What is Male-to-Female Breast/Chest Surgery (Top Surgery)?

Male-to-female (MTF) top surgery involves using saline or silicone implants to increase chest size and augment the shape in order to achieve a more feminine or female appearance.

Surgical procedures typically include:

  1. Breast augmentation: Breast augmentation is a surgical procedure to insert an implant behind the breast that makes the breast larger. The implants are available in various shapes and sizes, and are filled with saline or silicone. Various incision sites many be used to place the implant depending on the patients’ needs and preferences. A fat transfer breast augmentation is also available to increase breast size or restore breast volume. Dr. Sinclair has performed thousands of breast augmentations and will use biodimensional analysis to help you determine which size, shape and incision is best for your transition.
  2. Nipple-areola complex reconstruction (NAC): Introduced in the 1940’s,  nipple-areola complex reconstruction transforms a mount of soft tissue into a breast, and often marks the final stage of breast reconstruction.
  3. Who would be a good candidate for this procedure and how do I prepare?

The best candidates are the ones who are fully informed prior to the procedure.  After a consultation with Dr. Sinclair, you should have a clear understanding of saline, cohesive gel, form stable, textured, smooth, over muscle, under muscle, low profile, medium profile, high profile, ultra high profile, and anatomical implants. You should be given a choice of belly button, underarm, crease and areolar incisions.

What will the procedure change/correct/accomplish?

MTF chest surgery feminizes the breast (a cultural, historic, and anthropometric symbol of female sexual attraction) by increasing size and more importantly by feminizing the shape.

What are the potential risks/complications/side effects?

Breast augmentation has a variety of potential risks, including:

  • Scar tissue that distorts the shape of the breast implant (capsular contracture)
  • Breast pain
  • Infection
  • Changes in nipple and breast sensation
  • Implant leakage or rupture

Will I go home the same day, or will I need to spend the night at the hospital?

Breast augmentation can be done in a surgical center or hospital outpatient facility, and you will most likely go home the same day. The procedure rarely requires a hospital stay.

How Long is the Recovery?

Most patients take off 5 working days. After 6 weeks all activity like bungee cord jumping or skydiving is possible. In addition, Dr. Sinclair will instruct you in “yoga stretches” to maintain pocket size and maximize softness. Surgical tape and topical creams will be used to minimize incisions. You are encouraged to wear a bra for 3 months after surgery.