• Bilateral Subcutaneous Mastectomy


Bilateral Subcutaneous Mastectomy is a type of  cosmetic procedure for female- to male transsexuals,  used  to remove all breast tissue from a breast. An incision is made into the breast. The breast tissue is removed from the overlying skin and the underlying muscle. When an axillary dissection is done, it is typically via the same incision.

Bilateral subcutaneous mastectomy in FtM transsexuals is the one of the most important steps in gender reassignment operations, because achieving a male chest configuration with this first operation, importantly, facilitates living in the chosen gender role, particularly when they have large breasts.


Operation time:
1-3 hours duration

Type of anesthesia use:
The procedure uses General anesthesia

Care after surgery:
One or two small plastic drains are usually left in place to prevent fluid from collecting in the space where the breast tissue used to be. The surgeon will decide when these drains are removed, typically when the amount of fluid draining decreases to an acceptable volume. This may take a few days to a week or more.

  • Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
  • Blood and urine samples will be collected for routine preoperative laboratory tests.
  • Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
  • You will likely to be asked to stop drinking alcohol, a week before the surgery and your recovery period.
  • Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery.
  • Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.
Post Operation

The patient is taken to a recovery room to be monitored after the surgery. After the blood pressure, pulse and breathing become stable, the patient is shifted outside the recovery room. Pain medication may be given to reduce severe pain. The patient needs to stay in the hospital for some days depending on the method of mastectomy and reconstruction. The result after the mastectomy is given in about one week.


Mastectomy is very safe surgery, and most patients recover well with no complications. As with any surgery, however, there are risks. Possible complications are listed here, but keep in mind that unless stated otherwise, they usually do not happen.

The risks of any surgery are bleeding, infection, and injury to nearby tissues. Some post-operative pain and soreness is expected, but can be effectively treated with pain medication. There will also be a scar on the chest wall. Scarring occurs with all surgery, and is unavoidable.