Masculinizing Surgery
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Many people pursue masculinizing surgery to address gender dysphoria, where their gender identity differs from their sex assigned at birth.
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For some, this surgery is a crucial step for their sense of self, while others may choose not to undergo surgery.
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Surgical Options:
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Top Surgery: Removal of breast tissue (masculinizing chest surgery).
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Pectoral fat grafting: Placement of FG in the pectoral muscle and liposuction in the surrounding areas to create a male-contoured chest.
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Other Procedures: Liposuction for fat removal and fat grafting to create 6-packs and shape your body.
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Facial Surgery: Jaw surgery and implants, facial fat grafting.
Options for the chest surgery included:
Double Incision Mastectomy with Free Nipple Grafting:
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Common technique, often recommended for larger breasts.
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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.
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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:
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Recommended for people with smaller breasts.
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Incisions are made under the breasts to remove breast tissue, usually without removing skin.
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Results in minimal scarring, good male contours, and preserved nipple sensation.
Periareolar Mastectomy:
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Often recommended for smaller breasts.
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A small incision is made around the areola to remove breast tissue, typically without removing skin.
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Provides good male contours with minimal scarring and good nipple sensation, but is slightly more invasive than keyhole surgery and may require revisions.
Liposuction:
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Minimally invasive, suitable for individuals with very little breast tissue.
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Best for those with little tissue and no skin sagging.
Risks:
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Masculinizing surgery carries risks such as bleeding, infection, and anesthesia reactions.
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Possible complications include:
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Delayed wound healing
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Fluid buildup under the skin (seroma)
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Bruising (hematoma)
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Changes in skin sensation (pain, tingling, reduced sensation, numbness)
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Tissue necrosis (dead tissue) in areas like the nipple or surgically created penis
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Blood clots in deep veins (deep vein thrombosis) or lungs (pulmonary embolism)
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Permanent scarring
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Worsening of behavioral health concerns
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Health insurance coverage for masculinizing surgery varies; check with your provider before surgery.