Top Surgery FEMALE TO MALE (FTM)

FTM Top surgery includes a number of techniques to create a masculine defined chest by reducing the size of or removing the breasts.The ultimate goal of any of these techniques is to make you feel more comfortable with your body and align your internal sense of self with the self you want to present to the world. These techniques include peri-areolar, keyhole, double incision with free nipple grafting and inverted T (anchor) procedure. The technique chosen depends on your skin quality and excess, the amount of breast tissue present, desire for nipple sensation preservation and ultimately patient preference. Liposuction may be combined with any of the techniques especially when excess lateral chest fat deposition is present. Results can vary from individual to individual as no two breasts are the same. The scar over time can become minimally noticeable but will take up to a year to fully heal to that point. Scar placement is planned to follow natural anatomic lines to further minimize the final appearance. Following scar care recommendations after surgery is essential to minimize and optimize the final scars.

Procedure:During this surgery Dr. Rednam removes breast tissue to flatten and masculinize the chest. The double incision technique generally provides the most ideal contour and allows reduction of the nipple areolar complex and better masculine anatomical positioning. Of the techniques listed it is the only one that requires complete removal of the nipple areolar complex.

Location:FTM Top surgery is normally performed under general anesthesia. If the procedure is done through insurance it is performed at my outpatient surgical center or hospital. If the procedure is done on an out-of-pocket basis it is performed at my office operating room or outpatient surgical center.

Recovery:A compression dressing is placed around the chest for 5-7 days to reduce swelling and protect nipple grafts in the case of double incision surgery. After this comes off, dressings are changed by Dr. Rednam at your first postoperative appointment and scar care is discussed. You will begin using compression vests at this time that are easily hidden under clothing. Except in rare occasions no drainage tubes are placed. Some patients experience bruising, but not all. Swelling is expected in all cases and is much more significant if liposuction of the lateral chest is needed. A significant decrease in swelling is seen around 3-4 weeks with approximately 80-90% of the swelling gone by 6-9 months and the rest resolving over one year. Pain varies from person to person but for most after the first 2-3 weeks minimal pain medication is required.

Return to work/activities:Depending on the type of work you can return to work at varying times. For an office job 2-3 weeks while for a heavy labor/active job 4-6 weeks. You can resume light lower body exercise, like a light workout on an elliptical machine, at 2 weeks and impact exercise, like running or weight lifting, at 6 weeks.

Top Surgery MALE TO FEMALE (MTF)

MTF Top surgery or breast augmentation helps individual achieve a more feminine looking appearance with the placement of saline or silicone implants or through fat transfer to enhance the size and shape of the breasts. The ultimate goal of the surgery is to make you feel more comfortable with your body and align your internal sense of self with the self you want to present to the world. Hormone therapy is not required to undergo this procedure but in combination with the procedure(s) can provide the most natural and aesthetic result. Results can vary from individual to individual, as no two breasts are alike. The scar over time can become minimally noticeable but will take up to a year to fully heal to that point. Scar placement is planned to follow natural anatomic lines to further minimize the final appearance. Following scar care recommendations after surgery is essential to minimize and optimize the final scars.

Procedure:Single stage augmentation surgery with either a saline or silicone implants is performed with a small well-hidden incision in the natural inframammary fold (IMF) or in the newly planned fold depending on the desired size. If a large size is desired and the overall breast size is small with a minimal nipple to IMF distance then a tissue expander may need to be placed first to stretch the skin for a natural full breast appearance. After expansion is completed a second procedure is then performed removing the expander and replacing it with an implant. Fat transfer for augmentation is ideal for individuals desiring a modest augmentation. Fat is taken from other areas on the body and carefully placed in the tissue below and surrounding the breast to augment it. This is a less predictable technique than implant based augmentation but can be a great option for the right candidate.

Location:MTF Top surgery is normally performed under total IV or general anesthesia. This is generally not a covered procedure with most insurance plans as they consider it cosmetic. However, if your plan does cover the procedure it is performed at my outpatient surgical center or hospital. If the procedure is done on an out-of-pocket basis it is performed at my office operating room or outpatient surgical center.

Recovery:A compression dressing is placed around the chest for 5-7 days to reduce swelling, bruising and for patient comfort. After this comes off, Dr. Rednam changes dressings at your first postoperative appointment and scar care is discussed. You will begin using a front zip sports bra at this time and will continue until 6 weeks after surgery. Except in rare occasions no drainage tubes are placed. Some patients experience bruising, but not all. Swelling is expected in all cases and will decrease with time and healing. A significant decrease in swelling is seen around 3-4 weeks with approximately 80-90% of the swelling gone by 6-9 months and the rest resolving over one year. Pain varies from person to person but for most after the first 1-2 weeks minimal to no pain medication is required.

If a two-stage procedure is indicated recovery after the implant exchange is much faster and with less discomfort than the initial procedure for the majority of people.

Return to work/activities:Depending on the type of work you can return to work at varying times. For an office job 2-3 weeks while for a heavy labor/active job 4-6 weeks. You can resume light lower body exercise, like a light workout on an elliptical machine, at 2 weeks and impact exercise, like running or weight lifting, at 6 weeks.

