Female to male top surgery is the procedure to create a masculine chest on transitioning men. The process involves removing fat and glandular tissue and sculpting a masculine upper chest. The breasts are removed with a mastectomy, with the female breast tissue removed so the upper chest appears sculpted and trim. For every transitioning transgender man, attaining physically masculine attributes is an important stage in a profound, all-encompassing journey and includes not just one’s body, but the mind, spirit and emotions as well.
FTM Top Surgery Reviews
"Dr. Champaneria is probably one of the best doctors I've ever interacted with. He truly took time to listen and to answer ALL of my *many* questions. I had double incision top surgery and felt cared for and respected every step of the way. I was incredibly pleased with the overall experience. I would (and do) highly recommend him to anyone who wants top surgery in San Diego. I was also very pleased with the office/Christina's responsiveness and the nurses I interacted with."- Anonymous / Healthgrades / Nov 03, 2020
"I have nothing but good things to say about Dr. Champaneria after my procedure in January. His surgical expertise shows in his knowledgeable discussions and even more so in his stellar work/results. Also, unlike some medical professionals, he is super personable and creates a great rapport with his patients. He is definitively an LGBTQ+ friendly provider and truly made my top surgery experience more positively life changing! I cannot put into words how happy I am with my results!"- M.R. / Google / Feb 17, 2021
"As a transgender male seeking transitional services, it can be a nerve-wracking and vulnerable experience to navigate the process of top surgery. That said, from the moment I first met Dr. Champaneria at my initial consultation I knew that I was in the right place. He has such a friendly manner and was clearly knowledgeable about all things LGBTQ+. He answered practically all my "planned questions" before I asked them and made me feel respected, safe, and cared for the entire time. He talked me through the keyhole procedure he was going to do prior to surgery and the actual day of surgery ran very smoothly. I am SO PLEASED with the results. SO HAPPY!!!At my subsequent post-op appointments him and his staff continued to be very personable; they really made me feel special and proud of my new chest. Any questions I had, they were there! If you are FTM or NB and are looking for a caring, informed, and skilled top surgeon, 10/10 would recommend!"- M. / Healthgrades / Feb 17, 2021
"Dr. Champaneria is an excellent surgeon. I'm a trans man who had top surgery and the results are amazing. Dr. Champaneria is very friendly and his team is very helpful. Definitely recommend going to Dr. Champaneria."- Anonymous / Healthgrades / Mar 05, 2021
"Dr. Champaneria is an amazing surgeon. Him & his team are both very nice and caring. Everything went smoothly and I could not have asked for a better surgeon for my top surgery."- J.R. / Google / Mar 05, 2021
Excess breast tissue is removed with a combination of surgical excision techniques. The areola complex is resized and repositioned for a more traditionally masculine appearance. Dr. Champaneria will select from the following techniques according to your unique anatomy and aesthetic goals.
An incision is made encircling the areolar complex, allowing the surgeon to easily remove breast tissue and reshape the chest. This approach is ideal for those transmen who require minimal breast reduction and are in possession of good skin elasticity.
For men who require a more significant level of breast reduction, we use two horizontal incisions in an elliptical fashion to remove the breast tissue and excess skin. The final incision line will rest at the lower border of the pectoralis muscle. The nipples and areolas are typically removed as skin grafts, resized, and placed in a more masculine position on the chest. The Double Incision approach is performed in the vast majority of patients seeking Top Surgery.
For those with medium to large chests and an abundance of skin, an inverted T incision is used that goes down to the inframammary fold and then horizontally across the bottom of the breast.
This approach is similar to the double incision method, but resizes the nipple areolar complex in a way that preserves nipple sensation and sensitivity.
Top surgery is always done in an accredited surgical center or hospital under general anesthesia as an outpatient procedure. The option to remain in the hospital overnight is possible. The surgery usually takes about 2 to 4 hours. For the first several weeks, the surgeon will recommend the use of a compression vest to protect the chest and the nipples. Patients may go back to work within 7-10 days and may resume physical activities (such as exercise) between 6-8 weeks post-operatively. Results following top surgery are usually visible immediately after the surgery. Nipple sensitivity varies based on the surgical technique. If nipple grafts are performed, wound care such as antibiotic ointment and gauze may need to be performed.
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Top Surgery (Mastectomy) FAQs
Benefits of top surgery?
- Increased sense of confidence in one’s appearance
- Alignment of inner and outer self-image
- Smooth, chiseled, masculine-looking chest
- Reduction in excess fat
- A better look in tight-fitting clothing
- Comfort taking one’s shirt off at the beach, pool or in the locker room
- Natural results
- Long-lasting outcome
Am I a good candidate for FTM top surgery in San Deigo?
Dr. Champaneria’s San Diego top surgery patients should be physically and emotionally healthy, with no major medical issues such as diabetes, hypertension or obesity that may impede the procedure or its recovery. Patients that smoke will need to quit prior to their surgery, as smoking can significantly delay and complicate recovery
Is FTM top surgery the right choice for me?
Like all surgical procedures, the decision to seek female-to-male top surgery is deeply personal and ultimately one only you can make. The process of aligning your external body with the internal identity you have always known is a brave one and may be full of questions. Dr. Champaneria is committed to assisting you on each step of your journey to help you achieve the masculine appearance you envision for yourself.
Do I need top surgery?
No. You are already the man you know inside, and surgery does not change the inner "you". Dr. Champaneri’a San Diego FTM top surgery simply aligns your physical appearance with the gender identity you have always known. The ultimate goal of female-to-male top surgery is to make you feel more at home in your own body.