Breast Augmentation MTF

Gender Affirming Breast / Feminine Breast Augmentation 

Breast Augmentation “Top Surgery”

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

Gender affirming breast augmentation much different and significantly more complicated than breast augmentation provided by most doctors, anatomy, body size and shape is quite different, an expert is needed. Special training, and the surgeon’s artistic touch, and our experience preforming thousands of specialized surgeries, our talented surgeon’s will make your dreams a reality.

Important considerations prior to gender affirming breast augmentation surgery are: Patient should be on hormone replacement therapy (HRT) for at least one year. It is exceptionally rare for hormone replacement therapy alone produce the breast size and shape normally desired for gender conformation.


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 on both sides, 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


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 how much enlargement the patient wants, the patient’s anatomy, the type of implant they want and the requirements of the surgeon. We will always endeavor to do 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 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

  • 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, anatomy and 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 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.

Postoperative 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 breast, the nipple, or both- usually temporary.
  • Capsular contracture is hardened scar tissue around the implant which can cause pain and distort the shape of the implant.
  • 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 normal exercise after two months. You should massage your breasts every day to prevent capsular contracture.


Getting to Know for Feminine Breast Augmentation

How to recover quickly from breast augmentation?

With a team of professionals by your side, you can expect to see some amazing results of breast augmentation on your body. ...

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 MTF Breast / Feminine Breast Augmentation


Male to Female Breast Surgery

Male to Female Breast Surgery

Male to Female Breast Surgery


See more before & after


Video: Male to Female Breast Augmentation Before & After



Why MtF breast Augmentation is 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 difficult to create feminine breasts for transwomen due to the differences in male and female anatomy. The highly experienced and skilled plastic surgeons at Kamol are able to transform a male chest, with wide 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, as well as 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, a standard for the quality of care, patient safety, and commitment to excellence provided by the hospital.



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