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

    • 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)

    • 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

    • 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

    • 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

    • Bleeding, infection, or delayed healing

    • Fluid collection (seroma or hematoma)

    • Nipple graft loss or pigment changes

    • Asymmetry or contour irregularities

    • Hypertrophic or widened scarring

  • 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.

Dr Katie-Beth Webster offers FTM Top Surgery consultations in Melbourne, with appointments available in Box Hill and East Melbourne.

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