Top Surgery

Top surgery, also known as mastectomy or chest masculinization surgery, is a surgical procedure that involves the removal of breast tissue and the reshaping of the chest to create a more masculine appearance.

Purpose

The primary purpose of top surgery is to help individuals, typically transgender men or non-binary individuals, achieve a chest shape that aligns with their gender identity.

Types of Top Surgery

• Double Incision: This is the most common method, which involves making two incisions under the breasts to remove the tissue and then closing the incisions to create a new chest shape.
• Keyhole: This method involves making a small incision around the areola to remove the breast tissue, resulting in less scarring.
• Peri-Areolar: This technique involves making an incision around the edge of the areola to remove the breast tissue and then repositioning the nipple-areola complex.

Surgical Techniques

The surgical techniques used in top surgery may vary depending on the individual's anatomy, the amount of breast tissue to be removed, and the desired outcome. The procedure typically involves:

• Removal of breast tissue through incisions
• Reshaping of the chest wall to create a more masculine contour
• Repositioning of the nipple-areola complex (if necessary)
• Closure of the incisions with sutures or staples

Risks and Complications

As with any surgical procedure, top surgery carries risks and potential complications, including:

• Bleeding or hematoma
• Infection
• Scarring or keloid formation
• Numbness or loss of sensation in the nipple-areola complex
• Asymmetry or unevenness of the chest shape

Recovery and Aftercare

After top surgery, individuals typically require several weeks to recover and follow a post-operative care plan, which may include:

• Pain management with medication
• Wearing a compression garment to support the chest
• Avoiding heavy lifting or strenuous activities
• Following a wound care regimen to promote healing

Candidacy and Consultation

To determine candidacy for top surgery, individuals should consult with a qualified healthcare provider or surgeon who has experience in performing the procedure. The consultation will typically involve:

• A thorough medical evaluation
• Detailed discussion of the individual's goals and expectations
• Review of the different surgical techniques and options available

Frequently Asked Questions (FAQs)

What is top surgery?
Top surgery refers to surgical procedures that alter the chest to more closely align with a person's gender identity.

Who typically undergoes top surgery?
Typically, transgender men and non-binary individuals undergo top surgery.

What are the types of top surgery?
Types include double incision, periareolar, and keyhole procedures, each with varying techniques and outcomes.

Is top surgery covered by insurance?
Coverage varies, some insurance plans cover top surgery as a medically necessary procedure for gender dysphoria, while others may not.

What are the risks associated with top surgery?
Risks include infection, scarring, and potential loss of nipple sensation or function.

How long does recovery from top surgery take?
Recovery time typically ranges from several weeks to a few months, depending on individual factors.

Do patients need to be on hormone therapy before undergoing top surgery?
Hormone therapy requirements vary, some surgeons may require patients to be on hormone therapy for a certain period before surgery, while others may not.

Can top surgery be performed on minors?
Generally, top surgery is typically considered for individuals 18 years or older, but in some cases, it may be considered for minors with parental consent and under specific circumstances.

Are the results of top surgery permanent?
The results are generally long-lasting, but as with any surgical procedure, there may be some changes over time due to aging or other factors.

Is follow-up care necessary after top surgery?
Yes, follow-up care is typically necessary to monitor healing and address any potential complications.