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Male to Female @ Kamol Hospital - Thailand Cosmetic & Plastic Surgery


MTF Breast Augmentation



MTF Breast / Feminine Breast Augmentation

in Bangkok, Thailand

 

          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 take female hormone ( Estrogen)  at least one year for stimulating breast mass, fat, and tissue to enlarge the breast.  Hormone therapy cannot make breast enhancement as much as we need. MTF breast augmentation is essential to create a feminine body. 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. You will have a beautiful and natural breast.        

Shows the positioning and  size of a nipple in male and female

Picture 1. Shows the positioning and  size of a nipple in male and female

 

          A unique technique and high experience of the surgeon will make the balance of the breast both side, the nipple and areolar will be adjusted to balance with the shape, size, and shoulder completely 

Shows the  incisions of breast augmentation

Picture  2. Shows the  incisions of breast augmentation

 

We provide the breast augmentation incisions to 3 options are possible;

  1. Periareolar incision, around the nipple
  2. Transaxillary incision, in the armpit
  3. Inframammary  incision, done in the crease under the breast

          The choice of incisions depends on several factors, including how much enlargement, patient’s anatomy, the type of implant, and the requirement of surgeon and patient.

 

The positioning of breast implants

  1. The implant is under breast mass
  2. The implant is under chest wall muscle
  3. The implant is Dual Plane, a combination of breast mass and muscle

Shows the positioning of breast implants.

Picture 3. Shows the positioning of breast implants.

 

A Good Candidate for MTF Breast Augmentation

  • Transgender women
  • Take hormone at least one year before surgery
  • Healthy
  • Realistic expectation
  • The age is over 18 years old

 

Preparation for MTF Breast Augmentation

  • Consult with the surgeon to choose the most suitable option and ensure you are the right candidate and how can to achieve the goal
  • Undergo physical examination to ensure no health condition may affect the surgery
  • Wash your hair before surgery with germicidal shampoo to prevent infection. Don’t use any chemical spray
  • Stop some medicines that interfere with blood clotting, such as aspirin, Ibuprofen, some kinds of vitamin and herbs at least two weeks before surgery

 

Procedure for MTF Breast Augmentation

  1. The method provides under general anesthesia
  2. Open the wound according to the selected position.The surgeon makes the pocket to insert the implant, 95% under muscle or breast mass. Adjust the shape to balance and then closing the incision with layered sutures, skin stitches.

The operation time is around 1-2 hours.

 

Postoperative Care for MTF Breast Augmentation

  • Keep clean every day, avoid the wound wet a few days after surgery.
  • Take stitches off seven days after surgery.
  • Follow up and meet the doctor every appointment.
  • Have to do breast massage every day at least three months to prevent capsular contracture and make a beautiful shape at least 1 hour a day
  • Use compression garment at least 1-2 months to compress the implant
  • Don't  carry or lift  belonging over 2-3 kg at least two months to prevent the implant move up

 

Risk and complications for MTF Breast Augmentation

After surgery risk and complexity are possible as follows;

  • Swelling
  • Bruising
  • Hematoma
  • Bleeding
  • Infection
  • Poor healing
  • Asymmetry
  • Painful
  • Scarring may be thick, red and sore, sometimes requires future surgery
  • Decreased or Lost Sensation in breast, the nipple, or both may change temporarily
  • Capsular contracture, refers to a hardening around the implant, which can cause pain and distort the shape of the implant.
  • Implant Failure
  • Risk from anesthesia

 

Recovery

           After breast implant, you will feel pain around the chest for a few days, take a strong painkiller. You will feel uncomfortable with pain and movement for a few days. It will be better after a week.  Exercise can start after surgery for two months. The  breast massage is essential to prevent capsular contracture, and make natural movement


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