
Breast augmentation is a basic surgical procedure for a plastic surgeon. However, breast augmentation in transgender individuals is more complicated than in cisgender women.
Breast augmentation TS details
Breast augmentation TS
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²Due to the difference in the structure of the male chest, only the ribs and muscles can be seen anatomically. The size of the nipples and areolas is smaller. The positioning of the male nipple is not in the center of the chest; it is on the side, 1/3 of the width of the thorax.
For preparation for breast augmentation, the patient must take the female hormone (estrogen) for at least one year to stimulate breast mass, fat, and tissue to enlarge the breast. Hormone therapy cannot improve the breast as much as we need. MTF breast augmentation is essential to create a female body. The plastic surgery expert can perform breast implantation from the male chest to balance the shoulder, nipple position, and implant size. You will have a beautiful and natural breast.

The illustration shows the positioning and size of a nipple in men and women
A unique technique and extensive experience of the surgeon will balance the breast on both sides, the nipple and areola will be adjusted to balance with the shape, size, and shoulder completely

The illustration shows breast augmentation incisions.
3 options are possible for breast augmentation incisions;
Periareolar incision, around the nipple
Transaxillary incision, under the armpit
Inframammary incision, made in the fold under the breast
The choice of incisions depends on several factors, including enlargement, patient anatomy, implant type, and the requirements of the surgeon and patient.

The illustration shows the positioning of breast implants.
The implant is under the breast mass
The implant is under the chest wall muscle
The implant is Dual Plane, a combination of breast mass and muscle
A good candidate for MTF breast augmentation:
- Transgender women
- Have been taking hormones for at least one year before surgery
- In good health
- Have realistic expectations
- Age is over 18 years
Preparation for MTF breast augmentation:
- Consult the surgeon to choose the most appropriate option and ensure that you are the right candidate and how to achieve the goal
- Undergo a physical examination to ensure that no health condition can affect the surgery
- Wash your hair before surgery with a germicidal shampoo to prevent infection. Do not use chemical spray
- Stop certain medications that interfere with blood clotting, such as aspirin, ibuprofen, certain types of vitamins, and herbs at least two weeks before surgery
During the surgery, the surgeon creates the pocket to insert the implant, 95% under the muscle or breast mass. Adjust the shape to balance then close the incision with layered sutures.
The method provided is under general anesthesia.
The operating time is approximately 1 to 2 hours.
You will need to stay in the country for approximately 8 to 10 days.
Postoperative care for MTF breast augmentation:
- Stay clean every day, avoid wetting the wound for a few days after surgery.
- Remove the stitches seven days after surgery.
- Follow up and meet with the doctor at each appointment.
- Must massage the breasts every day for at least three months to prevent capsular contracture and achieve a beautiful shape for at least 1 hour per day.
- Use compression clothing for at least 1 to 2 months to compress the implant.
- Avoid wearing or lifting objects weighing more than 2 to 3 kg for at least two months to prevent the implant from rising.
Risks and complications of MTF breast augmentation:
- Swelling
- Bruising
- Hematoma
- Bleeding
- Infection
- Poor healing
- Asymmetry
- Painful
- Scars may be thick, red, and painful, sometimes requiring future surgery.
- Decreased or lost sensation in the breast, nipple, or both may temporarily change.
- Capsular contracture refers to hardening around the implant, which can cause pain and deform the shape of the implant.
- Implant failure
- Anesthesia risk
Recovery:
After breast implantation, you will feel pain around the chest for a few days, take a powerful analgesic. You will feel uncomfortable with pain and movements for a few days. It will be better after a week. Exercise can begin after surgery for two months. Breast massage is essential to prevent capsular contracture and perform natural movements.
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