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Elliot W. Jacobs, MD, FACS - Diplomate, American Board Of Plastic Surgery

Specializing in Primary &
Revision Gynecomastia Surgery

815 Park Avenue New York, NY 10021

FTM Top Surgery: Surgery and Recovery

You can get ready to relax now! When the day of your FTM top surgery in New York arrives, it’s likely that a good deal of the hard work and stress of transitioning is behind you. You have done soul searching, been to counseling and talked about your true self with loved ones. You’ve started hormone therapy and come to the conclusion that reducing the size of your breasts is the right step.

You’ve also been in to meet with Dr. Elliot Jacobs and his compassionate staff, and together you’ve created a surgical plan that makes sense. Now it’s time for a procedure that’s relatively straightforward with a team that will be with you every moment.

FTM Top Surgery: Nipple - before and After Photos (man)

When you arrive at our offices in Manhattan for top surgery, you will see Dr. Jacobs to review final details and the surgical team will help you get ready. You’ll also meet with Dr. Calvello, our M.D. anesthesiologist who has worked alongside Dr. Jacobs for more than 25 years. If you have any pre-surgery butterflies, they will settle by the time you head into the operating room.

Your Surgery

We perform nearly all breast surgeries in our modern, on-site surgical facility that’s accredited by the Joint Commission, the same organization that inspects hospitals across the country. You’ll benefit from the calm, quiet atmosphere and complete privacy.

FTM Top Surgery: Nipple - before and After Photos (man)

Our preferred method of anesthesia – twilight (or IV) sedation – will also be a benefit. With the medicine administered intravenously you will sleep completely through surgery. After surgery, you’ll awaken quickly and easily. Unlike general anesthesia, there’s no breathing tube, sore throat, nausea or grogginess after surgery.

The typical breast reduction surgery takes 90-120 minutes. As we finish, we’ll wrap your chest in soft bandages and transfer you to the recovery room where we’ll keep an eye on your comfort. Within an hour or two you can go home to rest with the assistance of a friend or loved one.

Recovery and Healing

You’ll need someone to stay with you that first night in case you need assistance. In fact, we recommend you have someone with you for a day or two, or at least arrange for a friend to come over to help for a while. The first couple of days you will rest most of the time, so having someone prepare a meal or two, take care of pets and perform small tasks is a big help.

FTM Top Surgery: Nipple - before and After Photos (man)

For the first several days to a couple of weeks post-op there will be some swelling and bruising. You can help keep these at bay by maintaining a low heart rate and blood pressure. You will probably experience light to moderate discomfort at first. Most people use prescription medication for a day or two, then switch to over the counter pain relievers.

After a couple days of rest, you can begin resuming light activity at home. You should plan to be away from work for at least a week. If you have a strenuous job, you will want to take a little more time off. And activities such as lifting weight or aerobic exercise should wait a few weeks.

Your new shape will emerge over time. You’ll notice some change right away, but swelling takes a while to disappear completely and your skin will also need some time to fully tighten. Do not feel discouraged if you don’t see the ultimate sleeker appearance you have been anticipating for a few weeks. If you are waiting to determine whether you might need additional skin reduction, you’ll need to be patient a few months. Similarly, scars continue to fade for several months.

FTM Top Surgery - Nipple - before and After Photos (man)

During the post-op period you will see Dr. Jacobs a few times so he can check your progress. You and he can determine if any further measures would be beneficial. For instance, if a scar looks prominent to you, a simple injection can often help smooth it out.

We Are Here for You

When it comes to preparing for FTM surgery and recovery, there’s a lot to do! But we will be here to guide and support you before, during and after your procedure. We’ll also give you several handouts to take home and review.

Feel free to read a blog post we published some time ago called 10 Tips for Preparing for Gynecomastia Surgery. It was written for guys undergoing male breast reduction, but the tips are valid for preparing for almost any surgery.

FTM Top Surgery - Nipple - before and After Photos (man)

If you have concerns and you need to reach us, give us a call at 212-570-6080. We’ll also make sure you have a phone number to use after hours prior to your procedure.

Send us an email if you have questions at this point. Use our contact form – we can usually respond pretty quickly.

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