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.
"Great care and very pleased with the natural results of my facelift and eye surgery. Thank you to Dr. Suzman and his team for taking such good care of me and for making me feel so comfortable!"- M.S. / Google / Oct 16, 2020
"He did my nose job and it came out very well! I liked how during my consultation he used photoshop to show me what my nose would look like after. It looks natural and pretty"- F.J. / Yelp / Jun 16, 2020
"I would highly recommend Dr. Suzman and his staff to anyone looking to undergo a rhinoplasty procedure. Each step of the way, from our first zoom consultation to our in-person appointments and surgery, he made me feel extremely comfortable and confident in my decision to choose him as my surgeon. It has only been about a week since my surgery, and I am already thrilled with the results."- M. / Healthgrades / Jul 22, 2020
"Dr. Suzman is very patient, kind and friendly. He is very confident in his work and I got great results."- L.L. / Google / Jul 14, 2020
"Dr. Suzman is the Best - I am so very happy with my result (both cosmetically and medically with my breathing) - Dr Suzman and his staff are the best of the best. They worked their hardest to ensure that I would be able to schedule my surgery even with all of the limitations that the Covid pandemic presented us and the medical practice. He made sure that as soon as we could safely have my surgery, that we did. He constantly put me at ease and was highly professional, while also just being a very pleasant and kind person to be around. It was clear from the get go who he is as a doctor and surgeon, someone who is highly trained and skilled at his craft, but also someone who clearly loves what he does- and wants to perform surgeries to help his patients as often as he physically can. Something that always stands out to me is that he prides himself on creating an authentic and natural looking result, rather than “looking like you got surgery”, which is all a patient could hope for. And: that was achieved for me. Although nothing can ever be perfect, he got pretty damn close to it for me! I am so very happy with my result (both cosmetically and medically with my breathing), and it has been less than a month since my surgery! It will only get better from here, and I have Dr Suzman and his staff to thank for that. Couldn’t recommend him highly enough."- J. / RealSelf / Jul 08, 2020
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.