Mastectomy breast surgery or FTM (Female to male) surgery is a popular option for transgender men and non-binary individuals seeking to improve their self-esteem and appearance. Patients considering this surgery should prioritize safety, methods and techniques, and the experience of doctors and their teams before making a decision. At slchospital , we have expert surgeons who specialize in plastic surgery and employ special techniques and methods to align physical appearance with a patient’s true sense of self. This procedure can also benefit women who are concerned about large or sagging breasts, as breast reduction surgery can reduce breast size and nipple and areola asymmetry. However, the suitability of a particular surgery depends on the individual’s breast size, sagging, and skin tissue elasticity, and a consultation with a doctor is necessary to determine the best course of action.

Mastectomy breast surgery is suitable for various groups of individuals, including:

1. Individuals who have been diagnosed with gender dysphoria by a psychiatrist after undergoing a physical and mental health checkup and wish to transition from female to male.

2. Individuals who have been living as male for at least one year.

3. Those who are 20 years of age or older. If you are under 20, you must obtain permission from a legal guardian.

4. People, regardless of gender identity, who have large breasts or excessive skin tissue due to weight loss, aging, or other factors, which can cause discomfort or aesthetic concerns.

* The decision to undergo mastectomy breast surgery should be made in consultation with a qualified medical professional.

Things to know before making a decision on breast surgery

1. Postoperative incisions can vary in size, depending on the chosen technique and the patient’s breast type or issues. While some wounds may heal and fade within 3-6 months, others may result in bulging scars or keloids.

2. After breast surgery, numbness in the chest or breast area may occur due to the high number of nerves in the region. These nerves may have been affected during surgery, resulting in a loss of sensation around the breast and nipples. However, sensation should gradually improve over 3-6 months.

3. Mastectomy breast surgery involves the removal of unwanted breast tissues, reconstruction, and relocation of the nipples and areola, which contain numerous nerves that can affect sensation. While patients may experience a loss of feeling initially, sensation will gradually return, although this varies between individuals.

Methods and techniques that can be used in Mastectomy breast surgery:

Technique 1

The surgeon makes an incision under the breast and removes the fat and breast tissues. This method is suitable for people with small breast size and well elastic skin, and the wound is located under the breast.

Technique 2

The surgeon opens the incision around the breast but leaves the nipple area. Then, the surgeon removes the breast tissues and reduces the nipple size. This technique is suitable for those with small breast size, good elastic skin, and large nipple size. Additionally, nipple size reduction can be done at the same time.

Technique 3

The surgeon makes an incision around the areola. This technique is suitable for those with fairly large breasts and more excessive skin tissue than usual, and it is also suitable for those who want to reduce the areola area.

Technique 4

The surgeon places an incision around and on the side of the areola. This technique is suitable for those with large breasts but less elastic skin, and it is also ideal for reducing the areola area.

Technique 5

The surgeon makes an incision around the areola and under the breast, then removes the breast tissue. This technique does not cause a scar around the areola, but it will create a horizontal scar beneath the breast, which can give a masculine hip line. It is suitable for people with large breasts that are slightly sagging and have small nipples and areola that do not need to be reshaped.

Technique 6

The surgeon makes an incision around the areola and on the side of the breast, along with inside and out without crimping. This method is suitable for people with large and very sagging breasts.

Technique 7

The surgeon makes a long vertical incision and relocates the nipples and areola above the incision. This technique is suitable for those who have large breasts but less elastic skin and want to remove unnecessary skin.

Technique 8

The surgeon removes the breast and skin tissues and relocates the nipples and areola. This technique is suitable for people with large, sagging breasts and more excess skin tissues than usual.

Technique 9

For those who have very large breasts but do not want to remove the breast tissue entirely, reduction breast surgery is another option. The surgeon uses the T-shaped technique for this procedure, which eliminates the risk of having a scar around the areola and loss of nipple tissues.

*Each technique depends on the surgeon’s assessment and individual patient problems.

Breast surgery at slchospital offers numerous benefits, including:

1. Meeting Thailand’s Boutique Hospital Standard.

2. 1:1 general anesthesia throughout the surgery to ensure maximum safety and comfort for the patient.

