’re removed, reshaped and reattached
- No nipple top surgery, during which your breasts and nipples are removed and sometimes tattooed nipples are added
- Inverted-T top surgery, similar to the double incision, but your nipple retains its feeling
Some of these procedures are done on an outpatient basis. They may also have different recovery steps. As Dr. Shokrian gets to know you through your initial consultation, he works with you to develop the best course of action for your specific needs and goals.
We can’t wait to meet you! We offer comprehensive consultations with Dr. Shokrian, and his team both virtually and in person.
212-421-7123What’s Recovery Like from FTM Top Surgery?
Recovery is different for each person. It can also depend on the type of surgery performed. Generally, recovery involves:
- No overnight in a hospital, as Dr. Shokrian prefers to do awake surgery with local anesthetics and IV sedation, which has fewer side effects and a quicker recovery time, but if the procedure is more extensive, you may spend one night in the hospital
- Drains attached to the site, which are removed in a couple days
- Compression bandages and a surgical bra that you must wear for at least a week
- Limited physical activities, as directed by your doctor
- Three to six months for a full recovery
Your recovery depends a great deal on how you take care of yourself. Give yourself plenty of time to recuperate and adjust to your new body. The total transformation could take a year or more.
Expect some minor pain, but your doctor can prescribe opioids for a couple days. Normally, over-the-counter pain medication is enough. Using ice packs also helps.
What Are the Risks and Complications Associated with FTM Top Surgery?
As with any surgery, there can be risks and complications. Discuss these with your surgeon. Each type of procedure has its pro and cons. The most common dangers include:
- Infection
- Bleeding
- Poor healing
- Loss of feeling in your nipples
- Scars
Most of these can be abated by proper self-care. Some doctors recommend a scar therapy to help reduce the scars. But do not smoke — most doctors won’t even perform surgery on a smoker — as this impedes your healing considerably.
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What Are the Results of FTM Top Surgery?
The results obviously vary greatly from person to person and with the particular procedure you get. It may take a year or more for tissue to settle and the scars to lighten. The most noticeable results include:
- A flatter chest
- Repositioned or resized nipples
- A more masculine-looking chest — possibly reconfigured to give you noticeable pectoral muscles
Your plastic surgeon lets you know what to expect, besides the usual but temporary swelling and bruising. The intensity of the scarring depends partly on your genetics and the type of skin you have. Your physician recommends options, such as a particular scar cream, for lessening the severity of your scars.
Who’s a Good Candidate for FTM Top Surgery?
Top surgery may be right for transgender men, nonbinary people, and others who experience gender dysphoria related to their chest. Most surgeons look for candidates who:
- Are nicotine-free
- Has a body-mass index (BMI) of 35 or below
- Has realistic expectations of the results
Contact Dr. David Shokrian and the compassionate staff at Millennial Plastic Surgery for the answers you’re looking for. They make you feel at ease with who you are and the new enhancement in your life.