Mastectomy / FMT Periareolar Top Surgery in Bangkok Thailand
Female to Male Mastectomy (Top Surgery) in Bangkok, Thailand
A mastectomy is where a surgeon removes tissue from one or both breasts. The purpose of a mastectomy is usually to remove or prevent the spread or development of breast cancer. Some people with breast cancer genes elect to have a preventive mastectomy to avoid the risk of cancer.
Sometimes, people choose to have a mastectomy for other reasons. Transgender men transitioning from female to male very often remove the breasts through a mastectomy as part of their transition to create a more male appearance.
The plastic surgeon performing top surgery, or female-to-male mastectomy, should achieve more than just a flat chest. Ideally, the result should be fully sensate and have minimal scarring. The procedure consists of removing most of the breast tissue and excess skin. The sparing of the nipple and areola is sufficient if the nipple-areolar complex is appropriately sized and shaped. Still, the reduction and repositioning of the nipple-areolar complex are often required to approximate male nipples.
Top Surgery / Mastectomy Techniques
Kamol Cosmetic Hospital offers three techniques, but the choice of procedures must be appropriately selected for the patient’s breast size and skin quality as follows;
1. A periareolar (or U-shape scar) technique, the incision is periareolar or U-shape scar. This technique is available for a small breast with good skin elasticity; it may remove breast mass with a minimal incision scar, as in Picture 1
Picture 1. Shows U-shaped scar for small breasts.
2. A concentric incision or O-shape scar technique is available for moderately sized breasts (B cup) with good skin elasticity. Breast mass is removed through a concentric incision, which gathers skin and leaves a scar entirely around the areola (or O-shape scar).
Picture 2. Shows a concentric incision or O- shaped scar.
3. Double incision top surgery with nipple graft technique or Mastectomy by free nipple graft; this procedure is available for large or pendulous breasts to require a full mastectomy, which includes removal of the nipple, with free grafting of the nipple to the appropriate new location. This technique will impact nipple sensation significantly but may be the only option for large or inelastic breasts.
Picture 3. Shows double incision top surgery with nipple graft
Inelastic skin (often due to years of breast binding) can adversely affect the outcome and will influence (and limit) the surgeon's choice of technique.
A Good Candidate for Mastectomy (Top surgery)
Trans men
Healthy
Realistic expectation
Age is over 18 years old.
Preparation for Mastectomy (Top surgery)
Consult with the surgeon to choose the most suitable option, ensure you are the right candidate, and discuss how to achieve the goal.
Undergo physical examination to ensure no health condition may affect the surgery
Stop smoking at least two weeks before surgery
Stop some medicines that interfere with blood clotting, such as aspirin, Ibuprofen, and vitamins and herbs, at least two weeks before surgery.
Top surgery procedure
Step 1: The procedure performed under anesthesia
Step 2: Open the required incision at the marked site and remove the breast mass to flatten.
Step 3: Resect the excess skin and adjust the size and position of the nipple-areolar like the original male chest.
Step 4: Skin suture
Post-operative care for top surgery
Postoperative care in the hospital for 2-5 nights, depending on the techniques
Keep clean and dry every day
Take medicine for pain, infection
Follow up seven days, fourteen days after surgery, and every appointment.
Take stitches off seven days after surgery
Use compression garment to prevent swelling and adjust the chest shape 3-6 months
Risk and complications for FTM Mastectomy
After surgery, risk and complexity are possible as follows;
Bleeding is a risk of any operation, but the need for transfusion is rare. However, specialized surgeons are well concerned and will always keep control to stop bleeding during surgery.
Infections are infrequent complications.
Nipple necrosis. The blood supply of the nipple might be damaged with more limited operation and nipple necrosis. If the nipples are used as grafts, the nipple graft does not take well. These complications are exceedingly rare.
Loss of nipple sensation, numbness
Loss of nipple and areolar
Poor healing
Swelling after surgery
Painful will occur but can take a painkiller
The scars of the areola usually heal very well. As mentioned above, the scars below the breast will take longer to fade out and will widen. However, a raised or extensive scar is possible and might need further treatment. There may be residual tissue left, which appears as a contour deformity. This scar needs to be removed at a second stage.
Risk from anesthesia
Recovery from Top surgery
Recovery time depends on the person and the surgical technique. You can return to work after surgery for 2 weeks. After surgery, you will feel uncomfortable for a few days. The swelling will be better within 2-3 weeks. It will heal completely in 4-6 months. Be concerned with physical activity such as sports, lifting, and running.
Why Kamol Cosmetic Hospital is the preferred choice for Top Surgery?
A mastectomy for transgenders is a surgical procedure that removes breast tissue from the chest of a transgender individual. This procedure is often called "top surgery" and is typically performed on individuals who are transitioning from female to male (FTM).
