Breast augmentation is a surgical basic of a plastic surgeon. But the breast augmentation in transgender is more complicated than biologic women.
Because of the difference in the male chest structure is masculine. The anatomy can see only the ribs and muscles. The size of the nipples and the areolar is smaller. Male nipple positioning does not locate in the middle of the chest; it is on the side, 1/3 of the haft of thorax width.
The preparation of the feminine breast augmentation needs to female hormone ( Estrogen) intake at least one year for stimulating breast mass, fat, and tissue to enlarge the breast. Hormone therapy alone cannot make breast enhancement as much as we need. MTF breast augmentation is essential to create a feminine body. Exceptional expertise of surgeon is needed to successfully place implants in the chest of a man whose muscle is much stronger than that of a biologic woman. Positioning of the implants can also be challenging as men have broader shoulder and their nipples are naturally positioned further to the side of their bodies.
Pictures shown the different of size and position of nipples/ areolas of male and female bodies
The expertise plastic surgeon can perform the breast implant from the masculine chest to be a balance of the shoulder, nipple position, and implant size and silicone types (High Profile, Medium Profile Implants). You will then have a beautiful and natural looking breast in perfect proportion to your body.