Female to Male (FtM)

Top dysphoria can be a debilitating experience in many patients who identify as a certain gender which does not match their outward appearance. Breast removal can take place through a double incision and free nipple grafting or a periareolar approach. At times the areola must be reduced. With a full circular incision around the areola. Liposuction is almost always used to improve contour. A surgery that is extremely impactful for the patient.

Male to Female (MtF)

Top dysphoria can be a debilitating experience in many patients who identify as a certain gender which does not match their outward appearance. Increasing breast volume and shape is generally done with a breast implant in the subfascial position to limit animation deformity. A surgery that is extremely impactful for the patient.