Female to male chest surgery

A caring and supportive approach to gender confirmation surgery for transitioning adults.
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Home 5 Subcutaneous bilateral mastectomy
Dr Sharp offers breast contouring surgery for female to male gender (FTM) confirmation patients, often called ‘top’ surgery. The surgery involves the removal of breast tissue and repositioning of the nipple. His technique gives the greatest likelihood of sensation returning to the nipple complex, and optimal aesthetic result.

What is a bilateral subcutaneous mastectomy?

The procedure includes a semicircular areolar incision, with superior skin excision and total glandular resection. An inferior skin resection and areolar reduction and refashioning is performed in most cases. Its benefits include consistent results with minimal complications, allowing nipple areolar complex remodeling and repositioning, preservation of as much nipple sensation as possible, and adaptability to all breast sizes.

Dr Sharp performs this procedure for patients who have undergone a formal FTM transition, certified by psychological assessment.

Preparing for female to male chest surgery

To organise a consultation with Dr Sharp, the patient needs to obtain a letter of referral from a medical practitioner. A supporting letter from the patient’s treating psychiatrist must be presented prior to the surgery being booked, but is not required at the initial consultation. At least two pre operative consultations in our rooms are required. At your initial consultation, Dr Sharp will assess suitability for the procedure and clearly outlines the likely operative details for each individual patient. At this consultation you will receive an itemised fee quotation.

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Post operative recovery from FTM surgery

Pre plan your post operative support as far in advance as possible. You will have a drain in place after the procedure. If performed as an inpatient in a hospital, you will have these drains removed before leaving hospital. If done in a day hospital, you will need to attend post operative appointments for the drain to be checked and removed in the days following your surgery.

You will need someone to drive you to these appointments and help you with activities/dressing around home in the first initial days after surgery. Once the drains have been removed, the patient may return home, however they will be required to only perform light duties in the home and preferably not return to work for three weeks postoperatively.

Dr Sharp recommends no heavy lifting for three months post surgery, however light cardiovascular exercise can be resumed three to six weeks after surgery upon his specific instructions. No isometric contraction of the pectoral muscles (i.e. weight training, heavy lifting) may be undertaken for 3 months postoperatively and even then, must be gradually introduced with caution over the subsequent 3 months. Patients intending to undergo this surgery should plan accordingly.

Like all surgery, top surgery carries risks. These risks will be outlined in the consent documentation provided to you preoperatively. These include, but are not limited to nipple loss, puckering or dog ears, unfavourable scarring and contour deformities.

Where is ‘top’ surgery performed in Brisbane?

The surgery will take place at Greenslopes Private Hospital or South Bank Day Hospital.

How much does FTM surgery cost?

The fee quotation depends on many factors including health insurance cover, chosen hospital and the extent of surgery required – and is therefore available following consultation.

Thank you for your interest in this procedure.