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A frequent question among transgender men (transmen or trans males) wanting to transform their appearance in order to match their gender identity is whether or not testosterone therapy will shrink their breasts enough to achieve a masculine-looking chest or if surgery is the only option.

The short answer to this is that for the overwhelming majority of transmen seeking a masculine appearing chest, female-to-male (FTM) top surgery will be necessary. While testosterone may have some impact in decreasing breast volume in certain individuals, its effects are limited and will definitely not reduce or tighten the breast skin. Therefore, breast tissue will still persist and the skin may become or remain lax or even droopy.

These are not the appearances that individuals are hoping to obtain!

The very rare exception to this may be the transman who has virtually no breast tissue to begin with and no true projection. In this situation, there may be absolutely nothing to gain by pursuing top surgery.

So what can FTM top surgery accomplish?

Female-to-male breast surgery entails the removal of the breast tissue, known as a mastectomy, along with excess skin if present. There are a few different techniques available that can help one obtain a very desirable outcome. When performed by a skilled and experienced board-certified plastic surgeon, the results can be a more natural-appearing male chest contour that effectively addresses gender dysphoria issues. In fact, it is extremely common to hear from patients that this surgery has been absolutely life changing for them.

Many insurance companies now have plans that will cover, at least in part, FTM top surgery. Of course, there are specific requirements that must be met in order to be approved for surgery. Private pay is available and we have negotiated special pricing in order to make the surgery more affordable. In addition, we do work with several medical financing companies to further help make this surgery a reality for you.

If you are a transman interested in achieving a more masculine-appearing chest, please feel free to contact our practice either online or by calling (480) 451-3000 in order to schedule your consultation. Dr. Steven H. Turkeltaub has helped many transmen attain the life-changing transformation that they had sought, and he would be happy to assist you in doing the same.

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A Message Regarding Coronavirus/COVID-19

In light of the coronavirus/COVID-19 pandemic, we would like to let you know of some of the major precautions we are taking in our office to maximize cleanliness and keep the environment as sanitary and safe as possible. Our highest priority is always to ensure the safety of every individual who sees us and we are taking extreme infection-control measures to maintain cleanliness and “sterility” of surfaces and the overall environment.

We will be limiting dates and times for office appointments and consultations due to safety and other issues. Consequently, if you have already made an office appointment or consultation prior to March 18, 2020 to occur at a later time, this may need to be changed.

For anyone considering plastic surgery, we are now offering Virtual Consultations and Telemedicine through Skype. A great number of aesthetic or insurance-related issues can be evaluated via pictures and online video conferencing, making this an excellent way to find out more about particular procedures, determine candidacy for treatment, receive answers to questions and facilitate being able to move forward with care once the government lifts all restrictions.

In an abundance of caution, we are asking all current patients who are experiencing a fever, cough, chills, fatigue or any type of respiratory illness to please delay any upcoming appointments at our practice. We can talk with you by phone or email to establish a new date and time for the appointment.

We are all in this together. Our team urges everyone to follow the guidelines recommended by local health authorities and the Centers for Disease Control and Prevention, which include frequent handwashing for a minimum of 20 seconds, social distancing, staying home if you are feeling sick, and contacting your healthcare provider if you feel you are experiencing symptoms.

For more information, please read our blog – Coronavirus and You: Important Information

For further updates, please check our blog.

If you have any questions or concerns, please contact us by phone or email.

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