Transgender Mastectomy
Gender Affirming Mastectomy Southlake, TX | Amor Propio Aesthetic Surgery
Gender-affirming mastectomy, sometimes called “top surgery,” provides patients with the ability to match their physical appearance with their gender identity. This surgical option removes all underlying fat, tissue, and milk ducts and glands. People desiring a gender-affirming mastectomy have multiple options to achieve a more traditionally masculine chest, and many transmasculine and gender-nonbinary individuals say top surgery lessens their gender dysphoria and improves quality of life.
To learn more about gender-affirming mastectomy, keep reading or schedule a consultation with Dr. Ali R. Abtahi, a seasoned expert in gender-affirming surgeries. We are located in Southlake, TX, and proudly serve patients visiting from Fort Worth, Southlake, Aledo, Dallas, Keller, Frisco, Grapevine, Colleyville, Arlington, and other nearby areas.
- Gender Affirming Breast Reduction
- Transgender Mastectomy
- Transgender Breast Reduction
- Top Surgery
- Chest Masculinization
- FTM Chest Reconstruction
- Masculinizing Chest Surgery
- Transmasculine Top Surgery
- Non-binary Top Surgery
- Chest Contouring Surgery
- Subcutaneous Mastectomy
- Gender Confirming Chest Surgery
Gender Affirming Breast Reduction Dallas-Fort Worth
For patients who want a smaller chest, but would prefer to keep some breast tissue, gender-affirming breast reduction can offer the perfect balance. During this procedure, a portion of the breast tissue and skin are removed, leaving a smaller chest size that may more closely match the patient’s desired gender expression. This option differs from a mastectomy, which removes all breast tissue.
Transgender Mastectomy with Free Nipple Graft, Without Free Nipple Graft
Transgender mastectomy surgery offers a few different approaches based on nipple preservation: with free nipple graft and without. During consultations, Dr. Abtahi assists patients in choosing the best option for their goals and individual anatomy.
This surgical technique removes and reattaches the nipple and areola (darkened skin around the nipple) as a skin graft. During surgery, nipples are resized and positioned on the chest for a more masculine appearance. One benefit to this option is that it allows the surgeon to place the nipple precisely where the patient would like it, but the downside lies in sensation: since all nerves and blood flow are severed during surgery, the reattached nipple area can feel numb.
This surgical option keeps the nipple attached to underlying tissue, nerves, and blood supply while breast tissue is removed around it. Also called the “buttonhole” or “pedicle” technique, without free nipple grafts offer a better chance at retained post-surgical nipple sensation. While this can offer a sensation-saving option, it may not work well for patients with larger breasts.
Transgender Breast Reduction
Transgender breast reduction offers treatment for gender dysphoria for people assigned female at birth who want to reduce their breast size. Breast reduction is achieved through the surgical removal of breast tissue and skin, and the amount removed can be tailored by the patient and surgeon for optimal results. During a transgender breast reduction, Dr. Abtahi may remove a large amount of breast tissue for a more masculine appearance, or a smaller amount to offer less chest contour.
Top surgery (FTM/NB)
The term “top surgery” refers to any surgical procedure designed to achieve chest masculinization for individuals who identify as female-to-male (FTM) transgender and non-binary (NB). Top surgery can help patients create a more masculine or less-gendered chest by shaping chest contour and removing breast tissue and skin. Because it is a more general term, top surgery can include several surgical procedures, including these options:
With or without free nipple grafting
Through incisions made around the nipple to remove breast tissue and excess skin
Removes breast tissue through a small incision below the areola but does not remove skin
The best technique for each individual depends on several factors, like chest size, skin elasticity, and patient preference. Each option has its benefits and risks, which are discussed in a patient’s initial consultation with their surgeon.
Meet Ali R. Abtahi, DO MSc
Dr. Ali R. Abtahi, DO MSc is a highly skilled surgeon with extensive training in Plastic and Reconstructive Surgery, Comprehensive Aesthetic Surgery, and General Surgery. Through his artistic vision and sincere passion for plastic surgery of the utmost quality, Dr. Abtahi is dedicated to delivering an elite, personalized experience.
Chest Masculinization Surgery
Chest masculinization surgery is also a general term describing various surgical procedures designed to transform a feminine chest into a more masculine chest. This may include removing breast tissue or repositioning and resizing of the nipple-areola complex. Chest masculinization surgery can also encompass chest wall contouring for a flatter chest. The results can offer a gender-affirming appearance that lessens gender dysphoria.
