FTM Top Surgery is a very personalized procedure. Depending on the size of your chest and your contouring goals, your LPS physician may suggest either nipple-sparing subcutaneous mastectomy (for smaller chest sizes with minimal excess skin) or a subcutaneous mastectomy with free nipple grafting (for those with larger chests and bodies). Both procedures remove breast tissue along with excess skin for flatter chest contours. The nipple may be removed, resized, or repositioned depending on your aesthetic goals.
If you plan to take testosterone at any point, we recommend consulting with your primary care physician, psychiatrist, or endocrinologist before considering FTM Top Surgery to achieve an optimal outcome. Hormone therapy is typically not a requirement for subcutaneous mastectomy.