Breast Procedures

Gender mastectomies typically refer to surgical procedures where one or both breasts are removed, often as part of gender-affirming treatment for transgender individuals. These procedures are sometimes called "top surgery" in the context of transgender men (assigned female at birth but identifying as male) or "chest reconstruction" in the context of non-binary or gender non-conforming individuals who desire a flatter chest.

The reasons individuals seek gender mastectomies vary, but they often include alleviating gender dysphoria (distress due to a discrepancy between one's gender identity and sex assigned at birth), aligning physical appearance with gender identity, and enhancing overall well-being and mental health. It's important to note that these procedures are part of a broader spectrum of gender-affirming treatments that aim to support individuals in expressing their gender identity authentically.

The procedures may involve different techniques depending on individual anatomy and desired outcomes, and they are often considered a crucial step in a person's gender transition journey. at may be right for one person may not be suitable for another.

FTM top surgery, or female-to-male top surgery, is a surgical procedure that involves the removal of breast tissue and reshaping of the chest to create a more typically male-contoured chest appearance. It is a significant step for transgender men or non-binary individuals assigned female at birth who desire a more masculine chest contour.

The procedure typically involves:

1. Double Incision Mastectomy: This is the most common technique for FTM top surgery. It involves making incisions horizontally along the chest beneath the pectoral muscles to remove breast tissue. The nipples are usually resized and repositioned for a more natural male appearance.
2. Keyhole or Peri-Areolar Surgery: This technique is suitable for individuals with smaller breasts and less excess skin. It involves making a small incision around the edge of the areola to remove breast tissue, with minimal scarring.
3. Inverted-T or T-anchor Surgery: This technique is used for individuals with larger breasts. It involves making incisions in the shape of an inverted-T or T-anchor to remove excess skin and reshape the chest, with the nipples typically resized and repositioned.

Before undergoing FTM top surgery, individuals usually undergo hormone therapy as part of their transition process. It's crucial for anyone considering this surgery to consult with qualified surgeons who specialize in transgender healthcare to discuss the best surgical options, potential risks, recovery process, and expected outcomes.

Post-surgery, recovery time varies but typically involves several weeks of healing, during which physical activity is limited to allow proper healing and minimize complications.

Overall, FTM top surgery can be a life-changing procedure for transgender men and non-binary individuals, helping align their physical appearance with their gender identity.