Consultation with Dr. Sajan
The ultimate objective of top surgery is to reduce "male" characteristics and create a more feminized body through breast augmentation. This is a highly personalized process and you and Dr. Sajan will discuss a number of important aspects of your surgery during your consultation.
To begin, Dr. Sajan will review your current medical history, including hormone therapy, and other medications and drug sensitivities, previous surgeries, and lifestyle/habits. He will evaluate the skin and tone of your breasts and torso and discuss the types of implants and their placement in your chest. In addition, he will review before and after photos with you, to ensure that he has a deep understanding of your goals for the procedure.
MTF breast implants are usually silicone or saline and there are several shapes and sizes depending on your augmentation goals. Breast implants also have different surfaces (textured or smooth) that affect how your body adapts to the presence of the artificial material. Implants can be selected to give a low, moderate, or high projection and either a round or anatomical shape. Dr. Sajan will also discuss the positioning of your implants (behind the breast tissue, or partially or completely under the chest muscles), and the surgical approach required. There are numerous incision patterns that can be used, depending on the breast size, shape and appearance you hope to accomplish. Dr. Sajan will review all of them with you, and help you determine which technique is in your best interest.
Once Dr. Sajan has reviewed all of the options available to you and gained a clear understanding of your objectives, he will develop a surgical plan that is completely customized to your needs and goals. From there, he and his staff will counsel you on what you can expect before, during and after surgery – including your recovery process and follow-up appointments. This ensures that there are no surprises throughout the experience, and you're completely prepared every step of the way.