MTF Breast Augmentation


Male-to-female (MTF) transgender breast augmentation is similar to traditional breast augmentation. The implant used depends on the results of the bio-dimensional analysis of the chest wall.  A saline or silicone implant can be placed before or after the pectoral muscle. An incision is made in the crease under the breast, around the nipple or in the axilla. The surgeon creates a pocket in front of, or behind, the chest muscle to insert the implant. The incision line is meticulously repaired. Dissolvable sutures are used so there is no need to take them out. Dressings are then applied to the chest.

One primary concern the MTF patient may have is whether there will be enough chest skin to accommodate the newly enlarged breast area. The nipple-areola complex placement in MTF patients requires special consideration to properly create a feminine shape. To be considered an ideal candidate, the patient should be in good general health, free from bleeding tendencies and infections and free from lung or heart disease. The best candidates are over 18 years of age, have a well-documented history of gender dysphoria and are fully committed to the procedure and their transition.

The typical cost for a MTF breast augmentation ranges from $2,500 - $10,500. The final cost also depends on surgeon's fees, the cost of the implants themselves, the type of implant used (saline or silicone), facility fees, the geographic location of the procedure and if any other procedures are performed at the same time.

Most patients require at least a week of rest before resuming work and other low impact activities. Supportive bandages are worn for 2-3 weeks then replaced by a sports bra. Breast implants are not considered to be a lifetime solution and will need to be replaced at some point. In saline implants, the risk of deflation is about 4% during the first year post-surgery. While for silicone, it is recommended that an MRI be performed three years after the initial surgery and then every two years thereafter to screen for the presence of a leak.

Capsulectomy for Capsular Contracture

Capsulectomy for Capsular Contracture

submitted on   Wed Jun, 17, 2015 by Robert Troell, MD     
Capsulectomy, for capsular contracture after breast augmentation, can be performed in several ways. Capsular contracture is a common complication after breast augmentation that causes symptoms such as discomfort, pain and hard or distorted breasts. When a foreign object such as an implant is1