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MTF (male-to-female) top surgery is an integral part of the transition for many transwomen, as it helps fulfill their vision of attaining a feminine figure. For those that have looked into the process, you may have come across the term breast augmentation. This is a surgical procedure that uses implants to enhance the size and shape of your breasts. Getting breast augmentation surgery is an emotional milestone as it helps align their outward appearance to how they feel on the inside. It gives them the feminine silhouette they want so they can live in their truest, authentic self. The procedure can be done during any part of transition — whether it’s at the start, middle or end. With that said, many transwomen prefer to get it done midway into their physical journey after they’ve begun implementing other physical changes to their bodies.

A common question asked by many transwomen in regards to this procedure is about implant size — “what’s the right implant size for me?” In order to figure that out, there are a couple of factors at play that help determine what implant is right for each patient as each case is unique. But before let’s get into that, let’s breakdown what MTF top surgery is and different types of implants available for this procedure.

What Is MTF Top Surgery?

MTF top surgery is a simple breast augmentation surgery. Many of the techniques used in MTF top surgery is used in the traditional breast augmentation procedure, with little variation between the two. During the procedure itself, incisions are made on the chest where the implants are inserted. Placement of the implant either goes on top or below the muscle depending on the surgeon’s discretion. Once they’re satisfied with the placement of the implants, your surgeon with close the incision in a discreet location that minimizes the appearance of scarring once fully healed.

During recovery, patients report tightness around the chest as the skin and muscles try to accommodate the new implants. This sensation lasts for a couple of days but will need some getting used to. Depending on a number of factors, recovery will last anywhere between three to eight weeks before you’re able to confidently purchase a bra that fits properly. Once patients are fully healed, they’re typically extremely satisfied with their results and look forward to living this new stage of their life in the body they were meant to be born in.

Silicon VS. Saline Implants

There are currently two types of implants on the market right now that you can use for your augmentation surgery. The one patients typically go with depends on the look and feel they want their new breasts to have. Undoubtedly the most popular of the two is the silicone implant, as they mimic the look and feel of real breasts. They also have a reputation of lasting longer and have lower chances of rupturing down the road. The second option is saline implants, which has a rounder and firmer feel than the silicone option. They’re inserted into the body deflated and then filled with salt water solution during the augmentation procedure. Some patients prefer this method as it controls the size of the implant, ensuring that it complements the breast and chest frame of that individual, providing a more natural looking result. While both implants have their own pros and cons associated with each of them, your surgeon will go through all those factors as well as your own personal preferences to determine the type that’s right for you and your lifestyle.

How Do I Know Which Implant Size Is Right For Me?

During your consultation with your surgeon, they will conduct a full upper body examination to assess which range of implant sizes will work well for you. They’ll consider your current frame, the size of your chest and skin elasticity to determine the implant sizes that will work on you. Once that’s figured out, your surgeon will pass along sample implants for you to try on in a bra, so you can envision what you will look like once you’ve fully healed.

Because the skin on the chest is a lot tighter for transwomen, it’s important to start out at a reasonable implant size so your chest can adjust. In most cases, the recommended sizes are what patients like to go with but for those that desire a bustier chest, they’ll typically have to go through two procedures so your chest skin can stretch and adjust properly to their desired size once it’s ready.

Getting MTF top surgery is a life-altering experience. Besides going to a reputable surgeon, you want to go to a clinic that’s inclusive and LGBTQ2+ friendly so you feel comfortable throughout the entire process. McLean Clinic is not only one of the GTA’s leading plastic surgery clinics, but they’re also leaders in both MTF and FTM top surgery procedures and have helped a countless number of individuals through their physical transition. They combine expertise as well as compassion so patients feel supported at all stages — from the consultation, straight through to recovery. Contact them today so they can help be a part of your transition story!

The post How Do I Know Which Implant Size Is Right For Me? appeared first on FTM Top Surgery.

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Getting female-to-male (FTM) top surgery done is a milestone procedure for many transmen. It gets them one step closer to being comfortable in the skin they’re in and gives them the opportunity to live their life in the body they truly feel like they were meant to be in.

