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.
"I had a tummy tuck through Dr. Childers in 2015. He was extremely helpful. I went in thinking I only needed Lipo and was scared when I realized I needed something more invasive than my initial thought. After deciding to go through with the tummy tuck, I was excited and nervous all at the same time. When my surgery date came, the hospital staff was extremely helpful. Dr. Childers was great support when I needed him. His office staff was delightful. Now, 2 years later, I have a 5 month old. My body healed nicely post surgery and since my pregnancy, my body bounced back (no stretch marks, no belly). However, once I'm ready for a lipo touch up and possibly a breast augmentation later this year, I will be returning to Dr. Childers.PS - I've received compliments on my scarring, too, from doctors in Beverly Hills. Just so you know, you don't need to go to LA or anywhere outside of Riverside to get nice results. ;)"- J.M. / Yelp / Jan 08, 2018
"Glennda is Truly the BEST!!! I had the Vi Peel last Thursday and 5 days later my skin looks BEAUTIFUL!!! It has not looked this good in over 30 yrs, I've been getting soooo many compliments, someone even asked if I had a face lift lol, I cant get over how good my skin looks I am really enjoying showing off my skin!!! I do not have enough words to thank Glennda, she has made a huge difference in my life, Now I can go out without having to hide my skin. My skin is clean, fresh & has a beautiful glow, no foundation needed anymore!!! She is top notch at skin care. Schedule your apppointment asap to start enjoying & showing off your beautiful skin."- L.C. / Yelp / Mar 24, 2017
"Love Love ! Kind and welcoming. Will not go anywhere else. A must go to get pampered. Thank-you Amber and staff"- P.F. / Google / Mar 17, 2017
"Always a pleasure! Dr. Childers & his staff are amazing! They always make me feel comfortable & at ease! I've been a patient for over 8yrs & will NEVER go anywhere else!"- M.L. / Yelp / Feb 08, 2017
"Just had last follow up with Dr Childers regarding breast explant and I absolutely, unequivocally can say that he is the BEST! He is honest and a straight shooter. Probably why I adore him. I HIGHLY CAN RECOMMEND DR CHILDERS FOR CONSULTS AND SURGERIES. You will be in excellent hands."- M.D. / Yelp / Feb 02, 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.
Plan Your Procedure
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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.