Female-to-Male (FTM) Sex Reassignment Surgery

Gender Dysphoria or Gender Identity Disorder (GID) describes when a person feels as if their biological gender doesn’t accord with who they feel themselves to be.

Sex reassignment surgery (SRS) involves multiple procedures and can be performed on males or females who are transitioning into the opposite gender.

Female to Male (FTM)

Breast Reduction for FTM Transformation

transgender surgery

The most common surgery for FTM transformation involves a bilateral mastectomy, removal of all breast tissue, which may also prevent cancer.

Horizontal incisions are made across the bottom of the nipples to remove fatty tissue and mammary glands with a scalpel. Nipples are repositioned using the pedicle technique to maintain sensation. The nipples are positioned higher from a stalk of tissue for a more aesthetically pleasing outcome. This method is recommended for patients who are cup sizes B+.

The keyhole/peri-areolar incision is another method. Incisions are made around the areola, and fatty tissue is scooped out with a scalpel and liposuction. This method is recommended for patients with small amounts of breast tissue such as cup sizes A.

Surgery is performed under general anesthesia and may take up to four hours. This procedure is done on an outpatient basis. Dr. Rajagopal will visit and follow up with her patients to remove sutures, and check in on the patients healing process. Allow up to four weeks to heal, including no rigorous activity for up to two months.

Questions regarding Top Surgery Procedure?

Dr. Rajagopal is a featured surgeon on TopSurgery.net

For answers regarding any the procedures listed below Click Here

  • Keyhole Top Surgery
  • Peri-areolar Top Surgery
  • Double Incision Top Surgery
  • Inverted-T / T-Anchor Top Surgery

Who is a candidate for sex reassignment surgery (SRS)?

Candidates for transgender surgery understand their gender identity. Patients must be at least 18 years old, responsible, and display stable mental health. Patients must understand the benefits and risks of hormone therapy. Patients must have a minimum of 12 months of real life experience in their new gender identity.

Learn about financing options and discounts on our costs & financing page.

Dr. Rajagopal is a featured surgeon on TransHealthCare.org and a member of the FTM Surgery Network.

If you have any questions regarding any of these procedures or wish to schedule a consultation with Usha Rajagopal, MD, please call the San Francisco Plastic Surgery & Laser Center at 415-392-3333.