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Transgender Top Surgery

Transgender Chest Contouring – Richmond, VA

Chest recontouring is an important step in the process of gender transformation. Dr. Steven Montante uses his extensive expertise in breast surgery and reconstruction to assist in this transformation process.

Dr. Montante has performed many female to male breast reductions (Tops surgery) in Richmond, Virginia, helping his transgendered patients achieve their true identity.

Before & After

View a selection of Before & After photos of procedures performed by Dr. Montante and the skilled team at Montante Plastic Surgery & Aesthetics. These photos provide actual results achieved to get a better sense of the possible outcomes following your procedure. 

If you have any questions about any of our treatments, please give us a call or contact us today!

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What can Top surgery do for you?

The goal of Female to Male Top surgery is to masculinize the chest and remove female contour. In Male to Female Top surgery, the goal is to provide a feminine shape to a male chest.

Your Consultation for Top Surgery

Dr. Montante will spend time with you during your initial consultation to hear your concerns and goals, as well as answer your questions. He will review your medical history, followed by an examination of your chest. This will allow him to recommend a surgical plan tailored specifically for you.

Dr. Montante will advise you of all preparations to take prior to your operation. If you are a smoker, for example, you will need to stop for a period of time before surgery.

What should you expect from Female to Male Top surgery?

This surgery is usually performed using general anesthesia and takes 2-4 hours. Afterward, you can go home, but you must have someone available to drive you.

Incisions vary depending upon the amount of excess skin that needs to be removed. In rare cases, liposuction, alone, may be sufficient.

Native breasts with minimal sagging and good skin tone may be amenable to a combination of liposuction and a concentric or “donut” lift. In this procedure, a “donut” incision pattern is designed to remove breast tissue, after liposuction is performed to remove breast fat. The incision is well-concealed in the border of the areola.

In cases of particularly large breasts or breasts with a lot of excess skin, a “double incision” procedure may be necessary. In this procedure, an incision is designed adjacent to the lower border of the pectoral muscle. The original nipple is removed temporarily, and the breast tissue is removed. Once the chest skin is tailored to masculinize the chest, the nipples are then reattached to the chest as a graft.

After your surgery, the incisions are sutured and dressed. All sutures are typically dissolvable and the incisions are covered with a skin glue. In the case of a double incision procedure, a dressing, sewn over the nipples, is removed after approximately one week.

What should you expect from Male to Female Top surgery?

This surgery is usually performed using general anesthesia and takes 2-4 hours. Afterward, you can go home, but you must have someone available to drive you.

Recontouring the chest from male to female typically involves the placement of implants, in a similar way to a breast augmentation. The most common incision used is along the fold on the underside of the breast. The implants can be placed either under the breast tissue or partially under the pectoral muscle and breast tissue. Your starting anatomy will determine which location will provide you with the most natural results. Through his analysis of your native anatomy, Dr. Montante will make recommendations concerning implant size and position to meet your particular needs.

Recovering from Top Surgery

You will wear a postoperative garment for approximately four to six weeks after your surgery, depending on the type of surgery you have. You should sleep on your back during this period of time.

You should be able to return to work and resume normal activities within about 2 weeks, as long as your work does not involve strenuous activity or lifting. You should avoid strenuous exercise for about 6 weeks.

Expect to feel some post-operative discomfort, but this can be managed with oral pain medication. Some bruising and swelling are normal. Swelling will take the longest to resolve, so while your chest will be flatter immediately, you won’t be able to see the final results of your surgery until all of the swelling has resolved. This could take a few months.

There are visible scars after Top Surgery, but they will become flatter, smoother, lighter, and less prominent over time.

Dr. Montante will monitor your progress carefully in follow-up examinations.

Gynecomastia surgery in Richmond can give you a masculine-looking chest. Call us today at (804) 325-4795 to schedule a consultation to find out more about male breast reduction.

Dr. Steven J. Montante

Dr. Steven J. Montante has many years of experience in the field and is board certified by the American Board of Plastic Surgery. He received his medical degree at the University of Pittsburgh School of Medicine and completed his plastic surgery residency at Medical College of Virginia at Virginia Commonwealth University.

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