The main goal of a mastectomy for transgenders is to help the individual feel more comfortable and confident in their body. Many transgenders who undergo this surgery report feeling a greater sense of self-acceptance and a decrease in gender dysphoria, a condition where an individual experiences discomfort or distress due to the gender assigned to them at birth.
Kamol Cosmetic Hospital is a popular choice for transgenders seeking mastectomy surgery due to its reputation for high-quality care and results. The hospital has a team of experienced surgeons who are skilled in performing this procedure and are committed to helping transgenders achieve their desired appearance.
In addition to its talented surgeons, Kamol Cosmetic Hospital also offers a range of supportive services to help transgenders through their transition journey. These services include counseling, support groups, and access to hormone therapy, all of which can be essential for the mental and emotional well-being of transgenders.
Overall, Kamol Cosmetic Hospital is a trusted and respected choice for transgenders seeking mastectomy surgery. Their commitment to high-quality care, experienced surgeons, and supportive services make them a top choice for transgenders looking to transition.
Frequently Asked Questions (FAQs)
A: Top surgery is a surgical procedure that removes breast tissue and creates a more masculine chest contour. It is a common procedure for trans men, transmasculine individuals, and some non-binary people as part of their gender transition.
A: At Kamol Cosmetic Hospital, our expert surgeons are experienced in a variety of top surgery techniques, including:
Double Incision with free nipple grafts: This technique is suitable for most patients and involves removing excess skin and breast tissue through two incisions. The nipples are then grafted back onto the chest.
Periareolar: This technique is ideal for patients with smaller chests and involves making an incision around the areola. Excess tissue is removed, and the nipple is repositioned.
Keyhole: This technique is suitable for patients with minimal excess skin and involves making a small incision below the nipple. This technique may be combined with liposuction.
Your surgeon will discuss the most suitable technique for you based on your individual anatomy, desired outcome, and medical history.
A: Choosing Kamol Cosmetic Hospital for your top surgery offers numerous noteworthy benefits:
Expertise: Our surgeons are highly skilled and experienced in performing, double incision, keyhole, and periareolar mastectomy with excellent results.
World-class facilities: Our hospital is equipped with the latest technology and adheres to the highest international safety and hygiene standards.
Comprehensive care: We provide personalized care and support throughout your surgical journey, from your initial consultation, through to your post-operative recovery.
Affordable cost: mastectomy at Kamol Cosmetic Hospital in Bangkok, Thailand is competitively priced, making it a more affordable option compared to many other countries.
Destination: Bangkok is a vibrant city with plenty to offer, making your surgical trip a memorable experience.
A: Generally, good candidates for top surgery:
Are physically healthy and at a stable weight.
Do not smoke or are willing to quit for a period before and after surgery.
Have realistic expectations about the outcome of the surgery.
Have a supportive network of friends and family.
We recommend scheduling a consultation with one of our surgeons to determine your suitability for the procedure.
A: During your consultation, you will have the opportunity to:
Discuss your goals and expectations for the surgery.
Have a thorough physical examination.
Review your medical history.
Discuss different surgical techniques and which one is right for you.
Ask any questions you may have about the procedure.
A: Your surgeon will provide you with detailed pre-operative instructions, which may include:
Quitting smoking.
Avoiding certain medications and supplements.
Fasting for a specified period before surgery.
Arranging for someone to drive you home after the procedure.
A: Recovery from mastectomy varies depending on the individual and the surgical technique used. Generally, you can expect:
To wear a compression garment for several weeks
To have some pain and discomfort, which can be managed with medication
To have limited mobility in your arms for a few days
To avoid strenuous activity and heavy lifting for several weeks
To attend follow-up appointments with your surgeon to monitor your healing
A: As with any surgical procedure, mastectomy carries some risks and potential complications, including:
Bleeding.
Infection.
Scarring.
Nerve damage.
Nipple graft failure.
Asymmetry.
Your surgeon will discuss these risks with you in detail and take the necessary steps to minimize them.
A: It takes time for the swelling to subside and the scars to mature fully. You can expect to see the initial results of your surgery within a few weeks, but the final results may take several months to a year to become fully apparent.
A: The overall cost can vary depending on the surgical technique used and a number of other individual factors.
A: While Thailand does not currently have legal recognition of gender identity, there are no specific legal requirements for undergoing gender-affirming surgery. However, it is encouraged to have a supportive mental health professional who can provide a letter of recommendation for your surgery.
A: At Kamol Cosmetic Hospital, we understand the importance of providing high-quality, compassionate care to trans and gender-diverse individuals. Our team is dedicated to helping you achieve your gender goals and live your most authentic life.
We are committed to:
Providing personalized care and support.
Using the latest surgical techniques and technology.
Maintaining the highest standards of safety and hygiene.
Creating a welcoming and inclusive environment for all patients.
A: You can book a consultation by contacting us through our website, via email, or by phone. Our friendly staff will be more than happy to assist you in scheduling an appointment and answering any questions you may have.
