The chest is quickly perceived from the outside and is part of your own gender identity. In gender affirmation from male to female, hormone therapy has no decisive influence on breast development – an operation can support you in achieving the result you want. At our practice clinic in Oldenburg we accompany this step respectfully and with the technique that suits your tissue conditions.
The technique depends on the increase in volume you want. A build-up with an implant as well as autologous fat transfer are possible. A lot of volume is difficult to achieve at the beginning; the tissue of the chest often has to be pre-stretched with an expander first. Before the procedure the new inframammary fold is also defined.
Autologous fat transfer or a combination of both methods is available as an alternative. With lipofilling, fat is suctioned from a problem zone and introduced into the breast after appropriate preparation. Since only about 60 per cent of the transferred fat remains, the procedure can be repeated until your personal goal is reached. The advantage of autologous fat transfer is that it does without foreign material and saves a later implant exchange.
We will gladly advise you at our consultation about the method that is right for you and about the respective advantages and disadvantages.
As early as the preparatory consultation with advice, detailed information about risks and an examination, we plan the operation together. Our aim is to respond to your wishes as well as possible before the procedure and to mark and document the course of the incision.
On the day of the operation, which we carry out in our own rooms, you are scheduled in such a way that long waiting times are avoided. I will then go through what we discussed with you once more and repeat the markings. Our nursing and anaesthesia team will look after you. After the procedure we can usually discharge you accompanied by your loved ones. If an implant is inserted, we have the option of monitoring you for one night: I take personal care of your physical wellbeing and a nurse looks after you throughout the night. After the final ward round the following day you can leave our practice clinic.
After the procedure the chest corresponds considerably more closely to your gender identity. The procedure is only reversible to a limited extent, so the decision should be well considered and settled. Prostheses are an alternative to surgery. With an implant build-up the familiar implant issues apply, such as capsular fibrosis and a later exchange; with autologous fat several sessions are needed and the volume follows your weight fluctuations. As with every operation, bruising, infection and wound healing problems are possible.
An implant, autologous fat, an expander or a combination: what makes sense in your case is something we clarify calmly in a personal conversation. Arrange a consultation appointment at our practice clinic.
In gender affirmation from male to female, hormone therapy has no decisive influence on breast development. An operation can support you in achieving the result you want.
A build-up with an implant, autologous fat transfer (lipofilling) or a combination of the two. Which method fits depends on the increase in volume you want and on the tissue conditions.
Because male skin has less reserve. The tissue of the chest often has to be pre-stretched with an expander first. In addition, the new inframammary fold is defined before the procedure.
With lipofilling, fat is suctioned from a problem zone and introduced into the breast after preparation. About 60 per cent of the transferred fat remains, so the procedure can be repeated until your personal goal is reached.
Autologous fat does without foreign material and saves a later implant exchange, but needs several sessions. An implant achieves the volume immediately but brings the familiar implant issues with it. The combination unites both.
As a rule you can go home accompanied. If an implant is inserted we offer overnight monitoring: a nurse looks after you, I take personal care of you, and after the final ward round the following day you can leave.
Only to a limited extent. The decision to have the operation should therefore be well considered and settled. Prostheses are a non-surgical alternative.
A supportive bra is worn for up to 6 weeks after the procedure, showering is possible from the 2nd day and no stitches need to be removed. You are usually able to face other people and to work again after 5 to 7 days, and sport is possible again after 6 weeks.
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