FTM Breast Augmentation
How is Breast Augmentation different from Implants?
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The transgender person who chooses to have breast augmentation (commonly referred to as “top surgery”) takes a major step in establishing a feminine identity. This is a procedure in which plastic surgeons like Dr. Javad Sajan shape the breasts to achieve a more feminine structure using breast implants.
Understanding
MTF Breast
Augmentation
The surgical procedure for male-to-female (MTF) transgender breast augmentation is similar to traditional breast augmentation. It involves similar decision-making processes and surgical techniques.
One primary concern the MTF patient may have is whether there will be enough chest skin to accommodate the newly-enlarged breast area. The nipple-areola complex placement in MTF patients requires special consideration to properly create a feminine shape. The genetic male nipple-areola complex is more lateral and smaller in size when compared the genetic female. Dr. Sajan will help you decide on the size of implants to match your natural anatomy, as well as any adjunct procedures.
Are you a candidate for MTF breast augmentation?
When performed correctly, MTF breast augmentation is a terrific procedure that can enhance your self-esteem, while aligning your body with your true identity. However, it’s not right for every patient.
To be considered an ideal candidate, you should be in good general health and possess realistic goals for the procedure. The best candidates for a Seattle MTF top surgery are over 18 years of age, have a well-documented history of gender dysphoria and are fully committed to the procedure and their transition. During your initial consultation, Dr. Sajan will spend a great deal of time with you discussing your goals, so that he can help you determine whether or not MTF breast augmentation is in your best interest.
MTF Breast Augmentation Consultation with Dr. Sajan
The ultimate objective of top surgery is to reduce “male” characteristics and create a more feminized body through breast augmentation. This is a highly personalized process and you and Dr. Sajan will discuss a number of important aspects of your surgery during your consultation.
To begin, Dr. Sajan will review your current medical history, including hormone therapy, and other medications and drug sensitivities, previous surgeries, and lifestyle/habits. He will evaluate the skin and tone of your breasts and torso and discuss the types of implants and their placement in your chest. In addition, he will review before and after photos with you, to ensure that he has a deep understanding of your goals for the procedure.
MTF breast implants are usually silicone or saline and there are several shapes and sizes depending on your augmentation goals. Breast implants also have different surfaces (textured or smooth) that affect how your body adapts to the presence of the artificial material. Implants can be selected to give a low, moderate, or high projection and either a round or anatomical shape. Dr. Sajan will also discuss the positioning of your implants (behind the breast tissue, or partially or completely under the chest muscles), and the surgical approach required. There are numerous incision patterns that can be used, depending on the breast size, shape and appearance you hope to accomplish. Dr. Sajan will review all of them with you, and help you determine which technique is in your best interest.
Once Dr. Sajan has reviewed all of the options available to you and gained a clear understanding of your objectives, he will develop a surgical plan that is completely customized to your needs and goals. From there, he and his staff will counsel you on what you can expect before, during and after surgery – including your recovery process and follow-up appointments. This ensures that there are no surprises throughout the experience, and you’re completely prepared every step of the way.
What to expect during your procedure
Your top surgery will take place on an outpatient basis in our state-licensed surgery center. An overnight hospital stay will not be necessary. The anesthesiologist will administer a general (deep sleep) anesthesia and you will be monitored throughout the surgery and recovery for your safety and comfort. The actual procedure should take about two hours.
Dr. Sajan will make an incision in one of three possible locations – the inframammary crease (below your natural breast), the peri-areola (around the darker-skinned area that surrounds the nipple), the umbilicus (around the bellybutton) or the axillary (an incision made under the arm). Your implants will be placed and the incisions closed with sutures. After the procedure, Dr. Sajan will apply dressings to the incision wounds, and you will be asked to wear a compression bandage for a period of time to reduce swelling.
You may experience swelling, bruising, and soreness following your MTF top surgery. These resultant conditions should resolve in about three to eight weeks. Though all of our clients will have a unique experience, most are able to resume easy-level activities within seven to ten days (including driving) and strenuous activities within about one month. The results of your surgery will be immediately noticeable and should continue to evolve over the coming months as your swelling resolves. (You should be able to determine your final bra size between four and eight weeks.
During your follow-up appointments, Dr. Sajan will give you detailed information about your recovery process, oral and topical medications and activity schedule. It is important that you carefully follow these instructions to optimize your recovery process and results.
Your results
When performed by a leading plastic surgeon who is experienced in operating on male to female transgender patients, MTF breast augmentation can transform your appearance in incredible ways. For example, most of our patients can look forward to the following results after their procedure:
- Symmetrical breasts
- Enhanced projection and cleavage
- A more feminine nipple shape
- Improved overall chest appearance
- Increased body confidence and self-esteem
Allure Esthetic Plastic Surgery
600 Broadway Suite 320 G
Seattle, WA 98122