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For most individuals, living with a physical body that does not match one’s actual gender identity is a very difficult and uncomfortable way to exist, function and interact. Transgender identity and the related issues often create a dysphoria associated with anxiety, depression, substance abuse and other negative issues. Fortunately, advancements in transgender plastic surgery and medicine have made gender transition easier, real and natural and with results that are far more satisfying.

At the Arizona Center for Aesthetic Plastic Surgery, board-certified plastic surgeon Steven H. Turkeltaub, MD offers female to male (FTM) and male to female (MTF) breast surgery in order to help his patients transition in their appearance to match their gender identity. When you visit his practice for your consultation and postoperative care, you can expect to receive non-judgmental professionalism, understanding, attention and support. He will strive to understand your unique desires and perspectives, develop a customized treatment plan with you based on your anatomical needs and lifestyle goals and then help you achieve the life-changing transformation that you deserve.

What Does the FTM Breast Procedure Entail?

Female to male breast surgery entails masculinizing the appearance of the female breast and chest wall. The standard procedure is usually accomplished by the thorough removal of breast tissue with either a nipple sparing mastectomy (“keyhole”) or subcutaneous mastectomy with a free nipple graft (“double incision”). Liposuction may need to be employed in order to obtain a more thorough transformation. In addition, the large female nipple-areola complex typically needs to be substantially reduced in size and repositioned on the breast to create a more masculine appearance. Not addressing this can compromise the results. When excess skin is present with the nipple sparing mastectomy, a concentric circle (peri-areolar) mastopexy can be performed.

Just like all surgical procedures, there are certain risks associated with FTM breast surgery. Depending on the procedure selected, these are similar to the ones that can occur with breast reduction or gynecomastia surgery. Dr. Turkeltaub does everything in his power to avoid and minimize the risk of experiencing these complications.

What Are the Different FTM Breast Surgery Techniques?

The incision pattern utilized to perform female to male breast surgery depends several factors that include the pre-existing breast size, configuration, degree of skin laxity and excess, and the size and location of the nipple areola complex. Dr. Turkeltaub offers the following FTM breast surgical approaches:

During your consultation, the techniques that would be most relevant and appropriate to your particular situation will be discussed in great detail.

What Is FTM Breast Surgery Recovery Like?

To help minimize any post-operative bruising, swelling and discomfort, a snug form-fitting dressing is placed around the chest following surgery and kept on for a few days. This is then replaced with a form-fitting garment that is worn for at least one to two weeks thereafter.

The majority of patients experience only a mild degree of discomfort that can typically be alleviated with oral medication. Most individuals feel well enough to return to school and/or non-strenuous office jobs within a few days of surgery but any vigorous physical activity or heavy lifting will need to be avoided for a minimum of three to four weeks.

Results of the transgender surgery are evident immediately though it can take up to a year for all the swelling to fully resolve and the incision lines to mature and largely fade. You actually may see some increased swelling for the first two months which then gradually subsides. For all practical purposes, though, the final results are close to being realized at about six months.

The final outcome of FTM breast surgery can be truly life-changing for individuals transitioning from female to male.

How Is the MTF Breast Procedure Performed?

Male to female breast surgery is performed the same as a standard breast augmentation. During the procedure, breast implants are carefully inserted through a predetermined incision and placed either above or below the pectoralis major muscle to achieve a more feminine-appearing chest. Dr. Turkeltaub employs a very gentle and meticulous surgical technique to help limit any post-operative discomfort and allow you to achieve the results that you desire.

The potential risks associated with MTF breast surgery are identical to those experienced in breast augmentation. These will be discussed with you at the time of your consultation.

Breast Implant Options

At the Arizona Center for Aesthetic Plastic Surgery, Dr. Turkeltaub offers a wide array of breast implant sizes, configurations, shapes, types and implant fill material that includes various levels of silicone gel cohesiveness in order to help meet the unique needs and desires of every individual. The implant options will be discussed comprehensively at the time of your consultation with Dr. Turkeltaub. Based on a multitude of factors, he will make recommendations to you that will help you to obtain the results that you desire.

For more specific information about implants, please visit Dr. Turkeltaub’s page on breast implants.

MTF Breast Surgery Incision Choices

Individuals considering male to female breast surgery have three incision options through which implants can be placed. These include:

Following a thorough review of the advantages and disadvantages of each option, Dr. Turkeltaub can help you select the best incision location for your unique needs and desires.

Implant Placement

There are two implant placement options for MTF breast: in front of the pectoralis major muscle (submammary) or behind it (submuscular or subpectoral). For the reasons highlighted below, Dr. Turkeltaub recommends placing breast implants submuscularly most of the time.

What Is MTF Breast Surgery Recovery Like?

A firm, form-fitting compression dressing is placed immediately after surgery and remains on for about two to three days before being replaced by a sports-type bra. This is to be worn all day and all night for approximately two weeks, after which it is strongly recommended that you wear a bra that provides optimal support as often as possible to help maintain an ideal breast shape and limit sagging over time.

Swelling and firmness in the breasts will typically be experienced initially, sometimes causing the breasts to look larger and feel harder than anticipated. Fortunately, these symptoms should resolve over the course of several months to eventually reveal a size and contour closer to what was originally envisioned.

There may be some mild to moderate discomfort within the first few days of recovery, but most patients are able to return to non-strenuous jobs and normal daily routines after about five to seven days. It is strongly recommended that any sports, vigorous exercise and other similar activities be avoided for at least three weeks.

Though the overall results can be seen initially, it can take several months or longer for most all of the swelling to subside, the skin to stretch out and the muscles to relax. By six months you will be very close to seeing the long-term results.

These results can dramatically improve one’s comfort, confidence and appearance allowing for a very positive and successful transition.

How Much Does FTM or MTF Breast Surgery Cost?

According to data shared on RealSelf, the cost of FTM breast surgery is generally between $4,900 and $12,000 in the Scottsdale area, and the cost of MTF breast surgery in the Scottsdale region typically spans from $2,975 to $11,000. The average prices reported for these procedures are $8,400 and $6,525, respectively.

While these numbers can give you a good idea of what your transgender breast surgery might cost, it is important to understand that there are several factors that can influence the exact price of your treatment. Some of the most notable elements that dictate the total expense of FTM and MTF breast procedures include the surgical technique utilized, the complexity of the operation, the plastic surgeon’s level of skill and experience, the geographic location of the practice, charges for the anesthesiologist/operating facility, pre- or post-operative medications, post-surgical garments and whether or not additional treatments are also performed.

To obtain a personalized quote for FTM or MTF breast surgery, you will need to schedule a consultation with Dr. Turkeltaub. During this appointment, he can review your specific needs and goals, develop a custom treatment plan and provide a detailed breakdown of all expenses associated with your procedure.

If you are interested in payment plan options, a knowledgeable member of our team can assist you in the application process for plastic surgery financing. Our practice partners with CareCredit®, ALPHAEON® CREDIT and several other trusted healthcare lenders that can help make transgender breast surgery an affordable reality for virtually all budgets.

Transgender Breast Surgery Patient Testimonials*


*Individual Results May Vary

Interested in FTM or MTF Breast Surgery?

If you are considering FTM or MTF breast surgery, Dr. Turkeltaub would be happy to assist you in your gender transformation. Please contact our practice online or by phone today to schedule a consultation.

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