What Is FTM Chest Reconstruction?
FTM chest reconstruction is a surgical procedure that removes the breast tissue and
creates a masculine chest. In the case of top surgery, a plastic surgeon creates a masculine
chest in addition to removing the breast tissue. Along with removing breast tissue, Dr.
Sajan performs ultrasound assisted liposuction to remove genetic feminine fat pads. The
ultrasound helps with skin tightening and the liposuction helps produce a more defined
Dr. Javad Sajan at Allure Esthetic performs many types of chest reconstruction surgeries,
including the keyhole technique. Every chest reconstruction patient will require an
individual care and surgical plan catered to their specific needs. When you come in for your
chest reconstruction consultation, Dr. Sajan will evaluate your anatomy, goals, and health.
Helping him determine the surgical method that will best suit your needs. Dr. Sajan
believes the goal of surgery is to create a custom chest for you. He does not believe in a
cookie cutter approach to top surgery.
There are a variety of surgical methods possible for performing a chest reconstruction. Dr.
Sajan uses many techniques for chest reconstruction depending on the candidate. The
three most popular techniques include: double incision, periareolar, and keyhole methods.
Types of Chest Reconstruction Surgery:
One of the most popular types of chest reconstruction, the double incision, includes two
incisions on either side of the chest. A double incision chest reconstruction often results in
a more masculine chest than less invasive methods. It permanently creates a male chest
because it removes skin, breast tissue and feminine fat pads through liposuction. The
double incision surgery does result in larger scars than the other operations. To combat
scarring, we use a proprietary 5 step scar cream protocol that lessens the appearance of
scars over the first year of recovery. Dr. Sajan works to create the least visible scars
The double incision method is best for those who require a large removal of tissue and
want a very masculine or flat chest. Less invasive methods exist for patients who need
minimal skin correction or tissue removal.
This technique involves an incision around the areola. Suited for those with smaller breast
tissue with large areolas, this chest reconstruction method removes tissue and skin like the
double incision technique. Additionally, it usually reduces the size of the areolas and makes
them proportionate to your new chest.
A keyhole chest reconstruction combines liposuction and sometimes a small incision to
remove breast tissue. The keyhole technique is only possible when a patient has a small
B-cup or less and no excess skin. This type of reconstruction does not significantly scar, but
does depend on the skin settling well over your new chest.
When possible, the keyhole chest reconstruction provides a masculine or flat chest with
nearly no incisions or scarring. While it may not result in the same masculine look as the
double incision method, the less invasive nature makes it a popular procedure.