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.
"Excellent surgeon - Dr Suzman did a superb job on my facelift. He also did fat transfer, chemical peel and Botox. I love the way I look in the mirror thanks to Dr Suzman. He has a terrific, caring personality - he is wonderful! No problem getting appointments, no wait time. Office staff is wonderful. I could not be more pleased."- Anonymous / Vitals / Jan 30, 2019
"Dr Suzman has the BEST bedside manner. I am so pleased with his work and the professionalism and kindness of his staff. I’m so grateful to Dr Suzman."- Anonymous / Healthgrades / Mar 05, 2020
"Dr. Suzman is so caring and so knowledgeable. I have seen him many times over the years for both cosmetic and medical reasons. He is a calming presence. If you want to see him for cosmetic reasons, he’s fantastic. You will NEVER look like you had filler or Botox. You will just look younger. If you are going for medical reasons, he is really the best. Very thoughtful in his approach."- C.A. / Google / Jan 24, 2020
"Dr. Suzman closed after my MOHS surgery. The surgery was front & center on my nose. I have to say -- Dr. Suzman & the staff at his office, as well as the Rye Ambulatory Center, made a painful and uncomfortable situation as pleasant as possible with his informative, calming & pleasant nature, as well as a super-delightful staff. Helen Reyes, his PA-C, who handled a lot of my post-op visits and fresh wound care, was superb. Highly recommend."- G.D. / Google / Oct 26, 2019
"Dr. Suzman closed after my MOHS surgery. The surgery was front & center on my nose. I have to say -- Dr. Suzman & the staff at his office, as well as the Rye Ambulatory Center, made a painful and uncomfortable situation as pleasant as possible with his informative, calming & pleasant nature, as well as a super-delightful staff. Helen Reyes, his PA-C, who handled a lot of my post-op visits and fresh wound care, was superb. Highly recommend."- G.D. / Facebook / Oct 22, 2019
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.