But like any surgical procedure, there are many questions and concerns surrounding it — one of the main ones being pain. Is it a painful procedure? Is recovery uncomfortable? What can be done to manage that? These are common questions patients ask when they visit the McLean Clinic and something we’re always happy to shed some light on.

We understand that top surgery is both an exciting and emotional experience for many reasons, which is why we always try to ensure that the entire process is as comfortable as possible. Before we answer some of these burning questions, let’s begin by talking about what FTM top surgery is first.

What is top surgery?

In simple terms, FTM top surgery is the surgical removal of breast tissue and restructuring of the breast area to achieve a firm, masculine-looking chest. Now there are two types of top surgeries, which include:

Double Incision Mastectomy - this procedure is performed on patients who have medium to large-sized breasts. Two horizontal incisions are made along the chest at the top and bottom of the pectoral muscle, where the breast tissue and nipple are both removed. Once the surgeon has taken out all the necessary tissue, the nipple is resized and repositioned back on the chest to ensure the final result looks masculine.

Keyhole or Periareolar Mastectomy – unlike the double incision mastectomy, the nipples are never removed during this top surgery. Instead, the breast tissue is removed through a small incision that’s made around the bottom of the areola. This surgery is performed on patients who have smaller breasts and tighter skin around the chest, so no excess skin removal is needed. For optimal results, drains are inserted under each arm to collect any excess fluid that may accumulate under the empty skin. This technique helps to ensure that the skin heals firmly against the chest.

Recovery and Pain Management

Once the procedure is over, patients are sent home for recovery. During this time, patients are given a compression binder or surgical bra to help support the chest and keep everything in place during the healing period.

About one-week post-operation, patients will have a follow-up appointment with their surgeon to assess their progress and ensure everything is healing properly. During this appointment, bandages will also be removed and the patient will then start applying nipple dressings daily until their next appointment.

Now for the million dollar question — is recovery for top surgery painful?

Not as much as you might think. In fact, if patients follow recovery instructions and manage any pain or discomfort with medication recommended by their surgeon, recovery is pretty smooth. It’s encouraged that pain medication is used when needed, but patients typically find that pain during recovery is very minimal and subsides after a couple of days. Apart from some pain, patients will experience slight discomfort from the swelling and bruising of the chest, but this can be managed with ice packs.

If patients start experiencing unbearable pain or extreme swelling, this may be the symptoms of a bigger problem like an infection. Patients are advised to contact their surgeon immediately to see what the best course of action is. Luckily, while complications like this are possible, they’re unlikely to occur, especially under the supervision of an experienced surgeon.

Overall, full recovery can take up to a few weeks, but patients are free to start going about their regular routine after two, with the exception of minor restrictions. After that, regular or strenuous exercise can resume after the six-week mark or when your surgeon gives you the go-ahead.

Remember, everyone’s recovery journey is different. When healing from FTM top surgery, it’s important not to rush recovery and allow your body to heal as best as possible. For the best results, be sure to follow your surgeon’s recovery guide and get as much rest as you can.

If you’re thinking about doing FTM top surgery, let the McLean Clinic team be part of your journey! It’s not easy deciding which surgeon to go with, but Dr. McLean’s experience and expertise in the field is unparalleled. Dr. McLean and his team understand better than anyone that this procedure is more than something purely aesthetic. They’ve witnessed it firsthand and seen just how life-altering this procedure can be in helping transmen take ownership of their body and getting it to align with how you feel about themselves on the inside. If you want the McLean Clinic to be on your team, feel free to book a free consultation with us today.

The post How Much Pain Can I Expect After Top Surgery? appeared first on FTM Top Surgery.

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For a lot of transmen, getting FTM top surgery is key to achieving a masculine physical appearance that aligns with who they are inside. By removing excess breast tissue, chest masculinization is a great way to achieve a flatter looking chest that hugs the muscle of your body for a more contoured frame.

