Mastectomy Plan for Gender-Affirming Surgery

Understanding Mastectomy for Transgender Men

A mastectomy, or breast removal surgery, is a critical procedure for individuals transitioning from female to male. This surgery involves the complete removal of breast tissue to create a flat chest, alongside reducing the size of the nipples and areolas. This step is essential in the male-to-female gender affirmation process and is designed to preserve normal sensation and minimize scarring.

Surgical Techniques

There are various techniques for performing a mastectomy. Surgeons select the most appropriate method based on individual factors such as breast size, skin elasticity, and any sagging.

Surgical Procedure Steps

1. Anesthesia
   • General anesthesia is administered for patient comfort.
2. Incision
   • An incision is made in a predetermined area, allowing for the removal of breast tissue to achieve a flat contour.
3. Excess Skin Removal
   • Any excess skin is excised, and the chest is shaped to resemble a masculine form.
4. Nipple and Areola Adjustment
   • The surgeon repositions and reduces the size of the nipples and areolas to achieve a natural male appearance.

Important Considerations

• Qualified Surgeons
  • Mastectomies should only be performed by board-certified plastic surgeons to minimize surgical risks and achieve the best outcomes.
• Post-Surgery Compliance
  • Following surgery, patients must adhere strictly to post-operative care instructions to avoid potential complications.

Additional Details

• Service Duration
  • The procedure typically lasts between 3 to 4 hours, depending on individual complexity.
• Pre-Surgery Consultation
  • An appointment must be scheduled in advance for pre-operative evaluation.
• Candidate Criteria
  • Suitable for individuals with a BMI under 30. Higher BMI may incur additional costs, as assessed by the surgeon.
  • Recommended for those with a breast size of cup B+.
  • Ideal for first-time patients (those who have not undergone previous procedures).
  • Suitable for women identifying as masculine (trans men).
  • Conducted by specialized plastic surgeons and anesthetists.
• Personalized Approach
  • Each case is unique; surgeons conduct thorough evaluations to tailor the procedure to the individual’s needs.
  • Incision patterns are designed to align with the patient’s existing breast structure and address specific concerns.
• Recovery
  • Generally, there is minimal swelling and bruising, with recovery times varying based on individual health.

Pre-Procedure Preparation

• Health Assessments
  • Comprehensive health checks and COVID-19 RT-PCR tests are mandatory.
• Mental Health Evaluation
  • Two consultations with mental health professionals are required to assess readiness for surgery.
• Attire Recommendations
  • Patients are advised to wear button-up shirts for convenience on the day of discharge.
• Medication Restrictions
  • Avoid aspirin and ibuprofen for at least two weeks prior to surgery.
  • Discontinue all supplements, anti-inflammatory medications, and herbs at least two weeks before the procedure to prevent complications.
• Photography for Records
  • Some facilities may take before-and-after photos for comparison.
• Smoking Cessation
  • Smoking must be stopped at least two weeks prior to surgery to reduce the risk of complications related to healing.

Post-Operative Care

• Dressings
  • Bandages should remain intact for at least one week post-surgery, or until advised by the surgeon to switch to a bra without underwire.
• Fluid Drainage
  • Surgeons may place drains to minimize swelling.
• Medication Adherence
  • Pain relief and antibiotics prescribed by the surgeon must be taken as directed.
• Activity Restrictions
  • Patients should avoid vigorous activities for 2 to 4 weeks.

Eligibility for Mastectomy

• Health Screening
  • Candidates must be in good health and able to undergo surgery safely.
• Mental Health Diagnosis
  • A mental health assessment confirming gender identity disorder is necessary, along with a desire for physical transition.
• Duration of Gender Expression
  • Candidates should have lived and presented as male for at least one year.
• Age Requirement
  • Must be at least 20 years old. If under 20, parental or guardian consent is required.

Result of FTM breast Surgery by Double Incision Mastectomy

Result of FTM breast Surgery by Double Incision Mastectomy