For many transgender individuals, transitioning from female to male (FTM) or non-binary (FTN) is a significant and deeply personal experience. This guide provides a comprehensive look at the various gender-affirming surgical options available for FTM/N transition, highlighting the key procedures, preparations, and post-surgical care. If you missed our previous blog, we discussed common myths and facts about gender-affirming surgery, shedding light on important aspects of this process.
Understanding FTM/N Transition
FTM/N transition involves aligning one’s physical appearance with their gender identity. This can encompass social, medical, and surgical changes, with surgery being a vital component for many individuals. The primary surgical procedures in FTM/N transition include top surgery, bottom surgery, and other masculinizing surgeries.
Popular FTM/N Top Surgeries
Surgical options for FTM/N transition typically include top surgery, bottom surgery, and other masculinizing surgeries. Top surgery is a key procedure for many transgender men or non-binary individuals, involving the removal of breast tissue to create a more masculine or androgynous chest.
- Double-Incision Chest Reconstruction
- This procedure involves making two horizontal incisions across the chest and removing the breast tissue.
- It’s suitable for individuals with larger chests or those with significant skin laxity.
- The nipples and areolas are often resized and repositioned during this procedure.
- Keyhole Chest Reconstruction
- This involves a small incision near the crease of the axilla (armpit) for liposuction as well as a periareolar incision along the lower half of the areola. There will be a third incision for the drain, along the side of the chest.
- It’s ideal for individuals with smaller chests or minimal skin laxity.
- The nipples and areolas are not altered with this type of procedure
Preparation for Transgender Surgery
Preparing for FTM/N surgery with Dr. Alvina Won involves both physical and mental readiness. Patients are advised to stop certain medications or supplements that might increase the risk of bleeding or interfere with anesthesia. Additionally, they should stop smoking and limit alcohol consumption before surgery to enhance healing. It’s also important to have a solid support system and fully understand the potential outcomes and risks.
The Recovery Process
The recovery process for top surgery varies but generally involves several weeks to a month of healing time. Patients should follow Dr. Won’s post-surgical care instructions, including managing pain and swelling. Heavy lifting and strenuous activities should be avoided initially, with normal activities gradually resumed as advised. Proper wound care and monitoring for complications are crucial for healing.
Hormone Therapy in FTM/N Transition
Hormone therapy, particularly testosterone, may play a crucial role in FTM/N transition. It helps masculinize the body in various ways, including:
- Voice: Testosterone therapy typically results in a deeper voice, aligning with a more masculine identity.
- Muscle Mass: Testosterone increases muscle mass and strength, contributing to a more masculine physique.
- Hair Growth: Increased facial and body hair growth is a common effect of testosterone therapy, helping to align with a masculine appearance.
- Mood and Energy Levels: Testosterone can also affect mood and energy levels, potentially impacting mental health.
Mental Health in FTM/N Transition
Mental health support is crucial during FTM/N transition. The process can be emotionally challenging, and having access to therapists or counselors experienced in LGBTQ+ issues can help manage stress, anxiety, and depression. Seeking professional help and finding supportive communities can significantly enhance the overall well-being of those undergoing transition.
Contact Us
If you’re considering FTM/N transition or exploring your surgical options, Dr. Won and the team are here to provide expert care and support. Schedule a consultation today to discuss your needs and learn more about our personalized services. Our team specializes in compassionate and professional care for transgender patients, and we’re ready to help you take the next step.