About FTM Top Surgery
One of the most visible differences between the male and female body is the masculine chest versus the feminine breasts. Female to male (FTM) top surgery, also called male chest contouring, uses the subcutaneous mastectomy procedure to remove breast and fat tissue, then contours the chest muscles and repositions the nipple-areolar complex (NAC) for a masculine appearance. For larger breasts or patients with low skin elasticity, excess skin will also be removed so the chest skin is taut and firm. A large NAC may also be reduced before it is repositioned. Since the ideal male chest is not flat, but slightly rounded from developed pectoral muscles, pectoral implants may be added for a more masculine chest. Double board-certified and fellowship-trained plastic surgeon Dr. Mark Schoemann is skilled to perform this specialized surgery at Schoemann Plastic Surgery in Encinitas, CA for area patients who desire to complete their physical transitions.
"My Husband recently had a surf accident that broke his Jaw. Dr. Schoemann was our saving grace. He made him self available that night in the ER to meet with us and discuss the surgery. He was able to get surgery done the next day. He was available by phone to answer any questions prior to surgery. He did an amazing job on the surgery and gave us such piece of mind putting us at ease through out the whole process. Every follow up visit has been incredible with not only with amazing care but his office is so friendly and on-time. We never feel rushed we have time to think and ask questions. We feel so fortunate to have had him in our time of emergency. We wanted to let everyone how incredible he is with face and jaw repair."- P.S. / Yelp / Apr 25, 2018
"Can't say enough about this doctor or staff . they are so kind and skilled. I've had three procedures done and I'm a very happy customer ? very reasonably priced to !"- K.E. / Facebook / Feb 02, 2018
"I highly recommend doctor Schoemann . - Wonderful he was kind and easy to talk to. Answered all my questions. And did an excellent job. Also I cannot say enough about the staff they are kind and accommodating. I don't exactly look like all of the people that come in there I'm younger I had tattoos colored hair piercings. I felt a little nervous , that I wouldn't fit in but not for a second that I feel judged. They also have..."- K.3. / RealSelf / Feb 02, 2018
"One year post op from breast augmentation and I could not be happier!!! Dr. Schoemann is one of the best and most caring plastic surgeons, so highly recommend him. Enjoyed his services so much that I have gone back to him twice now for botox and now that he has a UltraPulse CO2 Resurfacing Laser that is going to even further minimize fine lines, correct discoloration and clear up some acne scarring. I have referred several people to Dr. Schoemann now and all of them have been pleased with his work as well."- M.S. / Yelp / Jan 11, 2018
"One of the best!! - A little over one year post op from breast augmentation and I could not be happier!!! They look so real and natural. Dr. Schoemann really listened to what I wanted and is one of the best and most caring plastic surgeons, so I highly recommend him. In fact I have enjoyed his services so much that I have gone back to him twice now for botox injections. He now has a UltraPulse CO2 Resurfacing..."- M. / RealSelf / Jan 11, 2018
Any transgender man who is physically transitioning, and wants a masculine chest is a good candidate for this procedure. An ideal candidate is:
- In overall good health
- At least 18 years of age
- Seeking breast tissue removal
- Interested in a masculine chest with male contours
- Realistic with their goals and expectations for the procedure
The are many surgical techniques that can be used in FTM top surgery. Dr. Schoemann will typically choose his technique according to the starting size of your chest, as well as your skin elasticity. All techniques preserve your natural nipple and areola, but the placement is usually changed to fit the new contour. Common subcutaneous mastectomy techniques include:
- Buttonhole Technique
- Double Incision
- Inverted T/T-Anchor
- Minimal Scar
What to Expect
FTM top surgery is generally performed as an outpatient procedure under general anesthesia at Schoemann Plastic Surgery Center's accredited surgical facility. After the surgery, you will be wrapped in a compression garment that you should wear for at least 3 – 4 weeks to minimize bruising and swelling. Dr. Schoemann or a member of the team will go over any specific recovery instructions at this time. A follow-up appointment will be scheduled following surgery to check on the rate of your recovery. We will also offer information on scar care management to help minimize the appearance of surgical scars.
Your physical transition from female to male should be a beautiful journey. Dr. Schoemann is compassionate and understanding about the importance of helping you achieve your aesthetic goals, and looks forward to providing you with stunning, natural results. For more information about our transitionary procedures or to schedule your consultation at Schoemann Plastic Surgery, contact our helpful staff in La Jolla, CA at your earliest convenience.