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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.
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.
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.
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.
Take a look at some of Dr. Lawton's Female-to-Male before and after photos.