Dr. Alter provides transgender patients the opportunity to achieve the look and feel they desire. From breast augmentation to chest contouring and areola and nipple reduction, Dr. Alter will work with you to create the best surgical plan for you based on your aesthetic needs and concerns. Anesthesia ensures patients remain comfortable throughout surgery. All operations are performed as an outpatient in a surgical center. Depending on your surgery, you may need a touch-up procedure to achieve the desired look.
Gary J. Alter, M.D., is a globally recognized plastic surgeon and expert in male and female genital cosmetic surgery and labiaplasty. Dr. Alter has developed some of the most important procedures for transgender surgeries and has specialized knowledge in the field. With a deep understanding of transgender patients’ needs, Dr. Alter and his team are dedicated to providing exceptional, compassionate care.
Male-to-female breast implant surgery for transgender patients is similar to implantation in cisgender females, but there are a few distinct differences. Transwomen may have poorly formed breasts, asymmetry, a high breast fold, low areolae, and a wide chest wall. Therefore, providers use different techniques to achieve each patient’s desired look. Dr. Alter will work closely with you to determine the ideal surgical approach that will meet your aesthetic goals and help you achieve an appearance that is more reflective of your gender identity.
Dr. Alter and our team will help you choose the ideal implant size, projection, and material to best suit your aesthetic needs and goals. Transgender breast implants include silicone and saline, which both have different benefits and come in a variety of shapes and sizes.
Many patients choose gel-filled implants, which are usually inserted through an incision on the underside of each breast. Saline-filled implants can be inserted through an incision along the border of the skin and areola. Each implant is usually placed underneath the breast tissue and pectoralis major muscle, which is then released to ensure a more natural appearance.
If the breast is distorted or deformed, more extensive surgery may be necessary to achieve the desired result.
Breast implants are proven safe for patients over 18 years of age and have been successfully performed for years.
Each patient is different, but following your transgender breast augmentation, expect some minor discomfort, fatigue, and grogginess. You will need a friend or family member to pick you up from surgery and stay with you for the first few days of recovery.
Most patients will require at least one week of downtime. Take this time off of work and other responsibilities; it is important that you stay home and rest as much as possible. Our office will provide you with specific aftercare instructions, so be sure to follow these as best you can.
Female-to-male transgender patients often require chest contouring to achieve the male appearance they desire. The required surgery depends on breast size, excess skin, and contouring needs, with several options available. Small breasts can often be treated with peri-areolar or keyhole techniques, which leave less scarring for smaller chests. At the same time, we can reduce the nipple and areola, repositioning pedicled nipple-areolar complexes where appropriate. Larger breasts are commonly treated with a double incision mastectomy using a gentle concave-up transverse incision, with a free nipple graft placed on each side in the correct position. We work to minimize scarring. Liposuction is often combined with these procedures to provide optimal contouring.
Occasionally, contouring can be staged into two procedures to minimize scarring. The keys to successful chest contouring are choosing the correct operation and meticulous marking to achieve symmetry. Outcomes are typically evaluated 3 to 6 months after surgery.
Following your female-to-male top surgery, expect some very mild discomfort. You may be tired, sore, and groggy after surgery, so you will need a responsible driver to take you home after surgery. We recommend having a friend stay with you at home for the first few days as you recover from anesthesia and help you around the house.
It may be difficult for you to raise your arms or bend down, so be careful not to push yourself. Most patients will need at least one week of downtime to rest as much as possible. Slowly incorporate light walking into your recovery routine, as this helps to reduce the risk of blood clots. Avoid strenuous activity and exercise for at least four weeks, and any workout that engages the chest muscles is prohibited until Dr. Alter clears you for that activity.
Dr. Alter and the entire team are dedicated to providing every patient with exceptional individualized care—from consultation to recovery. We take the time to learn about your concerns, goals, and desires so we can build a plan that addresses them and gets you the results you deserve.
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If you are researching how much buried penis surgery costs, you may already know this condition affects more than appearance. A buried or hidden penis can interfere with urination, hygiene, sexual function, confidence, and daily comfort.
If you are researching how much buried penis surgery costs, you may already know this condition affects more than appearance. A buried or hidden penis can interfere with urination, hygiene, sexual function, confidence, and daily comfort.
