Surgical procedures for gender reassignment have improved significantly over the past two decades, with new techniques being introduced on a regular basis. In the not too distant past, female to male (FTM) surgery for the chest area consisted of a double mastectomy or some variation of removing breast tissue. The prevailing perspective implied was that lack of breasts translated into a masculine chest, which was not a very open-minded attitude.
A double incision reconstruction with a nipple transfer leaves a more natural male appearance. Scarring is a risk, but advances allow for an incision that is shorter and narrower than initial procedures. The trade off for a natural look is the loss of sensation around the areola.
A keyhole procedure is available. That requires nipple grafts to align them to the broader chest area. Scars for this option are vertical ones. Sensation is drastically reduced, but is still present. The reason sensation declines is that the nipple is removed with a small area of surface skin.
A breakthrough for FTM Top Surgery has been developed with the button hole technique. This procedure leaves no vertical scarring and does not require grafting. It is ideal for medium and large chested men. Much of the sensation remains because the nipple is removed with blood vessels and nerves intact.
Once the chest is reconstructed, the nipples are placed through a hole in the skin and attached to the body. The nerves and blood supply are reconnected to provide feeling in the area. The result is a natural masculine appearance, a great deal of sensation in that area, and more comfortable clients. This procedure, developed by Dr. Hope Sherie, allows for a more complete transformation so clients can enjoy their new bodies.
Other Procedures Available
FTM procedures can also include body sculpting, facial feature enhancements, and chest revisions for those who are unsatisfied with results of previous surgery. Clients are not required to present a counseling letter to qualify for surgery. Procedure specials are offered to save money, and financing is available. Notarized letters of gender reassignment are presented to clients on the day of their procedures.