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What is Male to Female Breast Augmentation?

Male to female breast augmentation, also known as MTF breast augmentation, MTF top surgery, or gender-affirming surgery, is a breast surgery done to assist transgender women or nonbinary person’s journey to achieving the body they feel comfortable in. Although you may achieve breast development through hormone therapy, many transgender patients opt for breast augmentation if they achieve only minimal breast tissue or don’t achieve the overall appearance they want. The MTF procedure is similar to a traditional breast augmentation in both surgical technique and the patient’s decision-making process, allowing nonbinary and transgender patients to customize their results with their choice of implant type, size, placement, and more.

Who is a Candidate?

Candidates for male to female breast augmentation are people 18 years or older who want to go through a body transformation to improve their body confidence and self-esteem. If you’re considering male to female breast augmentation, you should be physically and emotionally healthy. The decision to have this procedure can be an emotional one, so at least three months of counseling is recommended before having the procedure. A letter of recommendation may be required from a licensed health professional before surgery can be performed. 

The best candidates for transgender breast augmentation surgery have realistic expectations for their results and expect dramatic improvement, not perfection. You should also be able to maintain a positive outlook throughout the experience and be committed to your breast augmentation journey.

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Jeffery A.Sweat, M.D.

“Bringing out inner confidence and helping the patient through their own personal journey makes what we do so fun and rewarding.”

Meet Doctor Sweat

What our patients say

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This surgeon is an artist!

I have had a multi-procedure surgery that was very difficult to recover from: a breast lift with augmentation, a lower body lift, and a BBL. This surgeon is an artist! I had a lot of extra skin after losing a lot of weight from bariatric surgery. The symmetry of his cuts is amazing. And even though I’m still recovering, I can already see how amazing the results are! I cannot recommend Dr. Sweat enough for these types of procedures. – Melissa S.

I would definitely recommend them to anyone

Dr. Sweat and his team have given me the confidence I’ve always lacked in my body and I can’t be more grateful for their help and guidance. I would definitely recommend them to anyone looking to enhance their natural features.

I HIGHLY recommend Dr. Sweat.

Dr. Sweat was referred to me by a good friend. He did a revision on my tummy tuck/abdominoplasty that I had done by a different surgeon almost 8 years ago. The last surgeon left my scar line high, uneven, a dog ear on one end and extra skin on my hips. I went to Dr. Sweat for the revision. I’m one week post op and extremely happy so far with my results! He did an amazing job. Not only is the scar line even and very low, he also removed all the remaining stretch marks I had left on my abdomen. I was told by the other surgeon that it couldn’t be done. Dr. Sweat pulls very tight, which is how this was able to be done. I can already tell it’s going to look amazing when all the swelling goes down and I’m healed. I HIGHLY recommend Dr. Sweat. His office staff is amazing also. They’re always helpful and pleasant.

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The Procedure

The breast augmentation procedure will involve the use of implants to create a breast mound. In most cases, patients have enough skin elasticity to have implants placed in a single operation. In other instances, patients will require a two-step procedure where a tissue expander is used first to create room for the breast implant. This could be required if patients wish for very large implants. 

An incision will be made in the natural breast crease to create scarring that is as unnoticeable as possible. The implant will then be placed and the incision sutured closed. Just as in traditional breast augmentation, a Keller funnel is used to minimize manipulation, damage and potential contamination of the implant.

Silicone Implants

You’ll be encouraged to use silicone implants for your breast augmentation procedure since overlying tissue coverage can at times be minimal, with can lead to more visibility and ability to feel the implant. In general, the silicone implant will provide a more natural look and feel. Dr. Sweat will go over implant options in more detail during an initial consultation. The implant that patients choose will be passed on their aesthetic goals, body type, and values.

Silicone implants are composed of silicone gel which mimics the natural breast movement and feel. However, you must be 22 or older to opt for this material according to FDA device approval regulations. Silicone implants will hold their shape during a rupture, so regular MRI scans are required to ensure the strength of your implants and detect any sign of a leak or rupture.

Saline Implants

Saline implants are approved for those 18 and older and are filled with sterile salt water, which is safe to be absorbed by the body in the event of a rupture, thus requiring no screening exams such as MRI to check for implant rupture. Saline implants typically require smaller incisions for their placement and can be filled after they have been placed in the breast pocket.

Benefits

of Male to Female Breast Augmentation

MTF breast augmentation comes with many benefits. Dr. Sweat will discuss them at length during a private consultation.

Enhanced Confidence

Undergoing breast augmentation can significantly alleviate gender dysphoria for transgender patients, helping them feel more confident on a day-to-day basis.

High Patient Satisfaction

MTF breast augmentation comes with a very high patient satisfaction rate, especially when performed by an experienced plastic surgeon.

Customizability

Breast augmentation surgery allows for customizability, allowing you to choose the unique implants, incisions, and placement that fit your goals and preferences.

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Recovery and Results

After male to female breast augmentation, you can expect a one to two week recovery period where they should rest and recover at home. This means taking at least a week off work – or longer, if your job is strenuous. You should also plan to have someone there to drive you home from your procedure and care for you for the first day or two. You can expect some discomfort, swelling, and bruising during the recovery period. Pain can be managed first with prescription narcotics for the first few days, then with an over-the-counter pain medication. You’ll be provided with a surgical bra to wear for several weeks after your procedure. There will be some movement and exercise restrictions that should be followed closely to ensure proper healing. This includes no exercise for about 4-6 weeks. After this time, you can introduce exercise as you feel well enough and with the okay from Dr. Sweat.

It can take several months for swelling to fully diminish and for the implants to settle under the skin. You must be patient during this process and remember that the implants will continue to drop and become more natural-looking. After this time, you can enjoy your new breasts for improved body image and self-confidence.

Before & Afters

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