• Female to Male Mastectomy

    See services Female to Male surgery clinic in Bangkok, Thailand

One of the first surgical steps for people transitioning from female to male is removing the unwanted skin and breast tissue. The idea is to create a more masculine chest. Nowadays, more and more people across the globe are opting for subcutaneous mastectomy for various reasons.

Definition

Subcutaneous mastectomy is a type of skin sparring which gets rid of excessive tissue through an incision under the breast and leaves the skin, nipple, and areola intact.

Some women who undergo this procedure say it helps to retain their nipples and offers better cosmetic results. Removing a lot of tissue is impossible, but it is appropriate as a prophylactic measure. People do it not just to have a flat chest but to have a beautiful male contour and

The Reasons for Subcutaneous Mastectomy

  1. Removal of the breast tissue
  2. Removal of excessive skin
  3. To remove the inframammary fold
  4. To reduce and reposition the nipple or areola complex

Operation Techniques

You can choose one or combine any of the following techniques

  1. Buttonhole

The surgeon makes a curved, oblique, or vertical buttonhole at the top of the pectoral muscle and the breast tissue to remove excess skin.

  1. Double Incision

It applies in the case of large or overhanging breasts or too much loose skin. The surgeon will remove both the breast tissue and excess skin through two major incisions; below the breast and higher above the nipple. They join the two to create one scar. Also, they remove the nipple complex, resized, and then grafted onto the chest in the desired position. They protect the nipples with a surgical sponge for about eight days.

  1. Inverted –T/T-Anchor

The technique is ideal for patients with medium to large-chested men who want to retain the most sensation in the nipple-areola complex.  Just like double incision, the surgeon opens the skin on the chest along two horizontal incisions; the top and bottom pectoral muscle although they don’t affect the muscle. Once the procedure is over, they pull the skin back and remove the breast tissue. In some cases, further liposuction may be necessary for adjusting the contour.

  1. Peri-Areola

It is ideal for women with small breasts or those with B-sized chests and excellent skin elasticity. Your surgeon makes an incision all around the boarder of the areola then an additional second and larger concentric circle which results in a ring of skin to be removed. Also, the doctor might suggest liposuction and breast tissue where a drawstring method is used to fasten the skin together and connect it to the edges of the areola. In this technique, the nipple stalk remains intact, but some resize the nipple to maintain nerve sensation.

  1. Keyhole

It is ideal for men with small chests. The surgeon makes a small incision along the bottom of the areola and removes the breast tissue using liposuction via the incision. Just like peri-areola, the nipple stalk remains intact, and they resize the nipple to keep the nerve sensation alive.

  1. Minimal Scar

The minimal scar is perfect for transmen with smaller chests and goo skin elasticity. The surgery involves only a small incision on the side of the chest and part around the areola. It is a minimally-invasive procedure that leaves almost invisible scars after healing. The nipple sensation remains intact making it an ideal choice for a patient. With a revision scan, you can improve results.

Matching breast with the right type of procedure

As seen above, various techniques suit different types of breasts. Compare the following:

Small breasts with excellent elasticity- Keyhole or Peri-areola.

Moderately-sized chests/B-Cup with good skin elasticity- Double Incision or Inverted-T, Buttonhole, or Peri-areola technique.

Large breasts/moderately-sized chest with reduced elasticity- Double Incision or Inverted-T, Buttonhole technique.

Extremely large breasts- Double incision, buttonhole technique.

Pre-Operation
  • Before undergoing the subcutaneous mastectomy procedure, you must adhere to the following:
  • Avoid food and water six hours to the operation
  • Avoid smoking, supplements, and inflammatory drugs like aspirin since they can cause anticoagulation before the operation
  • The procedure takes some time
  • Medical checkup for older patients
  • Take a three-five day sick leave
  • Shower well, shave your armpits, and wear comfortable clothing
  • Obtain a medical certificate from a psychiatrist
The Procedure
  • Discharge of general or local anesthesia
  • Surgeon designs the nipple
  • Removal of breast and skill realignment
  • Doctor inserts drainage tubing for about 2 days
  • Stitching
  • Use of loose dressing
Post Operation
  • Removal of stitches after 5 days
  • Use of bandage after operation for 2 days
  • Apply medicine on incision
  • Contact the surgeon or office in case of any problem
Side Effect

Subcutaneous mastectomy just like any other surgical procedure has some risk factors including the following:

  • Pain and skin tenderness
  • Swelling
  • Accumulation of blood in the wound
  • Accumulation of clear fluid in the wound
  • Restricted shoulder movement
  • Numbness in the upper arm or chest
  • Prolonged pain in the arm, chest wall or armpit