FTM Chest Reconstruction
FTM chest reconstruction surgery (sometimes called female to male top surgery) can provide a more masculine chest for transgender men who want to appear less female or gendered. Surgical procedures to achieve this goal can include removing breast tissue but can also involve liposuction for precision chest contours.
Mature female nipples may be larger than mature male nipples, so nipple and areola reconstruction can offer a more natural-looking masculine chest. FTM chest reconstruction not only removes tissue from the breasts and surrounding areas, but it provides individualized contouring for a patient’s desired appearance.
Masculinizing Chest Surgery
Masculinizing chest surgery can refer to anything from a complete mastectomy with nipple grafting to breast reduction. The goal of these chest surgery procedures is to alter the appearance of the chest to look more traditionally masculine.
Depending on breast size, shape, and nipple position, this can be achieved through several surgical options, including breast removal, nipple repositioning and resizing, chest contouring, and surgical placement of pectoral implants. Patients will discuss their options at their surgical consultations, where they may describe their desired aesthetic goals.
Transmasculine Top Surgery
Transmasculine top surgery creates a more masculine chest by removing breast tissue and skin, reshaping the nipple and areola, and adjusting chest contour. This gender-affirming procedure is often chosen by individuals assigned female at birth who identify on the masculine spectrum. Like other gender-affirming surgical options, transmasculine top surgery encompasses several techniques designed to help patients reach their appearance goals and combat gender dysphoria.
Non-binary Top Surgery
For people who do not identify as exclusively masculine or feminine, top surgery may still offer a solution to gender dysphoria. During a surgical consultation, patients identifying as non-binary can discuss their surgical options to tailor their outcomes and more closely match their physical appearance with their gender identity.
This individualized approach can include surgical procedures like a complete mastectomy, breast reduction, nipple reconstruction, and contouring. Some patients may desire a completely flat chest, while others may want to retain some breast tissue. Whatever the goal, Dr. Abtahi can help make a plan to meet it.
Chest Contouring Surgery
Chest contouring surgery reshapes the chest to more align with a patient’s gender identity. This procedure can offer a masculine look through sculpting a V-shaped torso with definition around the pectoral muscles. This surgical option goes beyond breast tissue removal and requires a skilled plastic surgeon to shape the chest. Techniques used to attain these results include:
Support new contours and alleviate stress on the healing incision and lessen scarring
Surgical incisions extended beyond traditional borders, designed to emphasize masculine chest shape
Removes excess fat deposits commonly found in female chest, allowing the surgical area to blend more seamlessly with the surrounding area
Subcutaneous Mastectomy
A subcutaneous mastectomy, also called a nipple-sparing mastectomy, is a surgical procedure that removes breast tissue under the skin, without disrupting the skin, nipple, or areola over the breast tissue. This technique allows the nipple-areola complex to retain its connection to blood vessels and nerves and may preserve sensation in that area. Best suited for patients with small breasts and elastic skin, this surgical option can offer a more natural post-operative chest appearance with minimal scarring.
Gender-confirming Chest Surgery
Gender-confirming chest surgery is an umbrella term that includes any surgical procedure that reshapes the chest to better reflect a patient’s gender identity. For transgender men and people who identify as non-binary, breast tissue removal and chest contouring can offer a more masculine or less-gendered appearance. The results can play an enormous role in easing gender dysphoria and improving an individual’s overall well-being.
At your surgical consultation, Dr. Abtahi will ask about your individual goals and motivations for surgery. Together, you and Dr. Abtahi will develop a tailored surgical plan to meet your needs. If you’re ready to step onto the path toward identity affirmation, schedule your consultation by calling (469) 293-2533 or connecting online today.
Schedule a Dallas-Fort Worth Breast Augmentation Consultation
Contact Amor Propio Aesthetic Surgery for breast augmentation with Dr. Ali Abtahi in his Southlake office.
This consultation will involve a detailed discussion with Dr. Abtahi, one of Dallas’ best breast augmentation surgeons. During the consultation, Dr. Abtahi will help to clearly identify each patient’s aesthetic goals and reasons for wanting breast augmentation. This process will allow Dr. Abtahi to recommend the best and safest approach and explain what to expect at each stage of the process.
Dr. Abtahi is committed to helping each patient with their plastic surgery and overall health journey. Call us at (469) 293-2533 or reach us online today.