FTM Top Surgery

Dr. Cardenas performs two different types of chest reconstruction surgery for our FTM patients.  While many patients will only be candidates for the “Double Incision” method, patients with smaller breasts may qualify for the “Keyhole” approach to top surgery. 

Each of these two approaches to top surgery has certain advantages and disadvantages for the patient.  The main advantage to the Keyhole procedure is that it involves much smaller incisions and less scarring.  However, there are limitations.

The size of the nipple areolar complex cannot be altered nor is there any control over the position of the nipple on the chest.  A higher chance of contour irregularities means that more patients undergoing the Keyhole procedure may need a follow up procedure.  The Double Incision method involves larger incisions below the breast fold which lead to the side of the chest. The nipple and areola are removed, resized, and returned to the newly reconstructed chest as grafts.

The size of the nipple areolar complex cannot be altered nor is there any control over the position of the nipple on the chest.  A higher chance of contour irregularities means that more patients undergoing the Keyhole procedure may need a follow up procedure.  The Double Incision method involves larger incisions below the breast fold which lead to the side of the chest. The nipple and areola are removed, resized, and returned to the newly reconstructed chest as grafts.

Before & After Keyhole method

Before & After Double incision method

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