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FTM/N Incision Options for Top Surgery

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involves incision that are on factors like the patient’s skin elasticity, chest size, and personal goals. Each of these has its unique advantages and potential drawbacks. Here are the most common FTM/N chest reconstruction types:

If you have a medium to large chest (cup size C and above) and skin, a could be the ideal for you. This helps reconstruct male chest and the nipples in a natural and appropriate manner. However, keep in mind that sensation may not return in the areola (the skin around the nipple) or nipple due to the severing of nerves when these areas are removed.

THE INVERTED T (ANCHOR) INCISION

Should you have a medium to large chest with sagging skin but wish to retain sensation, an T (anchor) incision could be considered. In the T (Anchor) procedure, the nipple and areola their blood supply by preserving a thin layer of attached tissue, known as a . This to the lower part of the breast area, blood supply to the nipple and areola. While we hope the also nerves, the extent to which nipple sensation is cannot be ascertained until after the is .

Following the of the pedicle, the skin is folded around it, with excess skin being . This leaves an incision around the areola that to the lower breast, and a curved across the lower breast area. The Buttonhole is very similar, except that less skin is removed, making the small incision .

The Inverted T method ensures that the nipple and areola don’t have to be relocated, unlike the free nipple graft required by the . As a result, the Inverted T might offer a higher chance of maintaining pre-surgery levels of sensation in the nipples, though this is not .

However, scarring is a downside due to the extra incision in the breast area, particularly the vertical region between the areola and the . Another is the retention of the to preserve the nipple and areola, which will add volume to the chest, resulting in fullness or a mound.

Furthermore, the lower of the incision isn’t as customizable by the as it must be in the lower breast fold. Additionally, the cannot tailor the placement of the areola as much as they can with the approach.

If retaining a high level of nipple sensitivity is your primary concern, the T or approach might be the best choice. However, that the retention of sensation isn’t guaranteed.

If you prefer a chest that is as flat as possible, or if you are keen on having a completely placement of the nipple or the incision, then the Double might be the for you.

PERIAREOLAR SURGERY TECHNIQUE

For individuals with a medium-sized chest, good skin elasticity, and a desire to retain areola and nipple sensation, the is a viable choice. The FTM/N Periareolar Surgery Technique, also known as the ‘doughnut’ or ‘circumareolar’ technique, is a method used in chest surgery. This technique is characterised by the removal of an intermediate amount of skin using incisions that circle each areola.

Situated between surgery and other surgical procedures requiring more extensive skin removal, the serves as an ideal choice for those needing a greater amount of skin removal than the Keyhole can offer, yet desiring a with a relatively limited skin incision. This technique is particularly for patients with minimal surplus skin. However, it is essential to note that due to the challenges, this tends to have a higher revision rate, which should be taken into when on this surgery.

The procedure is also known as the and Doughnut techniques. Despite the different names, they all describe the same procedure, with ‘Periareolar’ being the most commonly used term. Some individuals also refer to the as ‘peri’ in short.

The Periareolar entails a doughnut-shaped segment of skin around the areola. This is by the areola to a more masculine size (approximately 22 mm in diameter), followed by marking an outer circle of skin for . The outermost layer of skin (comprising the epidermis and a superficial of the dermis) is then removed. Through this layer of tissue, the surgeon makes an incision and works beneath the skin layers to eliminate the breast tissue.

Once the breast tissue is removed, a ‘purse string’ stitch is employed to bring the diameter of the outer circle down to match that of the inner circle. This may occasionally result in a effect, often termed a or ripple pattern, due to the mismatch between a large circle and a small one. However, these ripples usually or vanish entirely in the weeks and months post-surgery.

The outcome is a male-appearing areola necessitating only a single incision around the areola’s .

This relies on maintaining a margin of error concerning the health of the fat layer on the tissue the skin. Achieving a flawlessly thickness across the entire chest can prove challenging even for the most proficient . Thus, it is not unusual for there to be subtle in the surface contour of the chest with this . While such minor irregularities can occur with any procedure, they are less common with the Double Incision procedure.

