Masculinizing Chest Surgery
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Dr Prashant Yadav the Director of the clinic and the Chief Operating Surgeon is a renowned and reputed cosmetic surgeon of International class with practical, authentic and extensive experience and proficiency in this thrilling field.
Masculinizing Chest Surgery (Top Surgery): Surgical Options
Top surgery is a procedure to change the contour and appearance of your chest so that it more closely matches your gender identity. In many cases, this means creating a more masculine-appearing chest.
People who desire top surgery are not required to identify as male or transgender. Some people with nonbinary gender identities choose to have top surgery.
We follow the World Professional Association for Transgender Health (WPATH) guidelines for surgery.
During surgery your surgeon will
- Remove skin, as well as glandular and fatty tissue, and adjust the shape of the chest.
- Reduce the size of the dark area around the nipple (areola) to a size that is more typical for people assigned as male at birth.
How your surgeon performs surgery will depend on your chest size, age, skin elasticity, and surgical goals.
Deciding to Have Surgery
There are many things to consider when thinking about top surgery. Your surgeon will talk to you about
- Which surgery options are available and recommended for you.
- Timing of surgery.
- How long it will take you to recover. Most people will be away from work for about 2 to 4 weeks.
- Goals and expectations about your surgical outcome and how your chest will look and feel.
In California, you do not need surgery to change your gender marker legally on identification documents.
Reasons people have top surgery
- Increase physical and emotional comfort.
- Reduce distress related to the body.
- Feel more affirmed in their gender.
- Feel a greater sense of ease and safety in public spaces.
- Increase sexual function or fulfillment.
Physical and Mental Health
Most people who wish to can have top surgery. However, surgery may not be safe if you have certain health conditions. We will work with you to stabilize any health conditions that would put you at higher risk for complications during surgery. Some examples of health conditions that need to be monitored and stabilized before surgery include
- Obesity (BMI greater than 30)
- Nicotine use, including cigarette smoking, nicotine patches, and e-cigarettes (vaping)
- Diabetes
- High blood pressure
Together, you and your surgeon will determine the best surgical approach for you based on your
- Medical history and overall health
- Age
- Body type
- Surgical goals
Types of Top Surgery
There are several ways to achieve a more masculine-appearing chest. Your surgeon will discuss the best options for you. The type of surgery will typically depend on the amount of chest tissue that needs to be removed and your surgical goals.
Periareolar (keyhole) surgery
Periareolar (keyhole) surgery is an option if you have a small to moderate chest size (A to small B cup). We will
- Make an incision under the areola, leaving the nipple attached to a small section of tissue.
- Remove the skin, and glandular and fatty tissue with liposuction or excision.
- Trim the dark area around the nipple (areola) to a smaller size.
- Trim excess chest skin and then reattach the remaining skin to the areola.
Circumareolar surgery
Circumareolar surgery is an option if you have a moderate chest size (B cup). We will
- Make an incision all the way around the areola, leaving the nipple attached to a small section of tissue.
- Remove the skin, and glandular and fatty tissue with liposuction or excision.
- Trim the dark area around the nipple (areola) to a smaller size.
- Trim excess chest skin and then reattach the remaining skin to the areola.
Double incision mastectomy
Double incision mastectomy is often the best option for medium to large chests. We will
- Make 2 incisions – one above and one below the pectoral muscle.
- Remove the skin, and glandular and fatty tissue.
- Use liposuction to remove extra fat and shape the chest. This is not always necessary.
- Remove the nipples. Sometimes your surgeon will leave the nipple attached to a small section of tissue to preserve nipple sensation.
- Trim the areola to a smaller size.
- Reattach the nipples with stitches.
- Close larger incisions and put in drains if needed.
Risks
There are risks with any surgery. Top surgery has specific risks. They include
- Bleeding
- Infection
- Hematoma (blood clots)
- Seroma (fluid collection)
- Delayed wound healing
- Loss of sensation in certain areas
- Problems with anesthesia
- Possible need for surgical revisions
There may also be some scarring. Scars usually fade over time. You can help reduce them them by following the discharge instructions provided by your surgeon. Some people develop thick red scars (keloids) that are permanent.
Even people in the best physical health who follow all instructions can develop complications. Your surgical team will work closely with you if a complication develops and provide you with the appropriate aftercare and follow-up.
FTM Top Surgery Procedures
Types of Subcutaneous Mastectomy for Trans Men
Double Incision Top Surgery
The best choice for medium and larger chested trans men. Horizontal incisions along the bottom contour of the chest muscles are made, and the nipple and areola are removed, then resized and grafted back on. Sensation in the nipple and areola is usually compromised, if not completely numbed.
