FTM Top Surgery® Procedure Double Incision Method: Transgender Surgery FTM Top Surgery® Procedure Double incision Method can be performed on FTM patients presenting with pendulous sagging breasts. This usually requires a scar extending from underneath the existing breast fold to the lateral outside of the chest. The nipple and areola are removed, resized, and replaced as a “free nipple grafts” in a new position to give a “male” appearance to the chest. The scars are permanent, but most scars will fade and many patients are very happy with their new chest appearance.
FTM Top Surgery® Procedure Peri-areolar or Keyhole Method: Transgender Surgery FTM Top Surgery® Procedure Peri-areolar or Keyhole Method is usually reserved for FTM patients with very small breasts who have little breast tissue, breast skin that does not sag, or breast skin that is too tight to perform a double incision method. Dr. Garramone may recommend liposuction of the chest first to remove as much breast tissue as possible and then perform an incision along the lower border of the nipple-areolor complex. Through this incision the remaining breast tissue can be removed.
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