Since FTM top surgery is such a monumental step in a transman’s transition, it’s important to make sure you choose the procedure that’s right for your body type. McLean Clinic understands you may have questions and concerns regarding the various procedures involved and is committed to working with each patient to ease any anxiety associated with them. Their ultimate goal is to make sure each patient leaves with an appearance that best reflects how they truly feel about themselves and make sure that the process is as smooth as possible. If you’re in the process of looking into what type of top surgery is right for you, check out the most popular options below:

For medium to large breasts

A double incision mastectomy is recommended to those who have medium to large breasts with a slight overhang. During this procedure, two horizontal incisions are made across the chest at the top and bottom of the pectoral muscle. Following that, all the breast tissue is removed as well as the nipple, which is later resized and repositioned on the chest for a masculine aesthetic. Sometimes this procedure is paired with liposuction to shape the chest area for a firmer look.

The Results

There are a number of great advantages to this procedure including nipple size, position and scar placement. When it comes to scarring, the two horizontal incisions are joined to create one scar. While scarring may not be ideal for some, over time scarring does fade and becomes less apparent. The most distinct part of this procedure is the removal of the areola and nipple complex which is later resized and grafted back onto the chest. While patients have reported reduced nipple sensation after this procedure, the results highly resemble the masculine figure which patients prefer.

For small breasts

For those with smaller breasts and tighter skin around their chest, the keyhole or periareolar mastectomy might be the best route. Unlike the double incision mastectomy, the nipple does not get removed in this procedure. Instead, a small incision is made around the bottom of the areola where breast tissue is removed. To help encourage the skin to shape the chest, drains are inserted under each arm to collect any excess fluid that may try and accumulate under the empty skin.

The Results

Unlike the double incision procedure where the nipple is removed and repositioned to a desired position of the chest, in this surgery the position of your nipple is determined by its current location on the chest. Since no skin is removed in this procedure, if there ends up being too much excess skin, it may not contour the muscles of your chest as firmly as you desire. Follow up procedures are possible to correct this but may cause additional scarring. To avoid complications, good candidates for this procedure must already exhibit tight skin on their chest area for the best results possible.

Recovery

While recovery varies from person to person, we generally find that patients are able to go back to their regular routine two weeks post-operation. To assist with recovery, patients will be given a compression binder after surgery. Keeping it on and wearing it high on the chest will help reduce swelling and provide comfort. While patients do report experiencing swelling and bruising, this can be managed with ice packs. Pain during recovery also varies from patient to patient but can be managed with pain medications prescribed by your surgeon. To help ensure the best results after surgery, the McLean Clinic team will provide you with a comprehensive aftercare kit for a speedy recovery.

Potential Complications

As with most surgical procedures, there is always the risk of complications. Some of the potential risks associated with FTM top surgery include infection, blood clots, or reactions to anesthesia. Visible scarring, reduced nipple sensation and additional corrective surgery are other factors patients need to keep in mind when planning for this procedure. The keyhole mastectomy specifically has a higher risk of bleeding or fluid collection under the skin, which needs to be monitored carefully after the procedure is done.

In order to avoid any complications, it’s important for patients to be transparent about their current health status so your cosmetic surgeon can plan their procedure accordingly. To help ensure a smooth and easy recovery process, patients should not smoke or drink alcohol weeks prior to their operation.

As all procedures go, results and recovery are different for everyone, which is why it’s important to go to an experienced clinic that can deliver the best results. McLean Clinic is widely recognized for its specialization in FTM and MTF surgery transformations. Dr. McLean has cemented himself in the industry as a “Top Surgeon” for “Top Surgery”, attracting patients from all over the Greater Toronto Area. Combining his compassionate and thorough approach, Dr. McLean, as well as the entire team, will walk you through all your FTM top surgery options and make sure that no matter which procedure you choose to go with, it will yield satisfying results.

The post Which FTM Top Surgery Procedure Is Right For Me? appeared first on FTM Top Surgery.

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Transmen in the process of transitioning often place high importance on achieving the masculine appearance of a flat, broad chest. However, despite exercise and hormone therapy, not everyone is always able to achieve a muscular, toned chest due to their natural body type and genetic disposition. Top surgery is a great solution that removes excess breast tissue to help achieve this look and results can be further enhanced with pectoral implants. These implants can be used to add definition and balance to the chest area, which would further masculinize the chest and help you feel more comfortable in your body.

Pectoral implants are made with solid or semi-solid silicone, unlike breast implants which can be filled with gels. Because of this, there is no chance of the implants to rupture or break once they are inserted into the body. Usually, pectoral implants are placed after the patient has already attempted to create the chest contours and shape they desire through traditional means, but some surgeons may recommend patients to combine top surgery and pectoral implants into a single procedure.

