3144 El Camino Real Suite 200 Carlsbad, CA 92008

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Call To Schedule a Consultation: 760.637.52883144 El Camino Real Suite 200
Carlsbad, CA 92008

FTM Top Surgery

What is a Body Lift?

TM top surgery is a gender reassignment procedure that gives patients a more chiseled flatter chest. Dr. D’Souza performs the FTM top surgery in San Diego. Each operation is tailored to meet the needs of the patient. Dr. D’Souza is a plastic surgeon who focuses on aesthetic surgery.

What is FTM Top Surgery

Top (or chest) surgery is one of the most popular gender reassignment procedure.The surgery involves removing the breast and creating a more masculine chest contour. The nipple may need to be resized or positioned to meet the needs of the individual. The operation often improves social and psychological functioning of our patients and allows trans men to live more comfortably.

FTM Top Surgery Procedures

There are 4 main operations performed for FTM Top surgery. Dr. D’Souza will take time to tailor his operation to your needs.

The top surgical procedures for FTM include:

  • Keyhole technique: For the patient with smaller breast sizes, an incision is made around the nipple-areola complex (NAC) and the tissue underneath it is removed. The incision is closed with sutures, after which the patient will wear a compression garment.
  • Buttonhole technique: For patients who feel that nipple size, sensation or positioning is important, this procedure allows for removal of larger amounts of breast tissue and skin than is possible with the keyhole technique. Dr. D’Souza will make two horizontal incisions at the top and bottom of the pectoral muscle. The breast tissue is then removed through these cuts. This allows the nipple-areola complex to remain in a smaller size and allows it to be left attached to nerves and blood supply, preserving sensation.
  • Buttonhole technique: For patients who feel that nipple size, sensation or positioning is important, this procedure allows for removal of larger amounts of breast tissue and skin than is possible with the keyhole technique. Dr. D’Souza will make two horizontal incisions at the top and bottom of the pectoral muscle. The breast tissue is then removed through these cuts. This allows the nipple-areola complex to remain in a smaller size and allows it to be left attached to nerves and blood supply, preserving sensation.
  • Double-incision technique: This incision is best for medium-sized breasts. Two horizontal incisions are made at the top and bottom of the pectoral muscle to open the skin. The skin in the area is pulled back and breast tissue is removed. Liposuction may be performed to adjust the contours of the chest. The nipple is typically removed, resized, and grafted onto the chest in this procedure (resulting in a loss of sensation).
  • Liposuction and body sculpting: Liposuction can be performed in conjunction with top surgery procedures to further enhance your results. Liposuction gives you a more sculpted appearance.

What to expect after the Iconic FTM Top Surgery

Our technique involves strict attention to avoiding trauma to the breast tissue and pectoralis muscle. We also inject local medicine to numb the area over the chest wall. This technique decreases pain and enhances recovery. In the first few days, your breasts will be sore, however, discomfort can be controlled with over the counter pain medications. Physical contact should be avoided until your breasts are no long sore. After the recovery stage, you’ll be able to enjoy your new body image for years to come.

Your Experience

Dr. D’Souza specializes in FTM “top” chest surgery, MTF “top” chest surgery and facial feminization and masculinization surgery. To protect your privacy in your transition from one gender to another, Dr. D’Souza performs surgery in his secluded outpatient center in San Diego’s North County area. Transgender patients receive the highest quality of care, comfort and safety in this private center, which offers experienced aesthetic nurses and state of the art techniques and technology.

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