How Does Top Surgery Work?
The majority of transgender surgeries LPS surgeons perform are top surgeries. The most common procedures our transgender patients seek are (female to male or chest masculinization) FtM top surgery, and (male to female or chest feminization) MtF top surgery.
FtM top surgery involves removing glandular and fatty tissue in the chest region to achieve a flatter, more masculine presentation. The techniques used depend on the individual patient’s breast size and skin elasticity. For trans men with larger breasts, Double-Incision top surgery is recommended. Patients with smaller breasts, tighter skin, and good skin elasticity may have success with Periareolar or Keyhole techniques. Your LPS surgeon will help you understand each type and which is best for you.
MtF top surgery enhances breast size and shape using breast implants. For trans women, many of the same techniques used for cisgender women apply, mostly involving the choices of implant—saline versus silicone, implant shape and volume, and placement of the incisions. Each strategy has advantages and can be tailored to the patient’s unique anatomy.
Am I a Good Candidate for Top Surgery?
LPS requires MtF patients to receive at least 1 year of Hormone Replacement Therapy (HRT) prescribed by an endocrinologist or physician who monitors your hormone levels. Your breasts will grow naturally for up to 18 months with estrogen therapy. Giving them a chance to reach their full size will enable you to make more informed choices about the implants you ultimately select.
FtM patients do not need Testosterone therapy to undergo top surgery at LPS, though it may help build the muscles of your chest in advance.
How Long Does Top Surgery Take?
Your top surgery will take place in our accredited surgical facility under general anesthesia, and you’ll likely be discharged the same day for comfortable recovery at home.
The length of FtM top surgery depends on the technique used. DI surgery takes 2-4 hours, Keyhole takes 3-4 hours, and Periareolar takes around 1.5-3 hours. MtF top surgery averages 1-2 hours in duration.