FTM (female-to-male) Top Surgery is a chest masculinization mastectomy procedure offered in Rochester at the Quatela Center for Plastic Surgery that involves the subcutaneous removal of breast tissue. Top Surgery can also involve the removal of excess skin, tissue, and a reduction and repositioning of the areola and nipple, or free nipple grafts.
Transgender men from Buffalo, Syracuse, and throughout New York travel to the Quatela Center for Plastic Surgery to have FTM Top Surgery at our state-of-the-art surgical center. Request a consultation using our online form to meet personally with board-certified plastic surgeon Dr. Kalnoki. Or call our office at (585) 244-1000 to schedule an appointment.
A talented artist and board-certified plastic surgeon, Dr. Kalnoki specializes in plastic surgery after weight loss or pregnancy and other body contouring procedures. As a woman, Dr. Kalnoki brings a unique perspective to the Quatela Center for Plastic Surgery.
Any transgender man who is seeking female to male gender reassignment and wants a masculinized chest is a good candidate for Top Surgery. An ideal candidate for FTM Top Surgery is:
Once your Top Surgery procedure has been scheduled, there are a few things that you can do to prepare for the surgery and recovery period. By taking time several days before your procedure to prepare, you can be assured of the best results and a smooth recovery.
If you are a smoker, it's also important that you commit to stop smoking at least six weeks prior to your Top Surgery procedure.
Patients should expect recovery after Top Surgery to take around two to six weeks. There are many ways of obtaining a masculinized chest and a specific treatment plan and surgical procedure will be determined during your evaluation. If you are a good candidate for Top Surgery, Dr. Kalnoki will discuss which of the following two surgical techniques will best suit your anatomy:
Patients should expect Top Surgery recovery to take around 2 weeks, although individual experiences vary. After your Top Surgery, expect some soreness and mild pain, which is well controlled through appropriately prescribed pain medications. You should avoid strenuous physical activity for 6 to 8 weeks following surgery; however, light activity such as walking is recommended several days after your Top Surgery procedure to ensure good circulation. Bruising and swelling around the nipples or incision sites may occur in the first 48 hours after surgery, but will typically resolve in 2 to 3 weeks. Drains are placed during your procedure to ensure proper fluid drainage during your recovery. Patients are provided with a compression garment, which must be worn at all times for up to 6 weeks following surgery to minimize the effects of swelling post-operatively.
While there is little risk from today's Top Surgery, occasionally complications can occur. These include, bleeding, infection, seroma, and loss of color in the nipple graft.
Dr. Kalnoki was hailed as one of the busiest and best plastic surgeons in Phoenix, AZ amongst the FTM Top Surgery community. Her patients came from New Mexico, California, and other surrounding states to have her perform their procedures. She now brings her expertise to Rochester, NY and is ready to be involved in the transgender community here.
Patients with a desk job can return to work after 1 to 2 weeks, although this depends on individual factors. Patients whose work requires more activity, such as lifting up to 25 pounds typically may return to work 4 to 6 weeks after surgery.
Walking is encouraged beginning several days after the Top Surgery procedure. Heavier lifting or more strenuous exercise may be resumed 6 to 8 weeks following surgery in most cases.
Patients under 18 years of age require parental consent and a letter of recommendation from a mental health professional. Dr. Kalnoki adheres to WPATH guidelines.
Patients who have been on hormone therapy often achieve a better result aesthetically after undergoing the surgery. Testosterone therapy helps to reshape the breast tissue preoperatively. These changes are seen even after just 6 months of testosterone therapy for most patients.
Yes, most patients require drain placement during surgery to ensure proper drainage of the surgical site following the operation. These drains are typically removed 1 to 3 weeks after surgery.
It is critical to wear the compression garment for 6 weeks following surgery and to adhere to the postoperative recommendations regarding exercise and physical activity in the weeks after your procedure. It is important to protect your incisions from sun exposure by covering them or using sunscreen. We will recommend scar cream postoperatively that can help to reduce the visible appearance of scars.
The Quatela Center's reputation as one of New York's finest cosmetic plastic surgery practices attracts patients to Rochester from throughout the state. Choose one of the locations below for driving directions to our practice.
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