If you have had top surgery in the past, it is best recommended to allow the tissue in your chest to heal for a minimum of 3 months before enhancing your final results with pectoral implant surgery. Your eligibility to combine both top surgery and pectoral implants will depend on the type of top surgery required, your physical health, and the recommended provided to you by your surgeon. The ideal candidate for pectoral implants are in good physical health and have fully developed chest muscles.

The Pectoral Implant Procedure
If you are interested in this procedure, the first step would be to book a consultation with your surgeon. Here at McLean Clinic, Dr. McLean is a trusted, board-certified plastic surgeon that is widely known as a “Top Surgeon” for “Top Surgery” due to his special interest in FTM and MTF surgical transformations. He operates from the comfort and privacy of his office in Mississauga, and you can rest assured that your needs will be heard so that you can achieve realistic, carefully planned results.

At your consultation, you will discuss your desired final appearance and if you have had top surgery in the past, your candidacy will be assessed. Once this understanding has been developed, you will be presented with a variety of implant shapes and sizes to choose from, with your surgeon guiding the process with your input.

Pectoral implants are performed as an outpatient procedure under general anesthetic. Implants are inserted into the chest through incisions in the armpit, which are made along the outer edges of the pectoral muscle. Beneath the muscle, a pocket will be created to make room for the implant before it is inserted. The incisions will then be closed.

During this time, the procedure can also be combined with liposuction. Liposuction will remove excess fat in the localized area to help achieve a flatter, more masculine chest that appears toned and defined.

If you choose to combine top surgery with pectoral implants, the process will be slightly modified. First, excess and hanging breast tissue will be removed before the areolas are resized and the nipples are repositioned. Once this is done, the pectoral implants will be inserted into the chest underneath the muscle before the incisions are stitched closed.

Pectoral Implant Recovery
Once your procedure is complete, your surgeon will place bandages over the incisions and a dressing will be applied around the chest area in an effort to reduce possible swelling and bruising. Pain medication will be prescribed to you to help alleviate any discomfort during your recovery period within the first few days post-op. You should avoid strenuous exercise for at least 4 weeks post-up. A follow-up appointment will also be scheduled to ensure your healing process is going smoothly.

The post How To Enhance Your Top Surgery Results appeared first on FTM Top Surgery.

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Transmen in the process of transitioning often place high importance on achieving the masculine appearance of a flat, broad chest. However, despite exercise and hormone therapy, not everyone is always able to achieve a muscular, toned chest due to their natural body type and genetic disposition. Top surgery is a great solution that removes excess breast tissue to help achieve this look and results can be further enhanced with pectoral implants. These implants can be used to add definition and balance to the chest area, which would further masculinize the chest and help you feel more comfortable in your body.

Pectoral implants are made with solid or semi-solid silicone, unlike breast implants which can be filled with gels. Because of this, there is no chance of the implants to rupture or break once they are inserted into the body. Usually, pectoral implants are placed after the patient has already attempted to create the chest contours and shape they desire through traditional means, but some surgeons may recommend patients to combine top surgery and pectoral implants into a single procedure.

If you have had top surgery in the past, it is best recommended to allow the tissue in your chest to heal for a minimum of 3 months before enhancing your final results with pectoral implant surgery. Your eligibility to combine both top surgery and pectoral implants will depend on the type of top surgery required, your physical health, and the recommended provided to you by your surgeon. The ideal candidate for pectoral implants are in good physical health and have fully developed chest muscles.

The Pectoral Implant Procedure
If you are interested in this procedure, the first step would be to book a consultation with your surgeon. Here at McLean Clinic, Dr. McLean is a trusted, board-certified plastic surgeon that is widely known as a “Top Surgeon” for “Top Surgery” due to his special interest in FTM and MTF surgical transformations. He operates from the comfort and privacy of his office in Mississauga, and you can rest assured that your needs will be heard so that you can achieve realistic, carefully planned results.

At your consultation, you will discuss your desired final appearance and if you have had top surgery in the past, your candidacy will be assessed. Once this understanding has been developed, you will be presented with a variety of implant shapes and sizes to choose from, with your surgeon guiding the process with your input.

