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Male to Female (MTF) Top Surgery

Male to female (MTF) top surgery, also known as transgender breast augmentation, is a surgical procedure designed to enhance the breasts and feminize the chest. This procedure is commonly performed on trans women by inserting implants to reshape and recontour their chest. Using advanced surgical techniques, Dr. Hadeed offers cutting-edge approaches for MTF top surgery to help you achieve an aesthetic look that fits your true self and alleviate gender dysphoria.

Benefits of Male to Female Top Surgery

Improved Confidence

Trans women who feel their gender identity does not match their physical characteristics may feel insecure about their appearance. MTF top surgery can enhance a patient’s breasts to match her true gender identity and help her feel more confident in her body.

Emotional and Psychological Comfort

MTF top surgery is an effective treatment for trans women because it can improve their psychological and/or social functioning by allowing them to align their physical characteristics with their feminine identity.

Reduced Depression

Patients who struggle with gender dysphoria may often feel depressed or confined in their biological bodies. MTF top surgery can help trans women live more comfortably and alleviate their depression and gender dysphoria.

MTF Top Surgery Options

Male to female top surgery is performed on an outpatient basis using general anesthesia. Implants will be placed to reshape your chest and create a more feminine appearance, and the incisions will then be closed using sutures.

When deciding on the top surgery options for you, several factors should be taken into consideration, including the amount of desired enlargement and projection, breast anatomy, and body type. Dr. Hadeed will work closely with you to determine the proper implants and techniques to achieve your aesthetic goals.

Implant Type

Saline Implants

  • Contain a saltwater solution
  • Implant size can be adjusted during surgery
  • Allow for smaller incisions
  • Often easier to detect rupture

Silicone Implants

  • Contain a cohesive gel to help the implants maintain their shape
  • Provide a more natural appearance
  • Better simulate the feel of natural breast tissue
  • Less likely to show visible wrinkles or rippling
  • Require larger incisions
  • May come with the risk of silent rupture or capsular contracture
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Incision Options

Incision options for MTF top surgery include:

  • Along the breast fold under the breast (inframammary)
  • Around the areola (periareolar)
  • In the armpit (transaxillary)
  • Through the belly button (transumbilical)

For most trans women, an incision along the breast fold is the most appropriate location. Incisions will be placed in inconspicuous locations to hide scarring as much as possible.

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Implant Placement

Once the incisions have been made, the implants will be placed either behind the breast tissue (subglandular placement) or under the chest muscle (submuscular placement).

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Fat Grafting

Fat grafting can sometimes be performed during your procedure for additional volume and optimal breast contour.

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During your consultation, Dr. Hadeed will examine your chest to determine the best surgical options for you.

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You will be asked to wear a surgical bra for at least six weeks to minimize swelling and maintain the shape of your new breasts. Most patients are able to return to work after two weeks, but strenuous activity will not be permitted for up to six weeks following your procedure. If your job requires physical labor, you may need to take three or more weeks off from work.

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Most insurance companies will not cover MTF top surgery. However, every insurance policy is different, and there are few exceptions for gender affirmation procedures. Dr. Hadeed can recommend many medical financing companies that will help you pay for your procedure.

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Dr Josef Hadeed was amazing! From scheduling my consultation, to my surgery date, all the way to my 2month post op check up! After hearing nothing but good about him, I knew if I was able to, I wanted him to do my procedure…

Frequently Asked Questions

Male to female breast augmentation takes approximately one hour to perform depending on the techniques used.

Although not explicitly stated in the WPATH (World Professional Association for Transgender Health) standards of care, Dr. Hadeed does require all trans women and non-binary persons to have a letter of recommendation from a qualified mental health professional prior to having MTF breast augmentation.

There is no requirement from WPATH for you to be on estrogen prior to your male to female top surgery. Patients who are taking estrogen will be asked to stop four weeks before surgery.

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