FTM Top Surgery Techniques: Choosing the Right Option for You

January 24, 2025

What Is FTM Top Surgery?

FTM (female-to-male) top surgery is a gender-affirming procedure designed to remove breast tissue and create a masculine chest contour. This surgery is a significant step for many transgender men and non-binary individuals in their transition. The three main techniques are Double Incision, Periareolar, and Keyhole.

Double Incision Top Surgery

Double Incision top surgery is the most common option, particularly for individuals with larger chests. This technique removes breast tissue through two horizontal incisions and typically includes nipple resizing and repositioning via grafts.

Benefits

Allows for the complete removal of breast tissue, creating a flat chest contour.
Enables nipple resizing and repositioning for a natural appearance.
Effective for medium to large chest sizes.

Who Is a Good Candidate?

This option is ideal for individuals who:

Have medium to large chest sizes requiring significant tissue removal.
Are comfortable with visible scarring along the chest.
Desire a flat, masculine chest contour.

Periareolar Top Surgery

Periareolar surgery involves incisions around the edge of the areola, making it suitable for individuals with smaller chests and good skin elasticity. This technique removes breast tissue while preserving the natural position of the nipples.

Benefits

Minimal scarring limited to the areola area.
Maintains nipple position and sensation in many cases.
Best for individuals with smaller chest sizes.

Who Is a Good Candidate?

This option works well for individuals who:

Have small to medium chest sizes with good skin elasticity.
Desire minimal scarring.
Prefer to retain nipple sensation and position.

Keyhole Top Surgery

Keyhole surgery is the least invasive option, involving small incisions along the areola's edge to remove breast tissue. This technique is designed for individuals with very small chests and good skin elasticity.

Benefits

Minimal scarring and a natural chest contour.
Preservation of nipple sensation in most cases.
Quicker recovery time compared to other methods.

Who Is a Good Candidate?

This technique is best suited for individuals who:

Have small chests with little excess skin.
Are seeking a minimally invasive approach.
Prefer to avoid noticeable scarring.

Choosing the Right Technique

Selecting the right top surgery technique depends on factors such as chest size, skin elasticity, and personal goals. Consulting with an experienced surgeon is essential to determine the best approach for your needs.

Finding Expert Care

FTM top surgery is a highly personalized procedure. TransMD connects you with trusted surgeons who specialize in gender-affirming care, providing the support and expertise you need to achieve your desired results.