FTM Top Surgery is a plastic surgery that focuses on the chest/breasts. It is a "gender-affirming" treatment for transgender men and non-binary people aimed at creating a masculine chest. One of the primary visible differences between the male and female body is the chest, specifically, the masculine chest versus the feminine breasts. FTM Top Surgery involves breast removal (also known as a Subcutaneous Mastectomy) and male chest contouring. The second aspect of the surgery also involves repositioning and downsizing the nipple-areolar complex (NAC) for a masculine appearance.
Every patient is different and will require a unique approach. For those with larger breasts or patients with significant skin laxity, the excess skin will be removed and surgical tightening of the chest skin will be performed so that it looks taut and firm. Board-certified Seattle, WA plastic surgeon Dr. George Marosan at Bellevue Plastic Surgeons treats each patient with care, privacy, and the utmost respect as they undergo this life-changing transformation. Since the ideal male chest is slightly rounded from developed pectoral muscles, body sculpting treatments (such as pectoral implants or hi-def liposuction) can be considered for a more masculine chest.
"37 Yr Old Fit Mom of 3. Bellevue, WA - Dr. Marosan is the best of the best. My results are over-the-top amazing."- F. / RealSelf / Feb 13, 2016
"Highly Recommend Dr. Marosan, MD - Dr. Marosan, MD came highly recommended and I am completely satisfied with the results of my surgery. I was apprehensive when I was diagnosed with gynecomastia; but Dr. Marosan was the right choice for me. From my initial consultation, surgery, and follow-up appointments have been flawless. Dr. Marosan and his entire staff are polite and professional."- J. / RealSelf / Aug 24, 2020
"Cant Recommend Enough - Im now 6 weeks op and I have a completely different shape! - I had some weight fluctuation in my lifetime and was unhappy with the tire around my stomach and stubborn fat in areas that were hard to exercise away. I thought it’s amazing that you can transfer fat from one area to another so I decided to get a Brazilian butt lift.I was drawn to Dr. Marosan because he has years of experience, is highly educated, knowledgeable and specializes in the procedure. Also in the reviews and in my experience he was very respectful to me as a woman, and I never felt uncomfortable around him. And we all know you can feel vulnerable when your naked in front of a doctor. He meets you for a free consult, which is amazing! We went over what I wanted to change and improve he was able to educate me on how to approach it to get the best results. He really knows the body well, truly an artist and master sculptor!! He took pictures of my body which he was able to bring up on a screen and draw right on it to show me what he was going to do. I felt very confident in him. I went into surgery during the pandemic and due to the complexity of that to keep everyone safe my husband was not able to come with to support me. However, George and his staff made me feel very comfortable and well taken care of. Everyone there is so warm and kindhearted!I went home with a garment, Lipo pads and drainage tubes. Some doctors don’t give you drainage tubes and your just supposed to drain freely onto your bed, and that would’ve ruined my $3,000 mattress. So I’m really thankful my doctor cares enough about post op to give me drainage tubes that were easy to manage. The doctor and his nurse were always very prompt at responding to questions and being available if I had any concerns.Im now 6 weeks op and I have a completely different shape! I have an hourglass figure, hips, fuller butt and flatter stomach! I can’t believe the transformation! This is already doing wonders to my self-confidence...something I’ve lacked for so long. I find myself actually saying something good about myself and seeing myself in a different light now. I’m so happy with the results and I’m so glad I went to the right doctor!"- S. / RealSelf / Aug 17, 2020
"Dr. Marosan Did a Great Job! [Tummy Tuck/Liposuction/Muscle Repair] - After researching dozens of plastic surgeons in the greater Seattle area for tummy tuck/liposuction, I went with Dr. Marosan because I could tell he was very experienced and does a lot of abdominoplasty and he was the one surgeon who places his incisions super low, right above the pubic area, and his incisions stay there (low) instead of eventually pulling up during recovery. For some reason (probably because it's easier), many other surgeons results showed incisions that were placed much higher than they needed to be. Just check out his before and after pictures and compare them with other surgeons: his after pictures show the whole incision area so you get a very good idea of where your incision will end up. [So many other surgeons after pictures are of women in underwear, so you have no idea where the incision was placed, or if you do get to see the whole area, you'll see how high the cut was]. I am now 10 weeks post surgery and am very happy with my results- he did a great job with the incision, the liposuction of my entire torso, and also the muscle plication (sewing them back together since I've had three pregnancies that separated my ab muscles). He also does a lot of follow up visits and takes pictures of your progress and gives you access to them, so you can really see your transformation.I'm so happy I went with Dr. Marosan- he (and his entire staff!) is wonderful and I highly recommend him/his practice!"- P. / RealSelf / Aug 05, 2020
