Top Surgery: Female to Male Mastectomy

Top Surgery: Female to Male Mastectomy

In female-to-male breast augmentation surgery, the plastic surgeon removes breast tissue and a portion of the skin to create a flat and masculine chest. Following this, the surgeon adjusts the size and position of the nipples and areolas to achieve a natural and aesthetically pleasing external appearance while making the best effort to preserve sensory nerves and minimize scarring. The size and laxity of the breast tissue are crucial factors in selecting the surgical technique. In cases where the breasts are significantly large, the removal of breast tissue and skin results in a flat chest. Resizing and repositioning the nipples and areolas to resemble a male chest are essential steps. Achieving balance and preserving sensation in the nipples and areolas may be challenging due to the redistribution of tissue and nerves during the procedure.

Preparation for Top Surgery (Female to Male Mastectomy)

1. Consultation with a mental health professional and a preoperative health assessment are essential steps.
2. Discontinue medications such as aspirin, anti-inflammatory drugs, or herbal supplements that may cause abnormal bleeding for a minimum of 2 weeks.
3. Stop smoking for at least 2 weeks to prevent inadequate blood supply to the nipple-areolar complex, which can lead to tissue necrosis due to compromised blood circulation.
4. Consultation with the plastic surgeon before the surgery is crucial. This involves assessing the size and elasticity of the chest, as well as the flexibility of the skin. Additionally, an examination of the nipple and areolar size is conducted to determine the most suitable surgical technique.

Steps for Top Surgery Procedure

1. Administration of anesthesia to induce sedation.
2. Incision at the predetermined location to access and remove breast tissue, creating a flat and masculine chest contour.
3. Excision of excess skin to achieve a flat and male-contoured chest.
4. Adjustment of nipple position, along with resizing and reshaping of the nipples and areolas to meet the desired outcome. 

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