Pectoral implants are performed as an outpatient procedure under general anesthetic. Implants are inserted into the chest through incisions in the armpit, which are made along the outer edges of the pectoral muscle. Beneath the muscle, a pocket will be created to make room for the implant before it is inserted. The incisions will then be closed.

During this time, the procedure can also be combined with liposuction. Liposuction will remove excess fat in the localized area to help achieve a flatter, more masculine chest that appears toned and defined.

If you choose to combine top surgery with pectoral implants, the process will be slightly modified. First, excess and hanging breast tissue will be removed before the areolas are resized and the nipples are repositioned. Once this is done, the pectoral implants will be inserted into the chest underneath the muscle before the incisions are stitched closed.

Pectoral Implant Recovery
Once your procedure is complete, your surgeon will place bandages over the incisions and a dressing will be applied around the chest area in an effort to reduce possible swelling and bruising. Pain medication will be prescribed to you to help alleviate any discomfort during your recovery period within the first few days post-op. You should avoid strenuous exercise for at least 4 weeks post-up. A follow-up appointment will also be scheduled to ensure your healing process is going smoothly.

The post How To Enhance Your Top Surgery Results appeared first on FTM Top Surgery.

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Here at McLean Clinic, we understand that the ultimate goal of FTM Top Surgery is to ensure you feel more comfortable in your body by better aligning your physical appearance and its characteristics to your internal sense of self and the self you present to the world. This journey can be long and difficult and can vary greatly from person from person.

Some transgender patients are comfortable with their chest as-is and do not feel that FTM Top Surgery is a necessity. For others, they may consider the procedure as their next step in becoming their authentic self. FTM Top Surgery is designed to give you a chest that appears more masculine, which can give you results that better represent your gender identity, while reducing body dysmorphia and boosting self esteem and confidence. Ultimately, the decision is yours to make.

At your initial consultation, we will have a discussion about how we can tailor your top surgery procedure specifically to you, your goals, and your desired body shape. Breast tissue will be removed with a traditional breast mastectomy or by liposuction to sculpt masculine contours in the chest. Additionally, the areola will be resized and relocated to create a masculine appearance.

The methods used for FTM Top Surgery include the double incision mastectomy with nipple grafting and periareolar (keyhole incision). Double incision mastectomies are the most ideal for transgender men with medium to large chests. This surgical technique involves opening the chest through two horizontal incisions along the pectoral muscle, where the skin is then pulled back, and the removal of breast tissue is completed. The keyhole mastectomy is ideal for transgender men with small chests with good skin elasticity. This surgical technique involves the removal of breast tissue through a small incision made at the bottom of the areola. The nipple itself will be left in tact. The great advantage of the keyhole mastectomy is that no long scar will be left behind and is a great option for patient who have small breasts and tight skin. In both surgical techniques, liposuction may be used to further adjust the shape and contour of the chest.

No matter the amount of breast tissue there is to remove, you can rest assured that there will be a surgery for you. The method that we choose for your FTM Top Surgery procedure will depend greatly on this factor, and the first place to start is with a consultation in the comfort and privacy of our office in Mississauga. Here, we will determine which option would work best while also getting to know your end goals and desired body shape. Our end goal is to ensure that you feel happier, comfortable, and confident in your new body.

As with any other major life decision, it is completely normal to feel anxious or have some doubts. The McLean Clinic team has helped many transgender patients through their transition and have the knowledge, skills, and experience to help answer your questions and concerns with utmost care. The best way to assess your candidacy is to book your consultation with us today.

The post Do I Need Top Surgery To Complete My Transition? appeared first on FTM Top Surgery.

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For some transgender folks, emotional distress can occur when they experience a difference between the gender they are assigned to at birth and the gender they identify with and know themselves to be. This can lead to severe emotional distress that can negatively impact their health and day to day life if not addressed. Gender dysphoria is the medical diagnosis for folks who experience this distress. Those with gender dysphoria are often uncomfortable with the gender they were assigned and can be uncomfortable with their body particularly during puberty and the developmental changes that take place during that time. They may also feel uncomfortable with the expected roles of their assigned gender.

