When comparing the male and female anatomies, one of the most obvious differences is the feminine breasts versus the masculine chest. Sometimes called chest contouring, female to male (FTM) top surgery is a mastectomy procedure that removes breast tissue and contours the chest and areola for a more masculine look. Patients that have large breasts or poor skin elasticity may also need a skin removal or tightening procedure so that the chest is firm and taut after healing. Sometimes, patients will ask for a reduced nipple size, which can be completed during this procedure while the nipple-areola complex (NAC) is being positioned. Pectoral implants can be added for patients that wish to have a muscular, toned chest appearance. Our New Orleans plastic surgeons are experienced in performing highly customized FTM top surgeries so that each patient's individual aesthetic goals are achieved. Contact Jansen Plastic Surgery in New Orleans, LA to schedule a consultation with a member of our team to learn how we can help you with your transition.
In order to provide a dynamic final result, our skilled surgeons will use their best judgment when choosing which surgical technique to use during your surgery. Some factors that will help them make this decision include your chest size, your skin elasticity, and your ultimate goal. Your natural nipple and areolas will be preserved and reused but are typically moved to match your new contours. Incisions will all be carefully created to minimize potential scarring. Some of the techniques used by our surgeons include:
- Inverted T
- Buttonhole Technique
- Double Incision
Your surgery will be performed as an outpatient procedure under general anesthesia. FTM surgery is highly customized to the needs of each individual patient. Your surgeon will discuss the surgical technique to be used and what to expect during and after surgery before placing you under anesthesia, including information on scar management. Following the completion of your procedure, our team will help you into a compression vest that will need to be worn for up to a month. This will help to minimize swelling and bruising. A member of our team will provide you with detailed aftercare instructions and schedule your follow-up visits. You are encouraged to attend each follow-up visit so that your surgeon can monitor the progress of your healing.
"Dr. Tandon's skill rebuilt my body after my cancer surgery, but his caring and compassionate (and humorous) attitude kept my outlook on life on track. I have never been a negative person, but cancer can make you question so much. Dr. Tandon never let me doubt that i could make it through. I would recommend him to everyone who is facing my situation, or who wants a physician who really cares about the total you. Thank you, Dr. Tandon, for everything!"- A.T. / Google / Nov 01, 2018
"When you are diagnosed with breast cancer, you have a lot of decisions to make. Lumpectomy? Mastectomy? Reconstruction? Immediate or delayed? Implants? Silicone or Saline? Using my own tissue? It can be very overwhelming! Dr. Tandon is patient, compassionate, knowledgeable and most importantly, extremely skilled in performing a variety of reconstruction procedures.Being a nurse with past experience in caring for patients with breast cancer was somewhat advantageous in sorting out my treatment and reconstruction options. I am also uniquely aware that surgical skill varies among surgeons. After diligent research, and my consultation with Dr. Tandon, I felt completely at ease with my decisions and confident that I had chosen the right team to provide me with the best breast reconstruction possible. The type of reconstruction we ultimately chose required an incredible amount of specialized surgical skill. I underwent bilateral skin and nipple sparing mastectomies with DIEP flap reconstruction and I could not be more pleased with my cosmetic results. Dr. Tandon is that rare combination of highly skilled surgeon combined with a kind compassionate bedside manner. I am forever grateful!"- M.E. / Google / Apr 30, 2019
"Dr. Guste is truly an AMAZING doctor. He listen and helped me make the right decision for my breast reconstruction surgery. He is a very skilled surgeon I would recommend him hands down. His attention to my needs as a patient was overall the best! He explained the procedure an helped me make the right choice. He was willing to take as much time as I needed."- A. / Healthgrades / Apr 19, 2019
"I can't recommend Dr. Jansen enough!!! The experience start to finish was fabulous. Dr. Jansen was very clear with expectations vs reality. He was very forthcoming in the procedure he would be conducting and the fact he would only conduct what he was comfortable with. It was nice to have a Dr who is so honest with his patients."- A. / Healthgrades / Apr 18, 2019
"i cannot say enough I had hesitated on several occasions to have the surgery due to my age. When I met with Dr. Guste my fears were diminished. His professionalism and personable manner won me over. The surgery was very successful with zero pain. I cannot believe the transformation. I would recommend Dr. Guste to anyone."- P.D. / Healthgrades / Apr 15, 2019
Plan Your Procedure
Frequently Asked Questions
FTM Surgery Cost?
As these surgeries are highly customized, prices vary from one patient to the next. During your consultation with one of our New Orleans surgeons, a detailed treatment plan will be created and we will be better able to discuss costs and payment options.
Other Body Surgeries?
Certain body contouring procedures, such as liposuction, can help complete your transformation from the female to the male body. If you are interested in complementary procedures to further your transition, our surgeons can help you plan for these procedures during your FTM top surgery consultation.
Avoiding Dog Ears?
“Dog ears” are described as the excess skin and fat that can sometimes be created during FTM top surgery. This can often be avoided by incorporating extra liposuction during your surgery. The areas that may require extra attention include the armpits and the sides of the chest. After surgery, patients should maintain a healthy and stable weight to avoid developing dog ears.
Breast Cancer Risk?
While having less breast tissue technically lowers your risk of developing breast cancer, there is no clear answer on whether FTM can eliminate the risk altogether. High levels of estrogen from hormone replacement therapy can increase the risk of breast cancer in certain individuals. Patients should continue to perform self-exams regularly and have their doctor perform a chest exam once yearly to detect any areas of concern.