Masculinizing the chest includes surgery designed to remove female breasts in order to create a male chest. Hormone therapy usually adds hair and muscle mass, increasing the masculine appearance of the chest. The operation to masculinize the chest is called Subcutaneous Mastectomy because because most of the breast tissue is removed from beneath the skin. The nipple/areola complex is left intact, although usually smaller.
With a small breast little or no skin has to be removed, the operation is fairly simple and results in minimal permanent scars.
If the areolae are large they can be reduced in diameter and if nipples project excessively, the amount of projection can be reduced. With a small breast, frequently only one incision around the areola is required, resulting in an almost invisible periareolar scar.
Larger and more drooping breasts require more skin removal and elevation of the nipple/areola, resulting in more and longer incisions and resulting scars. Larger breast removal usually results in an incision around the areola and another long curved incision under the areola extending across the chest horizontally as long as the width of the original breast. Larger breasts require more surgery and more time to do the surgery and so the fees for surgery, hospital, and anesthesia are higher than with smaller breasts.
Performed on an out-patient basis in an ambulatory surgery center under local or general anesthesia, the surgery takes about two hours for small breasts and about four hours for larger ones. Sutures are removed in about 5 to 7 days.
Most types of employment can be resumed in one week, strenuous physical activities such as exercise can be resumed after two weeks.
We look forward to discussing all options with you to help you decide which would be most appropriate for you.