Chest reconstruction (top surgery) is a surgical procedure where the chest is given a more masculine appearance. This usually includes reshaping the chest contours and the removal of breast volume. The goal is to align your appearance with your gender identity.
Chest Reconstruction Techniques
Mastectomy: This involves the removal of breast tissue and excess skin, creating a flatter and more masculine chest. The technique may vary, with options like double incision, periareolar, or keyhole mastectomy. This depends on the amount of tissue to be removed.
Liposuction: Liposuction is used to contour the chest and remove excess fat, giving a more defined and sculpted appearance.
Skin Grafts: Skin grafts may be used to help with excess skin or to enhance the appearance of the chest reconstruction.
Flap-Based Reconstructions: These involve using tissue from other parts of the body (like the back or abdomen) to create a more natural-looking chest contour.
Nipple Reconstruction and Areola Pigmentation: These contribute to the final details of chest reconstruction, providing a more authentic appearance.
Chest Reconstruction Permanence
Once breast tissue is removed during chest reconstruction, it usually does not grow back. Fat in the chest area may increase, but it will not take on a feminine appearance.