Your Options for Transfeminine Top Surgery

Beautiful Breasts Through Augmentation


What Is Transfeminine Top Surgery?

Transfeminine, or MTF (“Male to Female”), top surgery is a procedure that is performed to transform a masculine chest with the more naturally rounded silhouette of feminine breasts. This procedure is done via breast augmentation, which uses breast implants to create and enhance the new breast shape.

Each patient’s surgery is different from the next. Our board certified surgeon handles each as its own case in order to provide you with the most natural and the most true-to-you results.

Your Restore Medical Center surgeon will discuss various options for your top surgery with you, such as:

Implant Type (Saline vs. Silicone), Shape, & Size: Breast implants are constructed from a silicone outer shell and filled with either saline (saltwater) or cohesive silicone gel. Saline provides a bit more rounded results and some patients feel safer with the naturally occurring saline solution. Silicone implants are known for their anatomical shapes and more natural feel. The right choice for you will depend on your physique and desired look. Don’t worry! You will be able to test out both types of implants and their different shapes and sizes during your private consultation.

Incision Location: Incisions are most commonly made along the inframammary fold (the crease along the underside of the breast). However, your surgeon will go over additional options with you during your consultation and make recommendations for your surgery based on your body and desired outcome.

Implant Placement (Above or Below the Muscle): Where your implant is placed within the breast will depend on your unique situation. Our surgeon will make a recommendation based on your desired outcome and current physique.

We would love to speak about your transfeminine (MTF) top surgery options with you during a private one-on-one consultation at our Miami area practice. As advocates in the LGBTQ+ community, it is our passion to help each trans man or woman achieve their true selves through beautifully personalized results and board certified expertise. Please feel free to contact our office online, or call us at 305.865.2000.

The Transfeminine Top Surgery Procedure: What to Expect

Before Your Surgery

Our biggest priority at Restore Medical Center is you. We want to be sure that each and every one of our gender affirmation patients are able to get the surgeries they need to feel more like the person they are inside. However, we also want to be sure that each patient has all the information and details necessary to make a well-informed decision about surgery.

You will be able to ask any and all questions about transfeminine top surgery during your private one-on-one consultation. Our board certified surgeon is sensitive and understanding to your situation and will work closely with you to create the best plan for your unique situation.

In accordance with the WPATH Standards of Care, each of our patients is recommended to meet with two gender therapists to help ensure that surgery is an appropriate treatment for the patient’s dysphoria. Restore Medical will work with you to help facilitate these meetings so that you may get to surgery sooner than later if that will help alleviate your gender dysphoria.

In the weeks and days leading up to your procedure, our surgery team will provide you with detailed pre-surgical instructions. If at any time you have any questions regarding your surgery, please do not hesitate to call our office or your surgeon directly.

Transfeminine Top Surgery Procedure Steps
Anesthesia
Your surgery will be performed by a board certified anesthesiologist, under general anesthesia at our on-site AAAASF accredited surgery center. It’s important that you have a friend or a loved one with you to drive you to and from your appointment, as well as to provide care and assistance during your initial recovery. No overnight stay is typically required after surgery.

Surgery
The specific location of your top surgery incision will be based on your specific case, as well as what you discuss with your Restore Medical Center surgeon. Incisions are generally about an inch in length and are kept within the natural lines and contours of your body to minimize any future visible scarring.

Once incisions are made, your surgeon will create a pocket within each breast where the implants will be held in place. Your chosen implants are then inserted through the incision and placed into position. Incisions are then closed and the necessary dressings applied.

Note: In some cases, a tissue expander may be required in order to further stretch the skin to make room for your permanent implants. The expander will be placed at the time of your surgery, and expanded by your surgeon over additional quick sessions until the desired size has been reached.

Restore Medical Center

Transfeminine Top Surgery Aftercare

Getting Home. Because your surgery is performed under anesthesia, you will need a friend or loved one to drive you home and help care for you the first few nights.

Bandages & Compression Bra. Immediately following your surgery, surgical bandages and a compression bra will be placed around your chest. A follow up visit will be scheduled for the day after your surgery during which your surgeon will change your dressings. The compression bra will need to be worn 24 hours a day for the first couple weeks after surgery, and then just in the day time for another month after. However, despite your chest being covered, you will be able to notice your body’s new feminine curves peaking through.

Post-Surgical Effects. There will be some bruising and swelling of your breasts after surgery, however this will gradually fade as your body heals. Over time, incision lines will fade and flatten, eventually blending nicely with your body’s natural contours.

Common Questions:

  • How long will I require a loved one’s assistance? It’s important to have someone with you for at least the first few days. You don’t want to overwhelm yourself and you’ll need plenty of rest at this time.
  • When can I return to work? 5-7 days
  • When can I exercise and work out again? 6-8 weeks
  • When will I be able to resume having sex? 2-3 weeks
  • When can I expect my final results? 10-12 weeks

You will be provided with detailed post-operative instructions upon completion of your procedure. If at any time you should have any questions or concerns after surgery, please contact our practice immediately.

Possible Complications. As with any surgery, transfeminine top surgery has its risks – though they are quite low. Potential complications include the need for a revision surgery, capsular contracture (a hardening of the tissue surrounding an implant), implant defects such as rippling or rupture, breast pain, or a loss of sensation/sensitivity of the breasts and/or nipple areas.

Next Steps? We’d Love to Speak with You One-on-One

Our goal is for you to feel fully informed so you can make the best decision for you. Contact us for a virtual or in-person consultation and start the your life-changing conversation.

305.865.2000