Being transgender is not considered a medical condition and not all transgender folks experience gender dysphoria. There are many transgender individuals who do not experience severe emotional distress or anxiety associated with the difference between the gender they are assigned to at birth and the gender they identify with, and will therefore not have gender dysphoria.

Feelings of discomfort associated with gender dysphoria can be relieved by expressing gender in a way that the individual is comfortable. This can include the clothing they wear and the hairstyle they choose, which can help portray and visually communicate who they know they are. Transgender folks may also choose to use a different name or pronoun, and some may take steps to physically alter their body with the use of hormones or by undergoing top surgery. All major Canadian medical organizations recognize that living in a way that reflects one’s chosen gender identity is a safe, effective, and medically necessary treatment for many folks who experience gender dysphoria.

While being transgender is not in itself an illness, many transgender folks experience mental health and physical problems due to widespread stigma and discrimination. Unfortunately, many transgender people live in an environment where they are told that their identity is incorrect, deviant, and wrong, which leads to rejection within their homes, at school, and in their community. Some have even lost their jobs, families, friends, homes, their support network, and are often the subject of harassment, abuse, bullying, and violence. These experiences are a challenge for anyone and for some, it can lead to emotional distress and anxiety disorders, depression, and other mental health conditions.

It is important to acknowledge that these conditions are not the result of being transgender. They are, in fact, the result of the intolerance and discrimination that they experience. There are many transgender folks who are able to live healthy and fulfilling lives if they are accepted and valued as members of their community. It is also helpful if they are given the resources and knowledge of various treatment methods that can reduce the sense of incongruence between the gender they are assigned, and the gender they truly know themselves to be.

The post What is Gender Dysphoria? appeared first on FTM Top Surgery.

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After your top surgery, you’ll want to make sure that you’re as comfortable as possible. As you will be quite sensitive following the surgery, you’ll want to make sure that you’re dressing in a way that is comfortable, causes no pain, and promotes recovery. Once you’ve passed recovery, you may also find that you want to dress differently to adjust to the changes in your body.

Here are some tips about dressing after FTM surgery:

1.  Wear Your Binder/Compression Garment

Immediately after your surgery, you will be given a binder or compression bandage, along with instructions on how to wear it, and how long to wear it for. A binder helps support the surgical area, prevent fluid buildup, and help swelling and bruising to go down. Since compression is necessary for efficacy, the garment or binder will feel quite tight, especially at first. However, compression is essential for proper recovery and healing.

2. Be Comfortable 

During recovery, you should make sure you are as comfortable as possible. Make sure you have loose-fitting, soft clothing that you can wear while you are recovering. You’ll want to avoid anything too restrictive. Different things are comfortable for different people so the important thing is that it feels right to you.

3. Find Your New Style

Many trans men will find that their style changes after FTM surgery. As you adjust to your new body, you may find that certain styles don’t suit you as they did in the past. It can take some time, but you will eventually find that style where you feel good and comfortable. You may want to look online or speak to other trans men for stylish and fashionable advice. It is important to express yourself, and feel confident in what you wear.

4. Focus on Fit

Finding well-fitted clothes is very important, both for comfort and appearance. Trans men sometimes have trouble finding trousers that fit well, as they often have wider hips than what men’s pants are designed for. Many trans men feel most comfortable in straight or slim-legged trousers. However, it’s completely up to you and your preference. Experiment and try new clothes to find your perfect fit.

5. Have Fun

After FTM surgery, you may feel overwhelmed by the adjustments to the lifestyle changes that come with your new body. Try to make finding your new style as a fun challenge, and don’t take it too seriously! It can take some time to find the right outfits, but be patient and trust yourself that it will eventually happen. A support group of trans men who have been through a similar experience can be really helpful during this time. Remember to be comfortable, take pride in your new body, and most importantly express yourself!

For more information on adjusting after top surgery, contact us here to book a free consultation or call us at 1-855-375-1122.

The post 5 Tips for Dressing After FTM Surgery appeared first on FTM Top Surgery.

