Cases in FtM Top Surgery

Click Images below for a more detailed view. Individual results may vary.

FtM Top Surgery

April 14, 2020

Gender Confirmation top surgery via a double incision with nipple grafting. This series demonstrates the evolution of scarring over time. The middle image set shows the early results of the top surgery and the last picture set shows the medium and late results. It is clear that the final results show excellent placement of the […]

FtM Top Surgery

Gender Confirmation top surgery via a peri-areolar approach. The patient also had simultaneous nipple reduction. I do not always do this as it negatively impacts the blood supply of the nipples, but in this case he had a simultaneous procedure with good outcome. PERI: In general, patients who have smaller breasts can have the entire surgery […]

FtM Top Surgery

Gender Confirmation top surgery via a peri-areolar approach before and after photos. The after photos is only at 4 weeks post-op so the scars are still visible. Even at this early date it is apparent that when everything is healed, the result will be excellent with minimal scarring.   PERI: In general, patients who have smaller […]

FtM Top Surgery

April 3, 2020

Female to Male double incision mastectomy with nipple grafts for gender confirmation. The scar placement lies perfectly in the shadow of the pectoralis major muscle of the chest and the nipples show good size and symmetry Double Incision: In those patients with a large amount of breast tissue with excessive skin of poor quality and […]

FtM Top Surgery

April 14, 2020

FtM double incision top surgery with nipple grafting before and after photos. This patient has also had a good response to testosterone and shows good male pattern hair growth and improved musculature.   Double Incision: In those patients with a large amount of breast tissue with excessive skin of poor quality and droop, it is […]

FtM Top Surgery

April 3, 2020

Female to Male peri-areolar top surgery for gender confirmation. This patient underwent a full purse-string circum-areolar incision with sub-cutaneous mastectomy, and is shown 1 year later with good chest contour and areolar size. PERI: In general, patients who have smaller breasts can have the entire surgery performed by having a small incision at the outer edge […]

FtM Top Surgery

FtM peri-areolar top surgery. These pictures were provided by the patient and demonstrate good post-operative contour.   PERI: In general, patients who have smaller breasts can have the entire surgery performed by having a small incision at the outer edge of the areola from 12:00 to 6:00 o’clock. A lighted retractor and surgical scissors are used […]

FtM Top Surgery

Gender confirmation peri-areolar top surgery. These are pictures provided by the FtM patient. The surgery was a complete peri with purse-string closure.He is shown several years post-op and has obviously been working out a great deal! He shows excellent chest contour with good nipple and areolar size and placement.   PERI: In general, patients who have […]

FtM Top Surgery

Female to Male peri-areolar top surgery for gender confirmation. This procedure was a keyhole type surgery with only a partial incision at the outer edge of the areola. There is excellent post-op chest contour with minimal scar visibility.   PERI: In general, patients who have smaller breasts can have the entire surgery performed by having a […]

FtM Top Surgery

FtM peri-areolar mastectomy for gender confirmation. The top surgery type was keyhole with only a partial incision at the outer edge of the areola on each side. There is excellent chest contour with minimal scar visibility.   PERI: In general, patients who have smaller breasts can have the entire surgery performed by having a small incision […]