Dr Siamak Agha MD, PhD, FACS

Dr Ali Razfar MD, Double Board Certified

949-644-2442

Dr Siamak Agha MD, PhD, FACS
Dr Ali Razfar MD, Double Board Certified

Female-To-Male
(FTM) Top Surgery
Newport Beach

Breast Removal Surgery for
a Gender-Affirming Transformation

For trans men, gender dysphoria is often exacerbated by having full breasts.

Considering how intertwined breasts are with the female form, imagine how it feels to look at yourself in the mirror and not see who you are inside.

FTM top surgery addresses this dilemma. Also called subcutaneous mastectomy, FTM top surgery is characterized by removing breast tissues to create a chest similar to the male form.

This can help trans men see themselves as their self-affirmed gender, combating gender dysphoria and boosting their self-esteem and confidence.

Just like these people who have achieved their desired shape through liposuction and gained much-needed confidence to flaunt their bodies, you also have the chance to dramatically improve your figure, thanks to one of SoCal’s top board-certified plastic surgeons, Dr. Siamak Agha.

OVERVIEW

What is FTM Top Surgery?

Female-To-Male or FTM top surgery is an elective surgery that removes your breast tissue to make the chest look more manly. It also reduces the size of the areola to improve the aesthetic results.

Depending on your anatomy, your Dr. Agha may choose from various surgery techniques to perform the procedure.

However, the decision to do so should be taken seriously. Not only will the procedure leave noticeable and permanent scars on the chest, but it’s also irreversible.

Is FTM Top Surgery for You?

Any trans man feeling that this surgery can improve their self-image can get it, regardless of the size of their breasts.

Trans men who are in good health, are emotionally stable, have gender dysphoria, and have realistic expectations on the outcome of the surgery will benefit from FTM top surgery.

But as with any major surgery, medical issues like comorbidities and blood clotting disorders may affect the results of your procedure.

That’s why these must be addressed before going into surgery. The same applies to any mental health issues that the patient may have.

It’s also important that you understand the risks associated with breast removal, such as:

  • Changes in sensation in the nipple-areola complex
  • Asymmetrical breasts
  • Skin discoloration or swelling
  • Nipple areola graft susceptibility to scrapes and injuries

Dr. Agha will exercise due caution to minimize or eliminate these risks. Still, awareness of these risks can help you better manage your expectations and improve your satisfaction post-surgery.

How is the Procedure Done?

Based on Dr. Agha’s assessment of what will work best for you, he may choose from the following:

Periareolar Surgery


Periareolar surgery is an ideal option for patients with smaller chests or B-cup breasts with good skin elasticity.

 

It involves two circular incisions. The first is around the areola through which the areola is made smaller. The second concentric incision is made to remove excess skin. A purse-string closure technique will then be used to connect the skin to the areola to resize it. Through these incisions, the excess breast tissue is accessed and removed.

 

With this procedure, there's minimal scarring, and nipple sensation is retained. However, these benefits may come at the risk of patient satisfaction because 40% to 60% of patients who chose this surgery need revisions later.

 

That is why it’s essential to choose an experienced and board-certified plastic surgeon like Dr. Agha to ensure the best results.

Keyhole Top Surgery

Keyhole top surgery is an option for patients with smaller breasts who have minimal hanging breast skin. Like periareolar surgery, this approach retains nipple sensation.

The keyhole Top Surgery involves an incision around the areola and then down vertically under it. Through these incisions, the areola is made smaller and the breast tissue is removed. This is similar to the Vertical Breast Lift technique, also known as the lollipop breast lift.

Double Incision Top Surgery


The double incision top surgery is the most widely-used surgical technique. It is ideal for persons with medium to large breasts.

 

First an incision is made around the nipple areola to make it smaller and to remove the nipple areola off of the breast gland, like a skin graft. Next, an incision is made at the mammary crease. This allows Dr. Agha to pull back the chest skin and expose the breast tissue.. He will then remove the breast tissue completely over the pectoral muscle. Next, the chest skin is redraped over the chest muscle and the excess skin is cut at the level of the mammary crease. The grafted nipple areola is then sutured at its new location.

 

One of the advantages of this surgery is having only two incisions, around the areola and at the mammary crease, instead of three. However, the nipples are removed before being resized and regrafted, reducing the sensation in the nipple-areola complex.

 

Finally, Dr. Agha may perform liposuction and liposculpture to create a more defined and masculine contour.

Buttonhole Technique Top Surgery


This is Dr. Agha’s preferred technique for medium to large breasts. Like the double incision top surgery, incisions are made at the mammary crease and over the chest to remove the excess breast skin, breast tissue and fat.

 

However, instead of nipple grafts, Dr. Agha keeps the nipple-areola complex connected to its blood supply and nerves through a thin stalk of breast tissue called a pedicle.

 

He then creates an opening on the chest skin where the nipple-areola complex attached to its pedicle will be brought through from under the skin, like how you’d insert a button through the buttonhole.

 

The nipple areola is then sutured to the surrounding skin and the mammary crease incisions are closed.

 

Dr. Agha highly prefers and recommends the buttonhole technique because it preserves nipple sensation and results in better nipple-areola size, pigmentation, and positioning.

 

This means that the patient enjoys a better aesthetic outcome while retaining the original sensitivity of the nipple-areola complex.

 

Again, Dr. Agha may perform liposuction and liposculpture to create a more defined and masculine contour.

Inverted-T Top Surgery


Ideal for patients with very large breasts who need a greater degree of skin removal, the inverted-T top surgery is similar to the Anchor-Type Breast Lift.

 

Through an inverted-T or anchor-type incision, the excess chest and breast skin are removed,, the breast tissue and fat are excised, and the nipple areola are repositioned on a breast pedicle, similar to the buttonhole technique.

Different Types of Gynecomastia Procedure

(Click to enlarge)

Get Your FTM Top Surgery Done at Los Angeles and Orange County

With FTM top surgery, you will achieve a more man-like silhouette. You can be more confident with your body as you complete your transition.

To ensure your satisfaction, don’t settle for anyone short of excellent. Go for a board-certified and highly qualified plastic surgeon like Dr. Agha.

With his wealth of experience in the field, he can recommend procedures to help you achieve optimal results.

Book your consultation with Dr. Siamak Agha to discuss how FTM top surgery can create a more masculine upper body for you.