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With an increasing number of people identifying as transmen, there also has been a corresponding need and desire for gender affirming FTM Top Surgery. For most, binding can only take you so far – at least when it comes to wearing clothes. Unfortunately, that is only a small part of the overall issue.

Binding does not truly address gender dysphoria. It only camouflages in public what you don’t want others to see and what you wish that you didn’t have.

Being male and living as one, yet going out in public with prominent or even large breasts, is more than problematic. You just want to just blend in and not be noticed or singled because of your anatomic deformity.

Fortunately, Top Surgery is incredibly effective in correcting this issue and addressing gender dysphoria.

The results of the surgery are extremely positive and often life changing. Our patients tell us this all the time.

They are much happier and feel far more comfortable in their body. Anxiety, depression and decreased self-confidence typically improve significantly or even resolve.

As a group of patients overall, transmen who have undergone FTM top surgery are right at the top as our happiest and most satisfied patients – along with our breast reduction patients.

Recently, we published a post on what you can expect during the first few days following your FTM and FTNB top surgery. The following results are from a longer period of time after surgery – 6 months. At this time, scars are typically still maturing with redness and swelling present though gradually decreasing in extent. Full completion of the healing process, involving the scars and breasts, will take a year to a year and a half to finally see what the more long-term “stable” results may be. However, even over the subsequent several years, the scars can become even less conspicuous.

This is a 19 year old transman who has been living full time as a male since his early teens though has only been on testosterone for around two and a half years (photos A, C and E). After an extensive consultation during which the various surgical options were discussed including expectations, risks and complications, he elected to proceed with a double incision free nipple graft mastectomy. His results are seen at six months following surgery (photos B, D, and F). The scars will continue to flatten out and lighten up until all the redness dissipates.

A. Before top surgery

B. 6 months after surgery

C. Before top surgery

D. 6 months after surgery

E. Before top surgery

F. 6 months after surgery

He has been extremely happy with the results which were life changing for him.

If you are very interested in undergoing gender affirming top surgery, whether FTM, FTNB or even MTF, you can schedule your consultation either by calling my office at (480) 451-3000 or by email.


Steven H. Turkeltaub, M.D. P.C.
Scottsdale and Phoenix, Arizona

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