This patient is a female to male transgender patient who contacted Dr. Medalie of Cleveland Plastic Surgery in Cleveland, Ohio in regards to FtM "top surgery". The patient desired a complete mastectomy with the goal of having a masculine chest that appeared as if he were genetically male. The various types of operations were explained to him and it was decided to proceed with a double incision approach with free nipple grafting and reconstruction . The surgery was performed as an outpatient at MetroHealth medical center, and the patient is shown nine months after the procedure with excellent contour and acceptable visibility of the scars. He has good nipple graft survival and placement. He is very happy with his "top surgery" and subsequent gender change.
Female to Male transgender "top surgery" before and after double incision mastectomy
This pleasant 26 year old FtM transgender patient contacted Dr. Medalie for bilateral mastectomy (female to male top surgery). He was hoping for minimal scars since he was small chested to begin with and Dr. Medalie felt that the keyhole approach (incision from 7-11 pm at the edge of the areola) would be an adequate incision. The other alternative approaches were the complete peri-areolar approach and the double incision with nipple grafting. He had his surgery as a 2 hour outpatient procedure and is shown at six months with an excellent result. There is minimal evidence of scar formation and a nice chest contour. The patient is very happy with his "top " surgery results.
I just wanted to let some of my patients know that I have uploaded a new video about "top" surgery. This video shows an entire operation from marking to dressing. The operation performed is a double incision mastectomy with nipple/areolar grafting to hep a female to male patient begin their transition.The link is below.