Post-surgery, most experience a significant decrease in sensation, although the most or all over time. This is one of the benefits of this procedure.

Despite its numerous advantages, periareolar is only if the requires minimal excess skin . Using the Periareolar technique on a patient with excess skin can lead to a loose fold of skin in the lower chest or a pronounced pleating or sunburst of wrinkling around the areola that does not subside.

It is to with complete certainty how the skin will react to any procedure. However, certain parameters can assist you and your surgeon in determining the most appropriate procedure for you.

For some patients, chest tightness is a vital . If that is the case, the Double will likely yield results compared to the . Although the Double procedure does result in a significant horizontal scar, it is the most effective for a tight and smooth chest appearance.

TOP SURGERY KEYHOLE METHOD

The is a employed for chest reconstruction, by a small incision made along the border. Through this incision, the breast tissue is meticulously by the surgeon. However, only a small percentage of the population, about 5%, are suitable candidates for this procedure due to the requirement of minimal breast tissue and firm chest skin.

One of the main attractions of this procedure is its minimal scarring. The results in a small scar, up to half the length around the border. No excess skin is during this procedure, thereby making it available to minimal breast tissue and relatively taut chest skin.

The origins of the term ???Keyhole procedure’ remain uncertain, but it could be attributed to the fact that the surgeon out the entire breast via a very small incision, necessitating beneath the incision, somewhat similar to the way one could view an entire room through an keyhole.

Initially, the surgeon creates an along the areola and proceeds to out across the uppermost layer of the breast tissue, maintaining a consistent layer of fat beneath the skin that aligns with the thickness of the surrounding chest. The surgeon then proceeds the breast tissue, the breast material to be sent off for to rule out cancer. It’s worth noting that cancer in this tissue is extremely rare.

Once the breast tissue is eliminated, the surgeon may carry out final refining steps, such as liposuction along the of the tissue excision, to ensure a smooth and result. Often, a drain is before the incision is closed, left in place for around seven days post-surgery before removal.

Post-procedure, may considerable numbness in the chest. However, generally over time, often feeling similar to pre-surgery sensation levels.

Given the benefits of the procedure, it’s not surprising that those few individuals with suitable for this procedure strongly consider it. Unfortunately, due to the of very minimal breast tissue, less than 5% of are for surgery.

Those with small-sized breasts and good skin could consider the keyhole top incision. A small is made under or across the lower border of the areola. Please note that while a keyhole incision can remove tissue, it cannot excess skin.

LIPOSUCTION CHEST CONTOURING

If you have very small chests, you might be a candidate for a liposuction . ranks amongst the most undertaken surgery and serves as an ideal solution for transmasculine individuals aiming to eliminate surplus fat from areas such as the abdomen, flanks, hips, and buttocks, which often lend the body a softer, more feminine form.

Liposuction is a and is often performed FTM/N chest surgery. The begins with the administration of anaesthesia, followed by the creation of very small (approximately 4mm in size) near the target treatment locations. Our surgeons insert a cannula (a tube used for suctioning) into these incisions. Utilising gentle motions, they proceed to disrupt and extract the excess fat.

This process aids in reducing contours and establishing a more masculine appearance. It’s important to note that while liposuction is effective, it is not a weight-loss tool; it’s best used for body contouring and sculpting, shaping the body in a more aesthetically and masculine manner. Additionally, results are typically more satisfactory when with healthy lifestyle choices, a balanced diet and regular .

Which is the best FTM incision option for me?

the best FTM incision type for you is a significant that should be made after careful . While our website and other online resources can valuable information regarding the different incision types for your top surgery, a is vital to the most option for you. This open, honest between you and your surgeon to reach an informed decision about your future steps.

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Centre for is a leading medical practice in the United Kingdom that specialises in plastic and cosmetic surgery, including FTM top . Here are some reasons why you might consider choosing Centre for Surgery for your medical needs:

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