FTM Transition: Surgery and Recovery
Top surgery provides those seeking to transition from a female to male (FTM) transition with a traditionally masculine physique through chest reconstruction and contouring. This involves breast tissue removal (bilateral mastectomy) or reduction, and reshaping of the nipples/areolas, and may include liposuction for tailoring on both sides. Based on your anatomy, skin elasticity and specific aesthetic goals, Dr. Capizzi will advise on one of two types of incisions. Both of these are "nipple-sparing" in order to preserve sensation and reduce scarring. In reshaping and resizing the nipple/areola complex, the doctor's primary goal is to accomplish a more masculine position and appearance. The average length of the entire procedure is one to two hours.
For trans men with smaller A or B cup chest measurements, Dr. Capizzi may recommend an incision that traces the outline of the areola. In this case, the removal of breast tissue is completed with a combination of liposuction and direct excision. This procedure usually will take an hour. Recovery is 48 hours, and then the patient can return to work. For trans men with B, C or larger chest measurements, or in cases where loose, excess skin is present, Dr. Capizzi may choose a more in-depth method of tissue and excess skin removal via scalpel, creating incisions at the breast fold and around the areola.
Dr. Capizzi will create a custom-tailored recovery plan unique for each client. Pain medication will be prescribed for soreness, however, top surgery patients can expect to heal at a quick, healthy pace, thanks to Dr. Capizzi's advanced and efficient surgical techniques. In most cases, a drain will be placed on each breast to collect excess fluid after surgery. These will usually be removed after the first week, but note a drainless procedure can be performed in others. Lots of rest and downtime is advisable for the first few days, after which trans men can expect to be back in action. Workouts, weight lifting and physical labor can be resumed in around 2-3 weeks.
FTM Transition: Enhancing Results
Many of Dr. Capizzi's FTM top surgery patients find that additional contouring and body shaping supports their long-term aesthetic goals and facilitates a holistic approach to transitioning. The male physique can be greatly enhanced through careful sculpting of the armpits, thighs and abdomen, with results best achieved through liposuction, CoolSculpting and the use of Kybella to dissolve fat under the chin, upper breasts, and underarm areas, as well as the abdomen.
As cellulite is primarily an issue for women rather than men, some of Dr. Capizzi’s FTM transition patients choose Profound as a treatment to reduce its appearance. A unique single laser treatment with a 100% response rate, Profound improves elastin, collagen and hyaluronic acid to make your skin tighter and smoother.
Dr. Capizzi and his award-winning staff are eager to answer your questions about these important co-procedures and discuss how they might be integrated into your overall plan for successful gender reassignment.