Female to Male Surgery
FTM double incision mastectomy (breast reconstruction/removal) is performed on
female-to-male patients who present for reduction/removal of the
breasts. The nipple is reduced and replaced in a new position to
masculinize the chest.
Breast Reconstruction/Removal Initial Evaluation
At the initial consultation, your health history will be reviewed and the
procedure you are interested in will be explained in great detail. Any
alternative procedures, as well as the risks and benefits of surgery will be
discussed. You will view before and after photographs of Dr. Gary Lawton's patients, and all of your questions will be answered.
During the examination, your breast width, height, and nipple position will
be measured. Any differences in the breasts from left to right will be
evaluated. You will have the opportunity to point out particular
characteristics of your anatomy that you would like to improve or change.
After an extensive discussion, you and Dr. Gary Lawton will arrive at the surgical
plan that will best achieve your goals. It is our commitment that you leave
this initial visit with a clear understanding of your surgical options, so you
may make an informed decision. We are happy to answer any questions
you may think of later by telephone, email, or at another private
consultation. There is never an additional charge for these subsequent
visits.
Surgery
Chest reconstruction is performed in our own private AAAASF Certified Class-
C Outpatient Surgical Center. The procedure takes between 1 and 2
hours.
During surgery, the excess breast tissue and skin is removed. The size of
the areola, the darker skin surrounding the nipple, is reduced. The nipple is
moved to a more appropriate position. The skin is then brought together to
reshape the chest to a masculine form.
For this outpatient procedure, we utilize general intravenous anesthesia
administered by an elite group of carefully selected, highly qualified, board
certified anesthesiologists. The techniques employed are designed to
provide a smooth, gentle anesthetic experience, and prevent postoperative
nausea and eliminate postoperative pain.
Recovery
Rest is recommended after surgery. At home, you will have medications to
ease the pain. We also prescribe antibiotics to reduce the risk of infection.
Surgical vitamins, arnica, and bromelain are used to reduce the swelling
and bruising, and to speed your recovery.
We will see you in the office the day after surgery. By the fourth or fifth
day, the discomfort should be significantly reduced. At one week, you will
return for suture removal. By this time, you should be feeling well enough
to be back to most of your normal activities. You should be back to work
within this first week. Because it takes 6 weeks before the wounds reach
50% of their full strength, you will be able to return to vigorous activities
only after this healing period.
We will see you in follow-up at 1 day, 1 week, 1 month, 3 months, 6
months, and every year thereafter. We will see you more frequently if
necessary. There are never charges for follow-up visits.
FTM Before & After Photos
Take a look at some of Dr. Lawton's Female-to-Male before and after photos.
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