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


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...

See more

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


Video : Male to Female Breast Augmentation Before & After


Why is MTF Breast Augmentation the most popular procedure at Kamol Cosmetic Hospital, Bangkok, Thailand?

            Kamol Cosmetic Hospital is a fully trusted hospital in Thailand for global gender confirmation surgery. Transgender breast augmentation surgery is performed to change the body to a more feminine appearance, as the breast is a symbol of maturity in females. All transwomen want beautiful breasts to feel comfortable in their new bodies. However, it is challenging to create feminine breasts for transwomen due to the differences in male and female anatomy. The highly experienced and skilled plastic surgeons at Kamol can transform a male chest, with broad shoulders and small nipples and areolas, into beautiful breasts that look like those of a biological woman.

            Creating feminine breasts through MTF breast augmentation requires careful implant positioning to balance with the shoulder, breast ptosis, and nipple. The result should look natural and not fake. Kamol Hospital can select the shape and size of the implant to create the most beautiful MTF breasts. The result should have a perfect appearance and be balanced with the patient's body, giving them confidence in their new transition.

            The hospital provides high-quality facilities and care and a safe and comfortable environment for patients. It also uses the latest techniques and technologies to ensure the best outcome. In addition, the hospital offers a range of post-operative care and support services to help patients adjust to their new bodies. For MTF breast implants, we provide daily breast massages and teach patients how to make their breasts soft and natural-looking. Kamol is also one of the few hospitals in Thailand that is accredited by the JCI, which sets standards for the quality of care, patient safety, and commitment to excellence provided by the hospital.