As a female-to-male transgender patient transitions, he will need to address his breasts to complete his physical journey. One of the most effective and common breast reconstruction procedures is called top surgery, or breast mastectomy free nipple graft surgery. This is where Inland Empire's board-certified plastic surgeon, Dr. Childers, removes the entire nipple/areolas during surgery to be replaced at the end. All of the breast tissue is removed (mastectomy), and the chest is shaped and sculpted for a masculine contour. Then, the removed nipple is grafted back into an appropriate location on the breast to restore form and function. It is important to note that the breast will not have full nipple sensation after the surgery.
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"I have been wanting to do something about the "bags" under my eyes for years, so when we moved to Upland, I was excited to see that there was a medical skin spa right near our new home. I made an appointment for a consultation just to see what they could do for me. From the second I walked in, I knew that I would be back again! First off, the little reception/waiting area is pink and feminine and beautiful and the ladies at the front desk are so welcoming and kind. Not in a fake way, but genuinely warm and friendly (which is very rare these days)! Amazing ambiance. There's an assortment of yummy beverages (including wine!) and lots of great magazines and pretty things to look at. Secondly, they listen to you! They work with your schedule to make an appointment for a (free!) consultation with the appropriate person and their hours are incredible! I'm a SAHM and can only go when my hubby is home from work (nights and weekends) so their hours really work for me! Thirdly, the consultation was incredibly informative. I spoke with a beautiful woman named Amber and she answered all my questions about my undereyes and recommended Juvederm for me: 1/4 syringe under each eye and the rest in my lips! Score!! I learned that my "bags" aren't bags at all, but the thinning of my facial features with age and time. She was patient with my hesitations and talked to me like a friend. She instantly put me at ease. I couldn't wait to make an appointment. Fourthly, on the day of my appointment, they took me back quickly and spread a numbing cream on my face, let it sit, and I was good to go! She even called Dr. Childers via FaceTime so I could ask him any questions before the procedure! Talk about customer service! I was so impressed. And finally, Amber was so great with the injections, they didn't even hurt and she would ask me to look in the mirror frequently to see the results, which were instant!! Amber really is an artist with that syringe!! I was so happy with the change. It's now the next day and I have no swelling or bruising, Amber is very skilled and knows exactly what she is doing. I am incredibly happy with how my face looks now, I look rested and youthful again, but still like myself. I cannot wait to go back and get Botox from Amber, and I plan to get touch ups as needed in the future. If anyone asks, I'm sending them your way, Sheer Beauty!! THANK YOU!!!"- E.L. / Yelp / May 13, 2017
This surgery can be performed in around 3 hours under general anesthesia. First, the nipple/areola area is quickly removed and placed on a moist sponge. The breast tissue is removed and the remaining skin is reshaped and contoured for a masculine appearance. Once the breast has been stitched up, the nipple/areola is grafted into the most appropriate place on the breast. Pressure is added to the nipple to increase the chances of the blood supply and certain nerves reconnecting for better results.
Depending on how the patient heals, recovery time can be anywhere between 4 to 6 weeks. A follow-up appointment will be made in around that same time to check on the patient’s progress to ensure the breasts are healing properly. While most patients can expect some form of reactivity in the nipple area, there’s a loss of sensual nipple sensation, where nipples may not become erected when stimulated.
Advantages and Disadvantages
The free nipple graft is advantageous for trans men because it can completely remove the breast tissue for a patient’s preferred, masculine look. This surgery is relatively quick where patients are not under anesthesia for extended periods of time. Another advantage is the fact that there’s minimal blood loss, which cuts down on complications.
The downside to this surgery is that it can lead to breasts with an unnatural shape and the nipples can look asymmetrical. In some cases, the nipple/areola don’t survive the grafting process. Further, the nipple/areola’s color can fade, leading to an uneven color, especially for darker-skinned patients. More than likely, the nipple will no longer become erected when stimulated since complete sensation can’t be restored after this surgery.
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If you are a trans man looking to complete your transition, you should learn more about Breast Mastectomy Free Nipple Graft surgery, or Top surgery. In this procedure, the nipple/areola is removed and replaced following the mastectomy to achieve a masculine appearance. When you call our office, we would be more than happy to set up a time for you to come in and discuss the procedure with Dr. Childers. He will determine whether this procedure is right for you, as well as go over the surgical procedure, the pros and cons, pricing and more, so give us a call today.