FTM Top Surgery
Chest wall reconstruction surgery, also referred to as bilateral mastectomies for gender reassignment or FTM top surgery, is a procedure to remove excess fat, glandular tissue and/or skin from the patient's breasts. In severe cases of enlarged breasts, the weight of excess breast tissue may cause the breasts to sag and stretch the areola (the dark skin surrounding the nipple.) In these cases, the position and size of the areola can be surgically improved and excess skin may need to be removed. There are a variety of surgical techniques for FTM chest wall reconstruction. The technique, along with the surgical approach, will depend on your preferences, your anatomy, and your surgeon´s recommendation. The two main procedures that Dr. Johnson performs are Double Incision and Keyhole. The goal is to shape the female breast to male. Prior to scheduling your surgery, we require a letter from your therapist documenting how long you have been in therapy. A minimum of 3 months of therapy is required. See FTM top surgery photos & FAQs.
Double incision procedure
Patients who have large breasts or who have an excess amount of loose breast skin will be recommended to have this technique. The breast is removed with an incision along the breast fold and the nipple/areolar complex is replaced as a graft. This technique does leave a scar across the chest wall. A drain is placed on each side and removed about a week later.