Peri-Areolar Top Surgery
A very good option for trans men with A to B-sized chests and good skin elasticity. Concentric incisions are made around the areola, and breast tissue is removed. The skin is brought together like a drawstring purse and connected to the outer edge of the downsized areola, similar to a drawstring purse. which may be downsized. The nipple stalk is usually left intact which helps retain sensation.
Our Branches
We are firm believer of transparency. With us you get what you see
Dezire Clinic Ahmedabad
Kailash Soceity, Ashram Road, Opposite Bata Showroom;b/H H K House, Ahmedabad, Gujarat 380009
Dezire Clinic Bangalore
A56, 1st Floor, Koramangala Industrial Layout, 5th Block, Jyoti Nivas College Road, Bengaluru – 560 095, Karnataka
Dezire Clinic Delhi
3, Block C 6, Safdarjung Development Area, Hauz Khas, New Delhi 110016
Dezire Clinic Pune
Office. No. 202, 2nd Floor-Swastik Chambers, Above ICICI Bank, Erandwane, Pune, Maharashtra 411004
Dezire Clinic Gurgaon
1405, Sector 46, Huda Colony, Gurugram, Haryana, India– 122002
Dezire Clinic Surat
M/7, dental plus, Jolley square, Ram chawk, Ghod dod road, Near st Xaviers school, Surat 395001
Success Stories
We are firm believer of transparency. With us you get what you see
I was feeling gender dysphoria for years and finally decided to
undergo FTM top surgery. The doctor and staff were very
supportive and I felt genuinely happy after my surgery.
JYOTI DUBEY 
I wanted to remove the mole near my nose for a very long time but was not able to decide how to do it. After consulting Dr.
Prashant all my doubts got cleared. I am happy with the results.
KAPIL DHAR MISHRA 
The size of my lips was my biggest insecurity. I decided to get the
size of my lips reduced from dezire clinic and I am satisfied with
the outcomes. The whole experience was nice and they
explained me the procedure in advanced.
LUCKY 
I was not able to lose weight due to various medical conditions
but after my liposuction I am feeling so much better. I would
highly recommend dezire clinic for their expertise and level of
professionalism.
MADHU 
My cyst was causing me some pain and it did not look good so I
decided to remove it surgically. The procedure was easy and it
took very less time. Thank you dezire clinic.
MAMTA 
I was so tired of the extra bulge around my underarms. It was so
difficult to wear my favorite clothes. My surgery helped me to
get my confidence back. I am really thankful to Dr. Prashant.
MITA DAS 
My Gynecomastia surgery was done in Dezire clinic safdarjung
Delhi and i am very happy with the outcomes and I am very
thankful to Dr Prashant Yadav and his team they all are very
supportive. Now I can easily wear my favorite clothes.
PRABHGUN SINGH VOHAR 
I underwent fat transfer procedure for my hands. I thought it
will be a bit painful but the process was painless and staff was
very cooperative. I am happy with my results.
RASHMI PURI 
I got my several lipoma removed from the arm and it was an
easy and painless procedure. I was feeling a bit nervous before
the procedure but when the surgery started, I did not feel
anything.
SURINDER SINGH 
I recommend the dezire clinic for hair transplantation. I visited
many clinics before but this one is the best one. Doctor is very
gentle, highly experienced, staff is also very cooperative,experienced also. So if someone is suffering from hair loss or
androgenic alopecia visit the clinic. Thanks Dr. Prashant Sir & Dezire Clinic
Aamir malik 
The doctors and the clinic deserve true recommendation for their services and treatment. The doctors are highly experienced and the staff is very supportive and caring. I felt just like my home at the clinic. The clinic is best for any sort of hair treatment. *Disclaimer - Results may vary from person to personÂ
Ravi Tiwari 
Laser Hair removal definitely changed me as a person. It is phenomenal. I haven’t bought razors - which are so expensive now - for years, because I never shave, never. *Disclaimer - Results may vary from person to person.
Madhu Shah 
I don’t know how to express my thanks for the excellent job Dr. Prashant has performed on my gynecomastia surgery. I am not ashamed to take off his shirt now, and going to swimming. My self-esteem has risen dramatically. *Disclaimer - Results may vary from person to person.
Manish Uphadhaya 
I had Vaser Hi Def 4D liposuction with Dr Prashant Yadav 3 months ago. Best decision I ever made. Great success with the procedure and I felt cared for and everyone had my best interest at heart. Could not be happier!!! Everyone at the Institute is great!!!*. *Disclaimer - Results may vary from person to person
Shabbir Shaikh 
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