Female to Male
Bilateral mastectomy, also known as top surgery is the most common chest masculinizing process. It can be generalized as a two-step process — removing the excess breast and skin tissue followed by shaping and contouring the chest.
The surgery is usually performed in two steps. First, excess breast tissue is removed from an incision near the areola. This skin is allowed to tighten for roughly a year before a second surgery is performed to remove excess skin.
Breast size determines the specific type of top surgery. Patients with smaller breasts can opt for a peri-areolar procedure. This procedure does not involve nipple-areola grafting; it reduces nerve damage and the risk of losing sensation in the area. However, since the nipple-area is neither grafted or reconstructed, the nipple may be larger or oriented different when compared to a classical male’s chest. Patients with larger breasts require a formal bilateral mastectomy which involves grafting and reconstructing the nipple-areola. This allows for the nipple to be resized and placed in a classically male position
The procedure is generally well-tolerated and complications are rare. A normal work routine can be resumed within two weeks.
Hormone Replacement Therapy, usually testosterone, is used to develop secondary sex characteristics often identified with masculinity. Generally males faces are a longer and larger. The sinus area is larger and the jawline is sharp and well defined.
Facial Masculinizing Surgery involves these procedures often used to achieve a masculine look:
- Forehead lengthening
- Cheek Augmentation
- Chin Contouring
- Jaw Contouring
- Adam’s Apple Surgery
Many of these procedures require the intra-oral approach to surgical expertise. As an internationally recognized Oral & Maxillofacial surgeon and a Board Certified Cosmetic Plastic Surgeon, Dr. Adibfar is a true expert in the field and has many years of experience.