For many trans women, the chest is more than just a physical feature—it’s a missing piece of the self. Whether it’s adjusting layers before leaving the house or hesitating in front of the mirror, that disconnect can weigh more than you’d like to admit. MTF top surgery Seattle isn’t just about changing your silhouette; it’s about bringing your outer appearance into harmony with your inner truth. If you’re considering this step in Seattle, here’s what you need to know so you can confidently plan each step.
What MTF Top Surgery Is All About
MTF top surgery Seattle, often referred to as chest feminization, is a procedure designed to create a naturally feminine chest contour. During the surgery, your surgeon carefully places silicone implants—chosen for their soft, realistic feel—through discreet incisions hidden in the breast crease, around the areola, or in the armpit for minimal scarring. Depending on your body type, the implants can be positioned partially beneath the chest muscle for a smoother, more gradual shape (ideal for leaner frames) or directly under the breast tissue for a quicker recovery.
The result is a balanced, natural-looking bust that enhances your silhouette, allowing you to wear fitted clothing confidently without relying on padding or compression garments. This procedure not only aligns your physical appearance with your gender identity but also helps boost self-esteem and comfort in everyday life.
Who Should Consider MTF Breast Augmentation Seattle
You’re likely a good candidate if you feel a steady pull toward a more feminine chest and meet a few simple health markers. Surgeons prefer patients who have lived in their affirmed gender long enough to feel sure about surgery, are in overall good health, and can pause smoking or vaping before and after the operation. A year or more of estrogen can help skin stretch, but it isn’t strictly required. Most important is a dependable friend or family member who can drive you home and stay close for the first day or two.
Mapping Out Your New Shape
Your consultation—usually an hour or so—starts with a relaxed conversation about your vision: cup size, cleavage, and how your new shape will balance shoulders and hips. Next comes implant talk. Silicone feels more like natural tissue, while saline offers a slightly shorter incision. Round implants give fuller upper volume; teardrop styles slope more gradually. Together, you and your surgeon will decide where to place the implant and which incision will hide best on your body. Digital 3-D imaging helps you preview possibilities before you commit. Expect routine labs, instructions to stop blood-thinning medications, and a reminder to fill post-op prescriptions early.
What Happens on Surgery Day
Plan on arriving about an hour before the operation. Nurses will place an IV, your surgeon will draw skin markings, and the anesthesia team will review everything one last time. Once you’re asleep, the surgeon creates the pocket, positions the implant, and closes the incision with layered sutures. The surgery itself takes roughly 90 minutes. After another hour in the recovery area—where you’ll wake up wearing a soft compression bra—you’ll head home with a direct phone number for after-hours questions.
MTF Top Surgery Recovery Timeline
Recovery happens in stages, each with its own small victories:
- Days 1–3: Expect tightness and a pressure-like soreness across the chest. Keep movements gentle and elbows close to your sides. Short indoor walks help blood flow and reduce the risk of clots.
- Day 4–7: Swelling peaks, then gradually eases. If your surgeon placed drains, they’ll come out at the first follow-up visit. Many people feel well enough to answer emails or do light desk work from home.
- Weeks 2–4: The implants start to “drop” into a more natural position, and bruising fades. You’ll switch from the surgical bra to a wireless sports bra and can return to light cardio, but avoid lifting anything heavier than a laptop.
- Months 2–3: Scars soften and turn from pink to light brown or pale. Most exercise restrictions lift once your surgeon clears you. Daily scar care—silicone gel, gentle massage, and SPF—helps incisions fade faster.
- Month 6 and beyond: Final shape and softness settle in, and lingering numbness around the nipples continues to improve. Routine follow-ups keep an eye on implant position and capsule health.
The Emotional Impact: More Than Just a Physical Change
For many, the most meaningful change isn’t just in the mirror—it’s in those small, everyday moments where life finally feels right. No grand epiphany, just quiet relief. Trying on a fitted shirt without layers. Swimming without second-guessing. Hugging someone without hesitation. No more adjusting, hiding, or compensating—just moving through the world as you. MTF top surgery Seattle aligns your body with the woman you’ve always been.
Ready for the Next Step?
MTF breast augmentation creates the natural, feminine curves that match your true self. Call (206) 209-0988 to schedule your consultation with Dr. Sajan today and take the first step toward loving your reflection.