Body Feminization MALE TO FEMALE (MTF)

Body feminization covers a wide range procedures meant to enhance and define the female form. The female shape comes in all shapes and sizes but in general those designated female at birth tend to store fat in specific body regions such as the hips, thighs and buttocks giving a curvier and softer appearance than a masculine body. Through different techniques such as liposuction, fat transfer and skin excision and tightening a feminine form can be achieved, but results vary from individual to individual and can be limited based on your preoperative physical form.

Procedure:Liposuction is performed through small 5mm -7mm openings that are closed with a single suture. The openings are placed in well-hidden areas to avoiding drawing attention to them. Fat transfer whether performed to the hips or buttock is done through small strategically placed needle openings. Fat deposits on the body are liposuctioned to obtain the fat for transfer. Tissue excision procedures like abdominoplasty (tummy tuck) or lower body lifts are performed through low incisions that are hidden well by underwear.

Location:MTF Body contouring is normally performed under total IV or general anesthesia. These procedures are generally not covered by insurance as it is considered by them to be cosmetic. Procedures are performed at my office operating room or outpatient surgical center.

Recovery:A compression garment is placed right after surgery and can be removed 48hrs post operative and replaced after showering. In some cases the garment is left in place for 1 week post operative and Dr. Rednam will perform the first dressing change in the office. After that time, the garment is worn at all times except to shower for 6 weeks after surgery. After that time a lighter garment is worn during the day and during exercise for another 4 weeks. Dr. Rednam changes dressings at your first postoperative appointment and scar care is discussed. Depending on the type of procedure drainage tubes may be placed but are not for most procedures. Some patients experience bruising, but not all. Swelling is expected in all cases. A significant decrease in swelling is seen around 3-4 weeks with approximately 80-90% of the swelling gone by 6-9 months and the rest resolving over one year. Pain varies from person to person but for most after the first 2-3 weeks minimal pain medication is required.

Return to work/activities:Depending on the type of work you can return to work at varying times. For an office job 2-3 weeks while for a heavy labor/active job 4-6 weeks. You can resume light lower body exercise, like a light workout on an elliptical machine, at 2 weeks and impact exercise, like running or weight lifting, at 6 weeks.

Body masculinization FEMALE TO MALE (FTM)

Body masculinization involves procedures meant to enhance and define the male form. The male shape tends to store less fat than the female shape and have more bone mass and muscle definition. Because the female form tends to have more fat deposition and curves, liposuction is used to target this fat to slim and contour especially the abdomen and hips and around the thighs and buttocks. Though not required prior treatment with testosterone will further result in masculine body traits like broad shoulders, wider chest, increased muscle mass and increased skeletal mass. A male form can be achieved but it is important to remember results vary from individual to individual and can be limited based on your preoperative physical form.

Procedure:Liposuction is performed through small 5mm -7mm openings that are closed with a single suture. The openings are placed in well-hidden areas to avoiding drawing attention to them. Fat is permanently removed with this procedure.

Location:FTM body contouring is normally performed under total IV or general anesthesia these procedures are generally not covered by insurance as it is considered by them to be cosmetic. Procedures are performed at my office operating room or outpatient surgical center.

Recovery:A compression garment is placed right after surgery and is left in place for 48hrs post operative and then can be removed to shower and is replaced after. The garment is worn at all times except to shower for 6 weeks after surgery. Some patients experience bruising, but not all. Swelling is expected in all cases. A significant decrease in swelling is seen around 3-4 weeks with approximately 80-90% of the swelling gone by 6-9 months and the rest resolving over one year. Pain varies from person to person but for most after the first 2-3 weeks minimal pain medication is required.

Return to work/activities:Depending on the type of work you can return to work at varying times. For an office job 2-3 weeks while for a heavy labor/active job 3-4 weeks. You can resume light lower body exercise, like a light workout on an elliptical machine, at 2 weeks and impact exercise, like running or weight lifting, at 6 weeks.

Vaginoplasty

Dr. Rednam currently does not offer vaginoplasty surgery but is hoping to be able to in the near future with additional specialized training and surgical specialists joining our team. This procedure requires the expertise of both a plastic surgeon and urologist to be done properly and provide the most natural and aesthetic appearance along with functionality.

In the meantime Dr. Rednam is happy to provide recommendations for experienced surgeons in the vaginoplasty procedure.

Phalloplasty

Dr. Rednam currently does not offer phalloplasty surgery but is a trained microsurgeon and hoping to be able to in the near future with additional specialized training and surgical specialists joining our team. This procedure requires the expertise of both a plastic/microsurgeon and urologist to be done properly and provide the most natural and aesthetic appearance along with functionality.

In the meantime Dr. Rednam is happy to provide recommendations for experienced surgeons in the phalloplasty procedure.

About Body Surgery

The is a lot of overlap between cosmetic plastic surgery and male to female (MTF) and female to male (FTM) body contouring and gender reassignment surgery. However, it’s in the fine detail of these procedures that you see the differences and having a plastic surgeon who pays attention to these details can make all the difference. While there are certain body contours that are considered traditionally female or male, each individual’s desires are taken into consideration so that the surgeon and the patient come up with a plan together during the transitioning journey.

Dr. Rednam is a board certified plastic and reconstructive surgeon who specializes in both cosmetic and reconstructive surgery of the body. She works with a team of surgeons and specialists to provide the highest quality care in a compassionate and respectful environment. Working together as a team, facial and body procedures can, depending on the case, be combined.