Cases in BREAST

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BREAST

April 15, 2020

What are the steps of a breast reduction procedure? Breast reduction surgery is usually performed through incisions on your breasts with surgical removal of the excess fat, glandular tissue and skin. In some cases, excess fat may be removed through liposuction in conjunction with the excision techniques described below. If breast size is largely due […]

BREAST

Female to Male double incision top surgery for gender confirmation. Double Incision: In those patients with a large amount of breast tissue with excessive skin of poor quality and droop, it is usually recommend to remove the excess skin and breast tissue in the crease of the pectoralis muscles (elliptical or double incision mastectomy) and […]

BREAST

Female to Male double incision top surgery for gender confirmation. Di and nipple grafting with good scar and nipple placement. The patient is 9 months out from his top surgery.   Double Incision: In those patients with a large amount of breast tissue with excessive skin of poor quality and droop, it is usually recommend […]

BREAST

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 […]

BREAST

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 […]

BREAST

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 […]

BREAST

Gender confirmation peri areolar top surgery before and after photos. Note that the patient has a very good response to testosterone and exercise and has developed impressive musculature. 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 […]

BREAST

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 […]

BREAST

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 […]

BREAST

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 […]