If you are seeking to undergo female-to-male (FTM) top surgery, having a larger chest can present unique considerations in the planning and surgical stages. Dr. Daniel Medalie, a board-certified plastic surgeon with many years of experience in gender-affirming surgery, understands how to tailor each procedure to meet your unique goals and expectations. Below,
Surgical Challenges with Larger Chest Sizes
Patients with larger chest volumes may require a more extensive approach to create a flat, masculine-appearing chest. There is often more breast tissue and skin to remove, and the skin may have less elasticity, particularly in older individuals or those who have experienced weight fluctuations. Achieving chest symmetry and ideal nipple placement can also require more complex planning.
Commonly Recommended Techniques
For larger chests, the double incision mastectomy with free nipple grafts is typically the preferred technique. This allows for maximum tissue removal and skin tightening, along with the repositioning and resizing of the nipples to match masculine aesthetics. Dr. Medalie designs each incision to follow natural lines of the pectoral muscles for more discreet scarring and a defined contour.
Setting Realistic Expectations
While top surgery can deliver a transformative result, it’s important to set expectations regarding scarring, chest contour, and potential asymmetries. Larger chest sizes may be more prone to noticeable scars, though these often fade significantly with proper care. Some patients may require minor revisions later on to refine the shape or improve symmetry. Dr. Medalie discusses these relevant factors during the consultation process.
Optimizing Results with Expert Planning
Dr. Medalie’s approach includes careful preoperative markings, attention to body proportions, and meticulous intraoperative technique to achieve a natural, masculine chest. Patients also receive guidance on how to prepare for surgery and support optimal healing, including scar care and physical activity guidelines during recovery.
Schedule a Consultation with Dr. Medalie
If you plan to have FTM top surgery and have a larger chest, choosing an experienced, compassionate surgeon makes all the difference. Dr. Medalie is the area’s only FTM top surgery doctor, making him a top choice for those pursuing gender-affirming procedures. He goes above and beyond with his commitment to providing excellent results and personalized care. Contact Cleveland Plastic Surgery at (216) 393-9924 to schedule a consultation.
