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Marietta, GA 30068


    Female-to-Male (FTM) Top Surgery

    FTM Surgery

    Female-to-male (FTM) top surgery is performed for creating a masculine-looking chest in men identifying as transgender. Your surgeon will remove excess fat and skin. They will also reposition the nipples for creating a flat chest that is natural-looking. FTM top surgery helps in preventing chest binding complications and gender dysphoria. This is a popular type of gender-affirming procedure.

    The Plastic Surgery Institute of Atlanta (PSI), led by plastic surgeon Dr. Paul McCluskey, provides female to male (FTM) top surgery to patients in Atlanta, Marietta, Georgia, and surrounding locations.

    Steps in FTM Top Surgery

    Female-to-male top surgery can involve the following:

    • Remove both breasts using a double mastectomy
    • Eliminate excess skin around the breasts
    • Reposition the areola and nipple
    • Other changes for creating a natural and flat chest

    Ideal Candidacy for FTM Top Surgery

    Generally, people considering FTM top surgery have gender dysphoria. This distress occurs when the sex assigned to you at birth doesn’t match the gender you identify with. Top surgery can help in alleviating dysphoria. Top surgery is beneficial in preventing complications manifesting from compression garments used in binding. Tight fitting garments can cause shortness of breath, skin damage, discomfort, and even broken ribs.

    Advantages of FTM Top Surgery

    A major benefit of FTM top surgery is relief from gender dysphoria. Transgender individuals may feel better by achieving a masculine looking chest. It can also help in alleviating gender dysphoria. These are a few benefits of different types of FTM top surgery:

    Double incision top surgery with nipple graft

    • Low risk of sagging
    • Natural nipple positioning

    Periareolar top surgery

    • Incision scars are not noticeable once they heal
    • High likelihood of preservation of nipple sensation

    Keyhole top surgery

    • High likelihood of preservation of nipple sensation
    • Minimal scarring

    FTM Top Surgery Options

    FTM top surgery can be performed in several ways:

    Double-incision top surgery with nipple grafts

    This is one of the more common options involving:

    • Decreasing the size of nipples and areolas
    • Removing breasts
    • Removing excess fat
    • Removing excess skin
    • Preventing dog ears or skin puckering by using special stitches
    • Reattaching optimized areolas and nipples to the chest

    Periareolar top surgery

    This is a recommended option for people with smaller chests:

    • Making a circular incision around the areola border
    • Larger circular incision
    • Performing liposuction
    • Removing breast tissue
    • Reattaching and resizing the areola

    Keyhole top surgery

    This procedure is good for you if you have tight skin and a small chest:

    • Making a semi-attached incision along the areola’s bottom half
    • Performing liposuction after removing breast tissue
    • Resizing the nipples

    Other Available Gender-Affirming Procedures

    You may want to consider:

    • Facial masculinization: This procedure makes the face appear more masculine. It includes making the jaw more angular and lengthening the forehead among other things.
    • Phalloplasty: This technique helps in creating a regular sized penis and makes use of skin flaps from other areas.
    • Metoidioplasty: This starts by using hormones for clitoral enlargement. Surgeons make use of the tissue to construct a penis, which is smaller in size.

    Cosmetic surgeon Dr. Paul McCluskey receives patients from Atlanta, Marietta, Georgia, and nearby areas for female to male top surgery.

    Contact Marietta, Georgia Plastic Surgeon Dr. Paul McCluskey at the Plastic Surgery Institute of Atlanta for a Consultation

    For more information on procedures and treatments offered by Plastic Surgeon, Dr. Paul McCluskey and the Plastic Surgery Institute of Atlanta, visit:

    Serving patients in and around Marietta, Atlanta, Roswell, Sandy Springs, Alpharetta, Buckhead, Morningside/Lenox Park, Virginia-Highland, Candler Park, Midtown, Inman Park, Poncey-Highland, Ormewood Park, Georgia and other surrounding areas.