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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

MTF Top Surgery: Techniques and Options

If you’re transitioning from male to female, your agenda might include top surgery. New York City’s Dr. Elliot Jacobs understands that for most patients, this means breast augmentation with implants and an emotional journey as well.

When you choose to have transgender surgery in New York with Dr. Jacobs, you will benefit from his 30+ years of experience with breast surgery for both men and women. You’ll enjoy pressure-free assistance in the decision-making process as well as great results. The board certified plastic surgeon and his exceptional staff will be with you every step of the way.

Achieving Great Results

During your consultation, we’ll discuss many details that directly relate to achieving the appearance you’re seeking and you’ll have some decisions to make. Here’s an overview.

  • Silicone vs. Saline Implants

    You may already know that both silicone and saline breast implants are available. Each type has advantages. Silicone implants tend to look and feel more natural to many individuals undergoing man to woman surgery, particularly if there’s little natural breast tissue. Saline implants, which are filled with salt water after insertion, require shorter incisions and cause nearly invisible scars.

    Both implant types are safe. If a saline implant should rupture, the body will harmlessly absorb the fluid. The change would be noticeable and you’d schedule a procedure to replace the implant.

    Today’s silicone implants contain a cohesive gel. If an implant’s shell is compromised, you may not even notice since the gel doesn’t migrate outside the breast pocket. Dr. Jacobs will show you both kinds of breast implants during your consultation to help you make your choice.

  • Implant Size

    Size is a key decision for most people transitioning from male to female. Don’t be too worried about this aspect of surgery prior to your consultation, though. There are many factors to consider-such as the size and shape of your torso, how natural you want to look and more. Dr. Jacobs will walk you through various factors and help you try on sizers to assist you.

    MTF Top Surgery: Breast - Before and After photos
  • Placement and Incisions

    The placement of your implants-above or below the pectoral muscle-plays a key role in your ultimate results. The decision you and Dr. Jacobs will make about placement should take into account both your body type and the results you have in mind.

    For instance, if your pectoral muscles are large, you can consider placing implants above the muscles to de-emphasize them. On the other hand, this may cause your implants to be more noticeable, especially near the top of your breasts, since you may not have much tissue to conceal them.

    Speaking very generally, many patients opt for placement below the muscle for a variety of reasons. In addition to a natural look, this option tends to reduce some risks associated with implants, such as post-surgical rippling. But placement below the muscle usually means a slightly longer recovery, and sometimes implants under the muscle can look distorted when a patient flexes.

    The type of implant and placement you choose determines incision location. In most cases, incisions beneath the breast yield best access-many plastic surgeons favor this location. If you choose saline implants, it may be possible to insert them through very small incisions at the edge of the areolas.

  • The Role of Skin

    Most people who decide to have MTF surgery have enough skin with sufficient elasticity to accommodate breast implants of moderate size. If this is not the case for you, or if you’re considering larger implants, a two-stage operation may be the best bet. You and Dr. Jacobs can discuss this during your consultation.

    MTF Top Surgery: Breast - Before and After photos (female)

Ready to Get Started?

If you’ve been considering top surgery for years and have begun your transition with hormone therapy, it may very well be time for a consultation with Dr. Jacobs. He will give you all the information you’re seeking and get to know you and your goals. You may decide to schedule a procedure on the spot, never or at some point in between – it’s completely up to you. Call us at 212-570-6080 for an appointment.

If you’re not quite ready to take the next step and you’d like to start a relationship with us online, contact us with our short email form. We hope to talk with you soon!

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