MTF Breast Augmentation

Gender Affirming Breast / Transfeminine Breast Augmentation 

Breast Augmentation “Top Surgery”

Often referred to as “Top surgery,” breast augmentation is considered an important step in gender confirmation. The surgery may also offer some relief from dysphoria by creating a much more feminine appearance.

Gender-affirming breast augmentation is much different and significantly more complicated than breast augmentation provided by most doctors; anatomy, body size, and shape are pretty different, so an expert is needed. Our talented surgeons will make your dreams a reality with special training, the surgeon’s artistic touch, and our experience performing thousands of specialized surgeries.

Important considerations before gender-affirming breast augmentation surgery are: The patient should be on Hormone Replacement Therapy (HRT) for at least one year. It is exceptionally rare for Hormone Replacement Therapy alone to produce the breast size and shape generally desired for gender confirmation.

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

A unique technique and extensive surgeon experience will balance the breast on both sides. The nipple and areolar will be adjusted to completely balance the shape, size, and shoulder.

Picture  2. Shows the incisions of breast augmentation

There are 3 available locations for the incision:

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

The choice of incisions depends on several factors, including the amount of enlargement the patient wants, the patient’s anatomy, the type of implant they want, and the surgeon's requirements. We will always endeavor to perform the least invasive surgery with little or no scar.

The positioning of breast implants

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

Picture 3. Shows the positioning of breast implants.

A Good Candidate for MTF Breast Augmentation

• Has taken hormones for at least one year before surgery.
• Healthy.
• Has realistic expectations.
• Aged over 18.

Preparation for MTF Breast Augmentation

• Consult with the surgeon to choose the most suitable option for your goals and anatomy to get the best possible result.
• Undergo physical examination to ensure no health conditions may affect the surgery.
• Stop some medicines that interfere with blood clotting, such as aspirin, Ibuprofen, and some vitamins and herbs, at least two weeks before surgery.

Procedure for MTF Breast Augmentation

1. The surgery is performed under a general anesthetic.
2. The incision is made, and the surgeon makes the pocket to insert the implant. The breasts are adjusted to create the best shape, and the incision is closed with layered stitches.

The operation time is around 1-2 hours.

Post-operative Care for MTF Breast Augmentation

• Keep the wound area clean and avoid getting the wound wet for a few days after surgery.
• Stitches are removed seven days after surgery.
• Ensure you keep all follow-up appointments with the surgeon.
• Perform a breast massage every day for at least three months to prevent capsular contracture.
• Use the provided compression garment for at least 1-2 months after surgery.
• Don't carry or lift anything over 2-3 kg for at least two months to prevent the implant move up.

Risk and complications for MTF Breast Augmentation

Risks and complications for breast augmentations are rare, but those associated are as follows: 

• Swelling
• Bruising
• Hematoma
• Bleeding
• Infection
• Poor healing
• Asymmetry
• Painful
• Scarring may be thick, red, and sore, sometimes requiring future surgery.
• Decreased or Lost Sensation in the breast, the nipple, or both- usually temporary.
• Capsular contracture is hardened scar tissue around the implant that can cause pain and distort its shape.
• Implant Failure
• Risk from anesthesia

Recovery

After your breast implant surgery, you will feel pain around the chest for a few days. This can be treated with strong painkillers, which we will provide. You may feel uncomfortable with pain when you move for a few days as the muscles recover and adapt. It will become significantly better after a week. You can resume regular exercise after two months. It would be best if you massaged your breasts every day to prevent capsular contracture.

Getting to Know Transfeminine Breast Augmentation

How to massage after breast augmentation

It is generally recommended to wait at least a few weeks before performing any type of breast massage...

Capsular Contracture Revision Surgery

Capsular contracture is the most common reason for revision breast...

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Before and After for MTF Breast Augmentation / Transfeminine Breast Augmentation

Male to Female Breast Surgery

Male to Female Breast Surgery

Male to Female Breast Surgery

Male to Female Breast Surgery

Male to Female Breast Surgery

Male to Female Breast Surgery

Male to Female Breast Surgery

Male to Female Breast Surgery

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See more before & after