Dr. Larson is a member of the World Professional Association for Transgender Health. Performing top surgery for the transgender community is one of Dr. Larson’s greatest passions. It’s an incredible procedure that transforms bodies and changes lives.
When planning your FTM top surgery in Tucson, Dr. Larson’s goal is to educate and empower. He invests a substantial amount of time and effort discussing the options, anticipated results, and potential issues that may arise. He wants you to be fully informed to ensure that you make the right decisions for you.
During all of your experiences with Dr. Larson, you can expect to be treated with the utmost compassion and respect. Relatable and easy to talk to, he will put you at ease throughout your entire journey with our Tucson office.
During your Tucson FTM top surgery, Dr. Larson will remove breast tissue and sculpt a masculine chest appearance. The procedure is done under general anesthesia and involves surgically excising the excess skin and tissue. There are several incision options available, including:
The keyhole incision is a small cut created along the lower border of the areola. It allows Dr. Larson to remove unwanted tissue – but not excess skin. It tends to be the best option for our Tucson patients with small breasts and good skin elasticity.
This approach involves an incision around the areola. Through that opening, Dr. Larson can remove a moderate amount of breast tissue and excess skin.
Our Tucson clients with large or sagging breasts tend to require a double incision, which involves an incision along the bottom edge of the pectoral muscle. With this approach, the nipple is often relocated and resized as well. This is one of the more popular techniques, as it is capable of achieving a tight and flat chest appearance.
For patients with A or B cup breasts, with good skin elasticity, and a smaller nipple and areola, a low lateral incision can be made. The scar is about 3-4 inches long and runs from the 6 o’clock position on the inframammary fold out laterally. This allows for removal of a moderate amount of excess skin while repositioning the nipple into a more masculine position (lower and more lateral.) This procedure is slightly more risky because we have to hope the remaining skin retracts and doesn’t end up loose. If that happens, additional surgery may be necessary to correct the problem. As with all top surgery, the results are greatly improved by working out to enhance pectoral development. This helps to keep the final scars off of the masculine chest (scars look more like a rib surgery, not top surgery.)
This technique combines the double incision with keeping the nipple alive on its own blood and nerve supply. It is Best for B or C cup breasts. This is the surgery for people who really want a chance to preserve nipple sensation but it’s not for everybody. The bulk of the extra tissue needed to keep the nipple alive can add a bulge to the final result so this is better for more stocky people. This is also more risky in terms of nipple survival than the free nipple graft. If this interests you, I will have take some measurements of your chest to make sure that this is a safe option. We will also need to have a long discussion about the pros and cons to make sure that this is right for you.
Read more FAQs about Transgender Top SurgeryLearn more
If you have very small breasts and no sagging skin, your chest may be masculinized via liposuction alone. However, this is quite rare. More often, liposuction is used to refine the results of surgical excision – sculpting a distinctly masculine appearance.
FTM top surgery also involves a procedure to relocate and resize the nipples so they are in a more masculine position on the chest. During a nipple graft, Dr. Larson will remove the nipple and areola, trim the complex to the ideal size, and transfer it to another location. Though nipple sensation will be lost, the final aesthetic outcome is very natural.
Some scarring is inevitable after FTM top surgery. However, the extent will depend on the quality of your skin and the type of incision used. Dr. Larson places the incisions strategically and closes them with the utmost care to ensure that the resulting scars are as discreet as possible.
We are currently open for both in-person consultations in the office as well as virtual video consultations.
Social distancing measures are in effect. We ask that you wear a mask to your appointment and wash your hands frequently or use hand sanitizer.
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