Top Surgery Female to Male
The World Professional Association for Transgender Health (WPATH) is an international, multidisciplinary, professional association whose mission is to promote evidence-based care, education, research, advocacy, public policy, and respect in transsexual and transgender health. They have established a constantly evolving set of recommendations regarding Medical Standards of Care (SOC) to provide clinical guidance for health professionals to assist transsexual, transgender, and gender nonconforming people with safe and effective pathways to achieving lasting personal comfort with their gendered selves, in order to maximize their overall health, psychological wellbeing, and self-fulfillment.
Transitioning can be a difficult process, and a large breast size can make this even harder despite chest binding and concealing clothing. Depending on the starting size and shape, a variety of procedures can be customized to get the best result with a more masculine final appearance. Smaller breasted patients may be best treated using a gynecomastia type surgery (typical male breast reduction), but those with larger breasts will typically require a scar across the lower aspect of the breast and around the areola. It may be possible to keep the nipple and areola attached to underlying tissue (which may improve sensation and responsiveness to the nipple), but replacing the nipple as a skin graft may also be necessary. Good scar care is essential, and revisions may be needed to get the best result. Holding off on testosterone two weeks before surgery may also be helpful for those with chest acne.