3. Providing a high-tech operating room that meets international standards, equipped with a positive sterile air room system, PPM particles, a monitor control system, an air conditioner, humidity, a disinfection system, and an emergency electricity backup system during surgery, which surpasses the general operating room standard.

4. Designing recovery rooms with special care to help patients feel relaxed, comfortable, luxurious, clean, and with more privacy space.

5. Offering customized service, attentive care with supervision, a beauty consultant to assist customers with accurate information, and to meet the patients’ needs and ensure their privacy.

6. Earning the trust of customers, especially among foreign patients, for a long time.

7. Providing SLC holiday surgery for customers who want to change their atmosphere and environment after surgery, including a package with luxury accommodation at a famous hotel located in the center of Thonglor that meets the SHA Plus+ standard Customers can be assured of clean, comfortable, safe, and private surroundings while enjoying premium luxury facilities such as a swimming pool, fitness center, onsen, spas, upscale restaurants, co-working spaces, and more.

Preoperative preparation

1. A physical and mental health check-up before surgery to ensure that the customer is fit for the procedure.

2. Refraining from all vitamins, supplements, and blood thinners at least four weeks prior to surgery to prevent complications.

3. Avoiding smoking and alcohol for four weeks before surgery to reduce the risk of complications.

4. Informing the surgeon if taking transgender hormone medications regularly, and stopping the drug for at least four weeks before surgery.

5. Not drinking or eating for eight hours before surgery if anesthesia is needed. SLC Hospital may prescribe antibiotics 1-2 days before the surgery date.

6. Arriving at the hospital 1-2 hours in advance on the day of surgery.

7. Preparing mentally and emotionally for the surgery, acknowledging that there may be some bruising, changes, and a period of adjustment to a new appearance.

8. Avoiding surgery during menstruation or a few days after, as hormone levels can affect the body’s swelling and bleeding risk.

9. Wearing loose, comfortable clothing on the day of surgery.

10. Having a company on the day of surgery and leaving valuables at home.

11. Not driving by oneself on the day of surgery, but rather using public transport services to avoid accidents caused by postoperative anxiety and lack of concentration while driving.

The day of surgery

1. Take a shower and wash your hair properly. Do not wear contact lenses, makeup, nail polish, lotion, perfume, or jewelry.

2. Please keep valuable items at home.

3. Wear loose clothing with a zipper or buttons in the front. Do not wear tight dresses or pants, and do not drive alone. Must be accompanied by a guardian, friend, or relatives on the day of surgery.

4. Arrive at the hospital one hour before the surgery.

Surgical procedures:

1. The breasts are assessed by the surgeon, who marks the incision that needs to be removed and relocated along with the nipple. The method used depends on the surgeon’s assessment and the individual’s condition.

2. Prior to the surgery, an anesthesiologist administers anesthetic and monitors the patient throughout the procedure.

3. The incision is opened by the surgeon, breast tissue is removed as marked, and reconstruction and adjustments are made. The nipple size is reduced and relocated to the correct position.

4. The incision is closed with stitches and covered with a bandage. A surgical bar is applied to keep the incision in place.

5. The surgery typically takes between 2-3 hours, depending on the individual’s condition.

Post-surgery instructions:

1. In the first few days after surgery, physical activities should be limited, and the body should be moved carefully to avoid tearing or inflammation of the wound.

2. Strictly follow the instructions provided by the nurse and physician.

3. The body should be wiped clean for hygiene purposes. After one week, the wound should have dried, and it should be safe to shower normally. Do not attempt to clean the wound yourself; wait until the follow-up appointment with the doctor.

4. Heavy lifting, driving, and exercise should be avoided for the first month after surgery.

5. The chest should be tightly wrapped with a bandage, allowing for comfortable breathing, for two weeks, as recommended by the doctor.

6. Fermented foods, smoking, and alcohol should be avoided for at least one month after surgery.

7. Chest straps should be worn strictly as recommended by the doctor to help the breasts stay in place more quickly.

8. Follow-up appointments with the doctor should be kept, and any abnormalities should be reported to the doctor immediately.

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