Chest Masculinisation, Female to Male, in Oldenburg
Why a chest adjustment?
After successful hormone therapy the chest is the most obvious part of the body that is a reminder of the non-preferred gender. A man wants to be clearly recognised and perceived as a man in a social context. At our practice clinic in Oldenburg we accompany this step surgically – respectfully, discreetly and with the technique that suits your findings.
What can I expect from a mastectomy?
The choice of methods resembles the approach used for gynaecomastia, the female breast shape in men. Depending on the size of the existing breast, various methods of reduction come into question. Our preferred method is suctioning the glandular body with a simultaneous lift around the areola.
Since larger amounts of tissue are also removed in this way, the skin around the areola is pleated – named after the pleated fabric. Over time the skin smooths out; a scar that has become broader can later be corrected with a small procedure under local anaesthesia. In this way we avoid broad scars below the chest and, in my view, achieve a more aesthetic result.
During the procedure the nipple is also reduced in size and the areola is moved to the lower line of the pectoral muscle and adapted in a transverse oval shape to its male counterpart.
How does the operation work at our practice clinic?
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 accommodate you for one night in one of our patient beds; a nurse looks after you throughout the night and I myself am close by. After the final ward round the following day you can usually leave the clinic.
Advantages, disadvantages and risks
After the procedure the chest is noticeably slimmer and firmer. After a major chest operation we like to monitor for one night because there is a temporary risk of secondary bleeding. A gender-affirming operation of this kind is in principle not reversible – or only with considerable hurdles – and should therefore be clearly wanted. A non-surgical alternative is wearing a compression top. As with every operation, wound healing problems, infections, asymmetries and changes in the sensitivity of the nipple are possible.
What should be considered after the operation?
- A compression top should be worn for up to 6 weeks after the procedure.
- The stitches around the areola are removed after 14 days; elsewhere no stitches need to be removed when resorbable suture material is used.
- You are usually able to face other people and to work again after 5 to 7 days.
- Showering is possible from the 2nd day after the operation.
- Check-up appointments take place after 2 and 6 weeks.
Advice in Oldenburg
We take the time for your questions and discuss the procedure, the technique and your expectations calmly. Arrange a consultation appointment at our practice clinic.
Frequently asked questions
Why is chest masculinisation so important?
After successful hormone therapy the chest is the most obvious part of the body that is a reminder of the non-preferred gender. Being clearly perceived as a man in a social context is the decisive step for many of those affected.
Which method do you use?
Our preferred method is suctioning the glandular body with a simultaneous lift around the areola. Because larger amounts of tissue are also removed in the process, the skin around the areola is pleated – like a pleated fabric. The choice of method resembles the approach used for gynaecomastia.
What happens to the nipple and areola?
During the procedure the nipple is reduced in size and the areola is moved to the lower line of the pectoral muscle and adapted in a transverse oval shape to its male counterpart.
Do broad scars remain below the chest?
Those are precisely what we avoid with the pleating technique. Over time the skin around the areola smooths out; a scar that has become broader can later be corrected under local anaesthesia. In my view the result is more aesthetic than with methods using an incision below the chest.
Is the procedure reversible?
A gender-affirming operation of this kind is in principle not reversible, at least not without major hurdles. It should therefore be clearly wanted and well prepared. Wearing a compression top remains a non-surgical option.
Do I stay at the clinic overnight?
Yes. After a major chest operation we monitor for one night because of the temporary risk of secondary bleeding. A nurse looks after you and I am close by; after the final ward round the following day you can usually go.
What should be considered after the operation?
A compression top is worn for up to 6 weeks after the procedure. The stitches around the areola are removed after 14 days; the remaining suture material dissolves by itself. You are usually able to face other people and to work again after 5 to 7 days, and showering is possible from the 2nd day.
What does the procedure cost and does health insurance pay?
After the first consultation you receive a fixed cost estimate. Whether and under what conditions your health insurance fund may cover the costs depends on where you stand in the process – we discuss that at the first consultation.
Treatment facts
- Duration?
- 3 h
- Technique?
-
Incision around the areola,
liposuction, tightening suture
- Anesthesia?
- General anesthesia
- Hospital stay?
- Inpatient
- Follow-up?
- After 2 and 6 weeks
- Suture removal?
-
Around the areola after 14 days,
at the other sites suture removal can be omitted
if absorbable suture material
is used.
- Aftercare?
-
Compression garments for 6 weeks.
Showering from the 2nd day after surgery.
Socially presentable after 5-7 days.
Sports after 4 weeks.
- Costs?
- Request now
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