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After a Double Incision Mastectomy procedure, a “dog ear” can be the result of excess skin and fat that protrudes and puckers from the outermost portion of the incision as it curves around the side of the chest towards the armpit. “Dog Ears” are the most common reason for a revision surgery after a double incision mastectomy and no matter who your top surgeon doctor is, there are a variety of factors that can influence the results from your surgery, including the development of dog ears. During your post-operative appointments, your surgical site and chest will be examined and Dr. McLean will carefully track your progress and recovery to ensure it is as smooth as successful as it can be.

Preventing Dog Ears After a Double Incision Mastectomy

If a dog ear does in fact occur, a revision surgery can easily correct the issue, but it is important to remember that dog ears are not 100% avoidable. For some transmen, not all the excess skin and fat can be removed from the initial procedure and dog ears are almost always guaranteed. There is a growing number of top surgeons who, with surgical techniques, can consistently avoid the development of dog ears. This includes doing additional liposuction at the sides of the chest, right below the armpits. For transmen who have less skin to remove, the chance of developing dog ears is lowered. The following lists factors that can minimize the chance of developing dog ears.

Weight: You can help avoid dog ears by being at or staying close to your ideal weight before your double incision mastectomy. However, if you do have excess body weight, it does not mean you will, with 100% certainty, develop dog ears.

Physiology: This is completely dependent on the natural symmetry of your chest contour.

Larger Incisions: The chance of developing dog ears decreases with a longer incision that wraps around the side of your body towards the back.

Post-Operative Care: It is absolutely crucial to follow your surgeon’s post-operative instructions very carefully. These instructions will help ensure that your recovery and healing process is as smooth and seamless as possible.

Treating Dog Ears After a Double Incision Mastectomy A secondary revision procedure can easily correct dog ears after your double mastectomy. After this revision procedure, the contour of the incision is often close to perfect. If you are considering a double incision mastectomy, it is important to remember that the development of dog ears could be a risk. You must ensure that you consult with a specially trained and experienced Top Surgeon, such as Dr. McLean, who will be able to provide you with all the information you need to know about dog ears and what he will do to minimize the chance of this occurring based on your body and type of procedure. Revision procedures are very common and are often part of the transitioning process as a whole, but do keep in mind that dog ears are not an absolute. Following your top surgeon’s post-operative instructions is one of the most effective ways to lessen the likelihood of developing dog ears.

The post What Are “Dog Ears” And Can They Be Avoided? appeared first on FTM Top Surgery.

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Scarring on the skin typically occurs after trauma occurs to the skin, resulting in areas of fibrous tissue that replaces healthy skin. Scarring can occur due to wounds, burns, acne, and surgery. The formation of scars is a very normal part of the healing process after your FTM Top Surgery, but the way in which your body responds to injury and trauma is dependent on a variety of factors, which include age, genetics, skin colour, and location on the body.

While some transmen are proud of their scars and wear them like a badge of honour, others seek ways to treat them and reduce their appearance. Although permanent scarring as a result of FTM Top Surgery is almost inevitable, many patients feel that their final results are completely worth it.

When it comes to Top Surgery, the resulting scars are the direct result of the surgical techniques used during your procedure and the way your body responds when healing. After your one on one private consultation with Dr. McLean, you will better understand which procedure would work best for you and the incision patterns that will be required to achieve your goal.

As mentioned earlier, the resulting scars from the Top Surgery procedure are a result of the surgical technique required in the removal of skin and breast tissue. Generally, keyhole and peri-areolar incision patterns are less invasive and thus, result in less scarring than a double incision mastectomy would leave behind.

Keyhole incisions work best for those with small breasts with limited to no overhang. This technique will require incisions that run around the bottom of the areola, leaving the nipple in tact. It is particularly advantageous because there is no long scar left behind and is a great choice if you have small breasts and tight skin, which will contour your chest.

A Double Incision Mastectomy is designed for patients with larger or overhanging breasts, or with loose skin. This procedure requires a larger incision to remove excess skin and breast tissue, resulting in two horizontal incisions, one below the breast and the other to relocate the nipple. These incisions will be joined to create one scar.

In the 6 weeks following your procedure, your scars will look the most prominent and appear raised and darker than the rest of your skin. Over time, they will gradually fade and flatten. The final appearance of your scars should be apparent within 12 to 18 months.

The post What will my Top Surgery scars look like? appeared first on FTM Top Surgery.

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