Who Is an Ideal Candidate for Shoulder Narrowing Surgery?

• General Health: Candidates should be in good overall health and able to undergo surgery safely.
• Weight Considerations: Individuals should not be significantly overweight, as excess body fat can affect surgical outcomes and proportions. Maintaining a healthy weight promotes better results and a smoother recovery.
• Transgender and Feminization Goals: This surgery is particularly suitable for transgender individuals seeking body feminization or anyone looking to achieve a more traditionally feminine and proportionate shoulder appearance.
• Realistic Expectations: Candidates should have clear and realistic expectations about the outcomes and recovery process.

The Surgical Procedure in Detail

1. Anesthesia:
   • The surgery is performed under general anesthesia to ensure comfort and pain-free experience.
   • A board-certified anesthesiologist monitors the patient throughout the procedure.
2. Mini Incision Placement:
   • Small incisions, approximately 2–3 cm long, are made just below each clavicle to minimize visible scarring.
3. Clavicle Segment Removal:
   • The surgeon carefully removes a segment of the clavicle, typically 2–3 cm on each side, to achieve the desired shoulder width reduction.
4. Bone Realignment:
   • The remaining bone ends are meticulously aligned to maintain the clavicle’s natural curve and functionality.
5. Fixation with Titanium Plates and Screws:
   • The bone ends are secured with biocompatible titanium plates and screws, ensuring long-term stability and proper healing. These plates are highly durable and generally do not require removal.
6. Closing the Incisions:
   • Incisions are closed with dissolvable sutures, ensuring precise alignment for beautifully healed edges and eliminating the need for suture removal.
   • Sterile dressings are applied to protect the surgical site.

Surgical Duration: The entire procedure typically takes around 2 hours.

Precautions After Shoulder Narrowing Surgery

Avoid Arm Abduction:

• • Refrain from raising your arms sideways for 3 months to allow proper healing

Limit Heavy Lifting:

• • Avoid lifting heavy objects or performing strenuous activities for at least 6 weeks

Avoid Overhead Movements:

• • Do not raise your arms above shoulder level for 6 weeks to prevent strain on the surgical site

Physical Therapy:

• • Begin physical therapy only as directed by your surgeon to safely restore shoulder mobility and strength

No Arm Sling Needed:

• • Unlike other shoulder surgeries, an arm sling is generally not required unless specifically advised by your surgeon

 

Expected Results After Surgery

Visible Shoulder Width Reduction:

• • Most patients achieve a noticeable reduction of 4–6 cm, creating a more balanced and harmonious upper body

Feminine and Balanced Silhouette:

• • Narrower shoulders enhance the overall body contour, particularly for individuals seeking a traditionally feminine appearance

Minimal Scarring:

• • Small incisions placed above the clavicle heal well, leaving faint scars that blend with the skin over time

Permanent Results:

• • The results are permanent, and titanium plates are durable and safe to leave in place long-term

 

Risks and Considerations

As with any surgical procedure, Shoulder Narrowing Surgery carries potential risks, including:

• • Infection at the surgical site
  • Temporary or permanent changes in nerve sensitivity around the shoulders
  • Scarring, though minimized by discreet incision placement
  • Rare discomfort from titanium plates or screws, which can be addressed if needed

At WIH Hospital, our skilled surgeons take every precaution to ensure patient safety and minimize risks. All potential risks and their management will be thoroughly discussed during your consultation.

Frequently Asked Questions

1. Will the surgery leave visible scars?

• • The incisions are small and placed discreetly above the clavicle. With proper care, scars fade significantly over time.

2. How much can my shoulders be reduced?

• • Shoulder width reduction typically ranges from 4–6 cm, depending on your anatomy and aesthetic goals.

3. Is the surgery painful?

• • Most patients experience mild soreness, easily managed with prescribed pain relief.

4. Can the titanium plates be removed later?

• • Titanium plates are biocompatible and generally left in place, but they can be removed if necessary.

5. When can I return to work or daily activities?

• • Patients typically return to desk jobs or light activities within 2–3 weeks, depending on recovery progress.