Board-certified plastic surgeon, Dr. Michael Suzman, offers a very specialized surgery that has changed the lives of many individuals transitioning from female to male. One of the most visible distinctions between the male and female body is the appearance of feminine breasts versus a masculine chest. Female to male (FTM) top surgery, also referred to as male chest contouring, uses the subcutaneous mastectomy technique to eliminate and reduce as much fat and breast tissue in the chest region, and then contour the area for a more masculine look.
During this process, Dr. Suzman repositions the nipple-areolar complex (NAC) so that the results is natural and proportionate. For larger breasts or patients with low skin elasticity, excess skin will also be removed so the chest skin is taut and firm. Since the ideal male chest is not flat, but slightly rounded from developed pectoral muscles, pectoral implants may be added for a more masculine chest.
"I never had surgery before, so I was extremely nervous to have a breast reduction. I was also worried about my recovery. Dr Suzman, Heather, and the rest of the staff were extremely caring and assured me everything was going to be ok. Everything wasn’t just ok it was amazing! My reduction was everything I wanted and more and I was able to recover quickly and enjoy the rest of my summer! I highly recommend Dr Suzman for he has forever changed my life for the better. Thank you!?"- D.J. / Facebook / Jan 10, 2018
"Young 50's Woman for TT, Lipo and Facial Fat Transfer - Harrison, NY - Dr Suzman is a true professional and talented surgeon, from the beginning was honest what I should expect, I even got some hand holding when needed with all my questions and concerns. I highly recommend and am thrilled with my results. Also, the outpatient facility staff was incredible, caring and on top of their game, I felt very cared for by the Dr, Heather, the anesthiologist and the staff at surgery center.Unfortunately, the one turn off was the payment staff miscommunicated with me regarding Care Credit options and failed to assist when i realized what she signed me up for. I did not care for the poor follow up and this has tainted my view of my experience. Otherwise 5 STARS ."- T. / RealSelf / Feb 12, 2018
"Dr. Suzman is the best, I am so greatful he did my breast reconstruction after a mastectomy. Thank you very much."- G.R. / Facebook / Jan 16, 2018
"Doctor Suzman closed after my Mohs surgery. The surgery was in a sensitive area, on my nostril. Dr. Suzman and his team did a great job of fixing the wound and after only 1 month, it's hardly noticable. Amazing. I'm very happy to say the least."- D.K. / Google / Jan 14, 2018
"I researched my surgery and doctors for years. Once I consulted with Dr Suzman, I made my decision the same day to move ahead with the procedure. Dr Suzman and his team are incredibly amazing. They are expert and informative and professional, with a sensitivity and understanding to the patient’s needs. I am thrilled with the life changing results!"- Anonymous / Healthgrades / Oct 16, 2017
The are many surgical techniques that can be used in FTM top surgery and the plastic surgeon will typically choose based on the starting size of the chest and patient’s skin elasticity. All techniques preserve the patient’s natural nipple and areola, but the placement is usually changed to fit the new contour. Common subcutaneous mastectomy techniques include:
- Buttonhole Technique
- Double Incision
- Inverted T/T-Anchor
- Minimal Scar
FTM top surgery is generally performed as an outpatient procedure with the patient under general anesthesia at an accredited surgical facility. After the surgery, the patient will be put in a compression vest that they should wear for at least 3 – 4 weeks to minimize bruising and swelling. Dr. Suzman will go over any specific recovery instructions and schedule follow-up appointments to check the patient’s healing. We will also offer information on scar care management to help minimize the appearance of surgical scars.
Plan Your Procedure
FTM Top Surgery FAQs
Other Body Surgeries?
To fully transform from a female body to a male, body contouring surgeries like liposuction can help to make the body more masculine. One of the most popular FTM body contouring surgeries removes fat from the hips, thighs, and buttocks since the male lower body is typically more narrow than the female.
HRT Therapy Before?
While patients are not required to be on hormone replacement therapy (HRT) before their FTM top surgery, it can give better results. The testosterone can help develop the patient’s pectoral muscles, which will create a more natural contour.
Breast Cancer Risk?
There is no clear answer on whether or not FTM top surgery reduces or eliminates the risk of breast cancer. While less breast tissue means a lower chance of cancer cells in the breast tissue, the higher levels of estrogen from hormone replacement therapy (HRT) typically increases the risk of breast cancer. Patients should continue to perform regular self-breast examinations and have their doctor perform a chest exam annually to check for abnormalities.