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.
"What an amazing doctor. I had a breast lift done- not only was he an incredible surgeon, but his post-operative care has been amazing. Always responsive, concerned about my well-being, and just a great doctor and person. His staff is also fantastic."- J. / Healthgrades / Oct 14, 2017
"30, Rhinoplasty for Bump on Nose - Amazing, amazing doctor. Has excellent bedside manner. Very reassuring and calm. Excellent staff as well."- G. / RealSelf / Sep 10, 2017
"Without a doubt, I would personally recommend Dr Suzman to those I love and I have personally been fortunate enough to have procedures performed by him and returning to him again. He is so humble, very knowledgeable and truly gifted as a surgeon."- J. / Healthgrades / Jul 28, 2017
"Dr. Michael Suzman did an "awesome" job which exceeded my expectations, something I believe he has a reputation of doing with his patients. His presence speaks volumes, you know you are in the presence of a surgeon that has character, highly experienced, professional, safe, caring and understanding. Dr. Michael Suzman walks in the spirit of excellency and has a passion to help, give and do his very best. He truly is and outstanding and exceptional surgeon that has a warm and pleasant disposition so you feel very comfortable interacting with him. I highly and wholeheartedly recommend Dr.Michael Suzman and wonderful staff at WESTMED!"- E.B. / Yelp / May 17, 2017
"Dr Suzman is an excellent surgeon. I've had rhinoplasty with septoplasty and upper blepharoplasty performed by him. Both procedures had an excellent outcome with minimal discomfort and aesthetically, both were very pleasing and natural looking. I needed no pain medication afterwards in the days that followed in recovery. Without a single hesitation, I recommend Dr Suzman and his team 100%. He is so humble , precise, knowledgeable and excellent in the procedures that he performs. Thank you, Dr Suzman, JH."- O. / Google / Jul 17, 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.