Mastectomy (Top Surgery) Techniques at WIH Hospital

Achieving the optimal outcome in Mastectomy (Top Surgery) requires a careful selection of surgical techniques tailored to your unique anatomy, chest size, skin elasticity, and aesthetic goals. At WIH Hospital, our experienced board-certified surgeons are proficient in advanced techniques to create a natural-looking masculine chest.

Common Mastectomy (Top Surgery) Techniques:

     Periareolar Mastectomy

• This technique is suitable for individuals with small to moderate amounts of breast tissue, good skin elasticity, and those who prioritize nipple sensation and wish to avoid long horizontal scars.
• The scar will be around the border of the areola, allowing for the removal of breast tissue.
• Generally, there is a higher likelihood of preserving nipple sensation.

      Double Incision Mastectomy (with Nipple Grafts)

• This is the most common technique, particularly for individuals with moderate to large amounts of breast tissue or significant skin laxity.
• It involves two horizontal or slightly curved incisions made across the chest, typically along the lower border of the pectoral muscle, to remove breast tissue and excess skin.
• Nipple sensation may be reduced or absent initially, with some potential.

A Good Candidate for Mastectomy (Top Surgery)

Our approach aligns with international standards of care, such as those outlined by the World Professional Association for Transgender Health (WPATH).

• Transmen
• Stable mental health
• Age over 18 years
• Reasonably Good Physical Health
• Have realistic expectations

Comprehensive Personalized Consultation and Preparing for Mastectomy (Top Surgery) at WIH Hospital

• You will have a confidential discussion in a comfortable environment. The surgeon will listen carefully to understand your desired chest appearance.
• Your surgeon will perform a respectful examination of your chest to assess the size and shape of your breasts. Evaluating your skin quality, elasticity, and measuring chest dimensions.
• The surgeon will discuss your hormone status and any implications for surgery. It’s generally recommended to have stable hormone levels.
• The patients must stop smoking (including nicotine products and vaping) for a significant period before surgery.
• Avoid alcoholic beverages for at least one week before surgery.
• For the excessively high Body Mass Index (BMI) patients, the surgeon may recommend weight management before surgery.
• Mastectomy (Top Surgery) is typically performed under general anesthesia.

Recovery after FTM Mastectomy (Top Surgery)

• Avoid raising your arms above shoulder level for the first few weeks.
• Expect moderate to significant swelling and bruising across the chest and potentially extending to the abdomen. This is normal.
• Do not lift anything heavy for the first 4-6 weeks.
• Showering may be permitted depending on drain removal and the surgeon’s instructions.
• Most individuals can return to non-strenuous work or daily routines after 2- 4 weeks.
• Can see the final result after the surgery, 6 months, and 1 year.

⏱️ Surgery & Recovery Timeline

• Surgery Duration: 2–3 hours

• Hospital Stay: 1–2 nights

• Full Recovery: 4–6 weeks

• Back to Work: Most patients resume light activities in 2–3 weeks

Our team provides detailed aftercare instructions and is available to support you through your healing process.