"Great Doctor — the end results are fantastic. - I had a lower facelift and chin lift about 7 weeks ago after choosing Dr. Marosan for the procedure and I couldn't be happier. He took the time to thoroughly explain what was involved and didn't pressure me to book the surgery. After the surgery, he was very patient with the inevitable questions that I had and was careful to make sure that he saw me regularly while I was healing. (at the age of 67, it took a little longer for my swelling to go down) The end results are fantastic. I have a much smoother jawline without the "pulled" look that one sees in some face lifts and the saggy chin is history. His staff was great also. I would definitely recommend this doctor."- D. / RealSelf / Jul 10, 2020
Depending on the size of the breasts, the amount of skin laxity, and the overall aesthetic goal that is trying to be reached, there are a variety of surgical techniques that can be considered for FTM Top Surgery. During the consultation, a thorough discussion will take place about the different options and what each entails and which one will be suitable for the surgery. All techniques preserve the patient’s natural nipple and areola, but reconstruction is generally needed for a new placement so that it fits the new chest contour. Common subcutaneous mastectomy techniques for FTM Top Surgery include:
- Buttonhole Technique
- Double Incision
- Inverted T/T-Anchor
- Minimal Scar
Patients with small to medium chests, usually benefit from the Keyhole and Peri-Areolar methods. The keyhole method involves small incisions that are made and breast tissue is then removed through these incisions. The Peri-Areolar method includes a ring shape incision around the areola (the tissue that surrounds the nipple) and a larger circular incision around this. The tissue is removed through this before being closed. Those with larger breasts will require an additional incision using the Inverted T or T-Anchor technique while those with smaller breasts and less breast tissue may benefit from a minimal scar approach.
FTM TOP Surgery is performed as an outpatient procedure with the patient under intravenous sedation. After the surgery, the patient will wear a medical compression garment and should wear this for up to a full month to help minimize bruising and swelling. During the course of the recovery period, follow-up appointments will allow Dr. Marosan the opportunity to check the healing process and overall results. The outcomes of this surgery include a flatter, yet contoured chest that looks masculine. While there may be scarring associated with the procedure, we take great care during and after to help minimize the appearance of surgical scars.
Plan Your Procedure
frequently asked questions
Other FTM surgeries?
To transform a female body so that it looks like a male, there are other body contouring surgeries and treatments that must be considered. VASER Hi Def Liposuction can help make the body appear more masculine by reducing fat, and sculpting a masculine silhouette. Hi-definition liposuction can greatly assist with this process as the primary goal of this treatment is body sculpting. FTM body contouring surgeries address the fat from the hips, thighs, and buttocks since the male lower body is typically more narrow than the female. In addition, facial contouring (such as chin augmentation) can also help create a more masculine look.
what about HRT?
While patients are not required to be on any type of hormone replacement therapy (HRT) before their FTM Top Surgery, it can help in attaining better results. For example, the testosterone can help develop the patient’s pectoral muscles, which will create a more natural contour. This is something that will be addressed during the initial consultation. Dr. Marosan does not do hormone replacement therapy, this is referred to other medical specialists.
risk for breast cancer?
There is no clear answer on whether or not this procedure reduces or eliminates the risk of breast cancer. While having less breast tissue could offer a lower risk of cancer, cells developing in the breast tissue, the hormone aspect from the higher levels of estrogen (due to HRT) can possibly increase the risk. It is important for patients to continue doing self-exams and visit with their doctor on a regular basis to check for any abnormalities.
Will it look natural?
It is important to have a skilled, board-certified plastic surgeon with experience in all aspects of breast surgeries perform this procedure. The results can and do look very natural, and for those seeking this procedure, it can be a significant boost in self-confidence and self-esteem.
Call for your Consult
If you are ready to transform your chest and move forward with FTM Top Surgery, we invite you to call Bellevue Plastic Surgeons in the greater Seattle, WA area to schedule your consultation. This surgery, ultimately, provides transgender patients with the chest they’ve been looking for and can impact and improve their quality of life. You can achieve the freedom you have been searching for. Call us today for more information.