FTM Top Surgery
What is Female-to-Male Chest masculinisation surgery?
FTM top surgery removes breast tissue and reshapes the chest to create a masculine contour. It is a key component of gender-affirming surgery for trans men and some non-binary individuals, aligning physical appearance with gender identity. The approach is tailored to chest size, skin elasticity, and individual aesthetic goals.
Frequently Asked Questions
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Transgender men or non-binary individuals seeking masculine chest contour
Stable gender identity and realistic expectations
Good physical health and stable weight
Non-smokers (or willing to cease pre- and post-operatively to reduce complication risk)
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Technique selection depends on breast size and skin quality:
Double Incision Mastectomy:
For moderate to large chests with excess skin
Horizontal incisions placed along the lower pectoral border
Removal of breast tissue and skin; nipples are resized and grafted in a masculinised position
Periareolar or Keyhole Technique:
For small chests with good skin elasticity
Incisions made around the areola; tissue removed via liposuction or direct excision
Minimal scarring and preservation of natural nipple attachment
Surgery performed under general anaesthesia; duration 2–4 hours
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Outpatient or one-night stay
Compression garment worn continuously for 4–6 weeks to reduce swelling and support chest contour
Drain tubes (if used) removed after several days
Return to light activity within 1–2 weeks; avoid heavy lifting or chest exercise for 6 weeks
Swelling and tightness gradually subside over several months
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Masculine, contoured chest with improved body congruence
Scars positioned along the natural pectoral line or areolar border; fade gradually over time
Sensation changes around nipple area are common and may be partial or permanent
Final contour visible after 3–6 months
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Bleeding, infection, or delayed healing
Fluid collection (seroma or hematoma)
Nipple graft loss or pigment changes
Asymmetry or contour irregularities
Hypertrophic or widened scarring
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Results are permanent, though weight fluctuation and ageing can alter contour. Scar management, compression, and sun protection improve healing quality. Many patients report improved self-image, comfort, and quality of life following recovery.