MTF Top Surgery: Understanding Your Options and Finding the Right Fit

January 24, 2025

What Is MTF Top Surgery?

MTF (male-to-female) top surgery is a gender-affirming procedure designed to create a feminine chest contour. It involves enhancing the size and shape of the breasts, aligning the physical appearance with the individual’s gender identity. The two main approaches are breast augmentation using implants and breast augmentation via fat transfer.

Breast Augmentation with Implants

Breast augmentation with implants is the most common type of MTF top surgery. This method uses silicone or saline implants to achieve the desired breast size and shape.

Benefits

Allows for significant size increases and customizable shapes.
Provides long-lasting results.
Offers a wide range of implant options to suit individual preferences.

Who Is a Good Candidate?

This option is suitable for individuals who:

Have enough natural breast tissue to support implants, often achieved after hormone replacement therapy (HRT).
Desire a significant increase in breast size.
Are in good overall health and can undergo surgery safely.

Breast Augmentation via Fat Transfer

This method uses liposuction to harvest fat from other areas of the body, which is then purified and injected into the breasts to enhance their size and shape.

Benefits

Offers a natural look and feel.
Contours donor areas, such as the abdomen or thighs, through liposuction.
Avoids the use of synthetic implants.

Who Is a Good Candidate?

This option is ideal for individuals who:

Desire a modest increase in breast size.
Have sufficient fat stores in donor areas for transfer.
Prefer a more natural approach to augmentation.

How to Choose the Right Option

Deciding between implants and fat transfer depends on your goals, anatomy, and health. Consulting with a qualified gender-affirming surgeon is essential to determine the best approach for your unique needs. Factors to consider include:

Desired breast size and shape.
Availability of sufficient donor fat for fat transfer.
Willingness to undergo implant placement and maintenance.

Finding Expert Care

Working with an experienced surgeon ensures the best results. TransMD connects you with trusted professionals specializing in MTF top surgery, offering guidance and support throughout your journey.