Revision Considerations for FtM Top Surgery Done Elsewhere: What to Expect

FtM top surgery can be life-changing, but not every patient achieves the result they envisioned the first time. Some experience concerns like asymmetry, visible scarring, or loss of nipple sensation. Understanding what revision surgery can accomplish helps you make informed decisions about your next steps.

At Cleveland Plastic Surgery in Beachwood, OH, Dr. Daniel A. Medalie is a board-certified plastic and reconstructive surgeon with over two decades of experience in advanced cosmetic treatments, including gender-affirming procedures. A Harvard and Cornell graduate, Dr. Medalie combines advanced surgical precision with an artist’s eye for symmetry. His unique background in photography sharpens his ability to create results that align with each patient’s goals.

When to Consider FtM Top Surgery Revision

While many patients are pleased with their first procedure, some may choose revision surgery to refine their results. Common reasons include asymmetry, scarring, or tissue irregularities that affect confidence and comfort. Typical concerns that revision surgery can address include:

• Chest contour irregularities: Uneven or bulky tissue around the chest may require liposuction or excision for smoother results.
• Asymmetrical nipple grafts: Adjustments can restore balance and improve aesthetic alignment.
• Visible or raised scars: Surgical scar revision techniques can reduce their appearance and improve skin texture.
• Loss of definition: Some patients seek additional contouring to refine the chest line or enhance muscle definition.

Each revision procedure is customized to your unique anatomy and prior surgical outcomes. During consultation, Dr. Medalie reviews your goals, evaluates tissue quality, and explains your surgical options in detail.

Correcting Asymmetry After Top Surgery

Asymmetry is one of the most common reasons patients pursue revision surgery. Even with experienced surgeons, differences in muscle mass or skin elasticity can affect healing. Revision procedures may include:

• Liposuction for refinement: Removes excess tissue for a balanced chest shape.
• Skin tightening: Addresses sagging or looseness, especially after significant weight change.
• Nipple graft repositioning: Realigns the nipples for a natural, masculine appearance.

These refinements help create a more symmetrical and confident appearance while preserving prior surgical improvements. 

When to Schedule Revision Surgery

Timing is key to safe and successful revision results. Most surgeons recommend waiting at least 6 to 12 months after your initial surgery before considering a revision. This allows scars to mature and tissues to settle fully. During your consultation, Dr. Medalie evaluates healing progress, discusses your aesthetic goals, and develops a personalized surgical plan.

Patients traveling from outside Ohio can coordinate virtual consultations and pre-surgical planning with Dr. Medalie’s patient care manager. This approach helps streamline the process and ensures continuity of care from consultation to recovery.

Begin Your Revision Journey with an Experienced Surgeon

If your first FtM top surgery did not deliver the outcome you wanted, expert revision care can help restore confidence. Contact Cleveland Plastic Surgery in Beachwood, OH, at (216) 393-9924 to schedule a consultation with Dr. Daniel A. Medalie. Discover how his artistic precision and experience in FtM top surgery revision can help you reach your goals.