The Male-to-Female (MTF) top surgery, also called Chest Feminization, is a procedure designed as a solution for transgender women or non-binary transgender people who are looking to obtain a more feminine appearance. This is done through breast augmentation with the use of either saline or silicone implants to enhance the overall size and shape of the patient’s breasts.
The procedure is performed by creating a pocket in the chest that will be used for the implant. The methods used for this breast augmentation procedure are very similar to traditional breast augmentation. However, the patient needs to understand that the size of the breast implant should be determined by the amount of skin on the chest. Besides this, the majority of the decisions that must be made for this procedure are standard, such as the choice of implant and whether the implant will be placed above or below the muscle.
When deciding to undergo this procedure, patients must consider their implant options; generally, patients have an option between saline or silicone breast implants. A saline implant is a silicone shell that is then filled with a saline solution. Silicone implants, on the other hand, are filled with a silicone gel that has a “gummy” texture, allowing it to provide patients with a more natural-looking bust. When considering either of these implants, it is best to weigh both of the options with Dr. Arslanian to determine what is best for the individual patient’s needs.
The second decision to be made when undergoing an MTF augmentation procedure is to determine whether patients would prefer to have the implant placed on top or underneath the breast muscles. Each option provides different results; however, patients do find that over the muscle has been found to give a very natural look. The underlying masculine chest muscle will be concealed this way. However, during the consultation, the doctor will further explain the details of each placement option.
