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Dancing at Carnival

Masculinizing Surgery

  • Many people pursue masculinizing surgery to address gender dysphoria, where their gender identity differs from their sex assigned at birth.

  • For some, this surgery is a crucial step for their sense of self, while others may choose not to undergo surgery.

Surgical Options:

  • Top Surgery: Removal of breast tissue (masculinizing chest surgery).

  • Pectoral fat grafting: Placement of FG in the pectoral muscle and liposuction in the surrounding areas to create a male-contoured chest.

  • Other Procedures: Liposuction for fat removal and fat grafting to create 6-packs and shape your body.

  • Facial Surgery: Jaw surgery and implants, facial fat grafting.

mastectomy for chest contouring with nipple grafting
Procedures

Options for the chest surgery included:

 

Double Incision Mastectomy with Free Nipple Grafting:

  • Common technique, often recommended for larger breasts.

  • Incisions are made at the top and bottom of each breast, tissue is removed, and incisions are closed in a straight line across the chest.

  • Nipples and areolas can be resized, reshaped, and repositioned to look more masculine, but grafted nipples will not have sensation.

Subcutaneous Mastectomy with Nipple Preservation:

  • Recommended for people with smaller breasts.

  • Incisions are made under the breasts to remove breast tissue, usually without removing skin.

  • Results in minimal scarring, good male contours, and preserved nipple sensation.

Periareolar Mastectomy:

  • Often recommended for smaller breasts.

  • A small incision is made around the areola to remove breast tissue, typically without removing skin.

  • Provides good male contours with minimal scarring and good nipple sensation, but is slightly more invasive than keyhole surgery and may require revisions.

Liposuction:

  • Minimally invasive, suitable for individuals with very little breast tissue.

  • Best for those with little tissue and no skin sagging.

chest gland removal with periareolar incision
Risks

Risks:

  • Masculinizing surgery carries risks such as bleeding, infection, and anesthesia reactions.

  • Possible complications include:

    • Delayed wound healing

    • Fluid buildup under the skin (seroma)

    • Bruising (hematoma)

    • Changes in skin sensation (pain, tingling, reduced sensation, numbness)

    • Tissue necrosis (dead tissue) in areas like the nipple or surgically created penis

    • Blood clots in deep veins (deep vein thrombosis) or lungs (pulmonary embolism)

    • Permanent scarring

    • Worsening of behavioral health concerns

 

  • Health insurance coverage for masculinizing surgery varies; check with your provider before surgery.

Insurance
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