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.