Female to Male Surgery

The surgical procedure you are referring to is often known as “Top Surgery” in the context of female-to-male (FTM) gender confirmation surgery. Top Surgery involves the removal of breast tissue to create a more masculine chest. There are two primary procedures for FTM top surgery:

Double Mastectomy (also known as Chest Masculinization Surgery):

• • Description: This procedure involves the removal of breast tissue to achieve a flatter and more masculine chest contour. The nipple-areola complex often resized and repositioned to create a natural appearance.
  • Techniques: There are different techniques, including periareolar, keyhole, and double incision with nipple graft, depending on factors like breast size and skin elasticity.
  • Recovery: Recovery time varies, but individuals typically need several weeks for initial healing, with more time for complete recovery.

Nipple Grafts:

• • Description: In cases where significant chest contouring is required, the surgeon may perform nipple grafts. This involves removing the nipple-areola complex, resizing it, and grafting it back onto the chest in a more masculine position.
  • Techniques: This is often part of the double incision technique.
  • Recovery: Recovery involves both the chest and nipple graft sites, and healing time may vary.

Preparation Tips for Top Surgery:

• Avoid Alcohol:
  • Recommendation: Refrain from consuming alcohol in the week leading up to your surgery.
  • Reason: Alcohol can have effects on your body and may interfere with the surgical process and healing.
• Stop Smoking:
  • Recommendation: If you are a smoker, strongly advised to stop smoking (of any kind) at least three weeks before the surgery.
  • Reason: Smoking can increase the risk of complications and hinder the healing process.
• Dress Comfortably:
  • Recommendation: Pack comfortable, loose-fitting clothes that zip or button in the front for easy dressing and undressing.
  • Reason: After surgery, you’ll want to wear clothing that is easy to put on and take off without exerting pressure on the surgical area.

Top Surgery Recovery Timeline:

1. Days 1-2:
   • Discomfort: These days are often the most uncomfortable as anesthesia wears off. Discomfort may be experienced due to the compression binder or surgical bra holding dressing tightly in place.
   • Sleeping Position: Sleep on your back to avoid added pressure on the surgery site.
2. First Week:
   • Sleeping Position Continues: Continue sleeping on your back for at least the first week to ensure no pressure or weight on the surgery site.
   • Postoperative Appointment: Around 6 or 7 days after surgery, you may have your postoperative appointment. The dressing is often removed, allowing you to see your chest for the first time.
3. 2-3 Weeks:
   • Swelling: Swelling generally decreases within 2 or 3 weeks, but some individuals may experience swelling for up to 4-6 months.
4. 2-3 Weeks Post-Surgery:
   • Arm Movements: Avoid lifting your hands above your head for at least 2 to 3 weeks post-surgery. This helps prevent increased scarring.
   • Physical Restrictions: Be cautious with movements such as reaching and lifting during this period.
5. 6-8 Weeks:
   • Resuming Exercise: After 6 or 8 weeks, you can typically resume physical exercise, including sports, lifting, and running.
   • Scarring Management: Continue following postoperative care instructions to manage scarring effectively.

Top Surgery Recovery Tips:

1. Showering:
   • Guidance: Follow your surgeon’s instructions regarding showering. In some cases, it might be advised to avoid showering until the postoperative appointment when dressings are removed.
   • Alternative: Consider using baby wipes and sponge baths to stay clean before your first shower.
2. Swelling and Bruising:
   • Ice Packs: To manage swelling and bruising, use ice packs. Apply them as directed by your surgeon to reduce inflammation and alleviate pain.
3. Physical Activity:
   • Lifting Restrictions: Avoid lifting anything heavier than a gallon of milk during the first week of recovery.
   • Exercise: Gradually resume light exercises, such as walking, as soon as you feel capable. Avoid activities that raise your heart rate significantly.
4. Self-Care:
   • Rest: Ensure you get adequate rest to support the healing process.
   • Healthy Diet: Consume a nutritious diet to promote healing.
   • Avoid Smoking and Drinking: Refrain from smoking and drinking, as these can impede the recovery process.
   • Listen to Your Body: Pay attention to your body’s signals and adjust activities accordingly.
5. Scar Management:
   • Scar Treatments: Consider using over-the-counter scar treatments to expedite healing, reduce scar tissue, and minimize redness.