Cosmetic Surgery Tips

Breast Reduction Surgery for FTM

Breast reduction surgery for FTM is a procedure that reduces the size of the breast to create a more masculine chest. It can also be used to correct asymmetry between the breasts or for other reasons. It’s crucial to remember that it’s not as simple as getting rid of fat from underneath your skin, but it is a possibility for trans men who want to have a more manly chest. The surgeon will need to remove tissue and skin from your breasts, which will result in permanent scars on your chest.

Breast reduction surgery is relatively frequent among cisgender men and women, despite the fact that it could initially seem intimidating. The number of trans males who undergo this treatment each year is unknown, however, there are several specialists that specialize in it.

This article also talk about non flat top surgery and how small can a breast reduction go.

Breast Reduction Surgery for FTM


There are different types of surgeries that will allow you achieve a more masculine appearance, depending on the quantity of existing breast tissue.

  • Double incision surgery with nipple grafts is generally used for transmasculine individuals with greater amounts of breast tissue. Also referred to as a bilateral mastectomy, double incision surgery removes existing breast tissue and fat. The nipples are removed, often reduced in size, and then repositioned to provide a natural-looking appearance. There is a risk of decreased nipple sensation following double incision surgery.
  • Periareolar surgery is often recommended for those with smaller breasts. Using incisions which follow the contour of the nipple, underlying tissue is removed, and the incision is closed with sutures.
  • Keyhole surgery is usually only recommended for transmasculine individuals with very small breasts and tighter skin. In keyhole surgery, an incision is made along the border of the nipple allowing breast tissue to be removed.


Even if you have known your entire life that your physical body does not match your gender identity, the process to have FTM top surgery can be fraught with worry. Dr. Kotis will answer all your questions and concerns thoroughly, so you are confident before moving forward with the procedure. Your journey to gender affirmation is as unique as you are, and no two FTM procedures are exactly alike – this is a fully customized surgical procedure. You may experience a range of emotions during the days and weeks leading up to your procedure, and that is completely normal. Dr. Kotis is here to answer any questions you may have both before and after your FTM surgery in Chicago.


It is important to have realistic expectations when planning any surgical procedure. While it is impossible to tell you exactly how your chest will look following your FTM top surgery, most patients are exceptionally pleased with the outcome. The result of your top surgery will depend upon many factors including your upper skeletal anatomy, level of skin elasticity, and the surgical technique used in your Arlington Heights FTM surgery. The goal of FTM surgery is create an upper chest that appears masculine and natural.


FTM top surgery in Chicago is performed in our state-of-the-art, fully-accredited Chicago surgical center, where you will feel at ease from the moment you enter our private center. The procedure is performed while you are under general anesthesia to ensure your comfort. Once anesthesia is administered, Dr. Kotis will make the appropriate incisions and remove breast, excess skin, glandular tissue and fatty tissues, resizing and repositioning the nipples if appropriate.

Our Arlington Heights FTM top surgery typically takes between three and five hours to complete. When he has finished, your incisions will be carefully closed with sutures, and you will awaken to experience an altered body that finally reflects your true identity.


Your biggest responsibility following FTM top surgery is to rest and allow your body to heal itself. You will experience some pain, discomfort, and swelling following your procedure which will be managed with the help of prescription pain medication in the early stages. You will find it helpful to have a friend or family member stay with you during the first few days to assist you with basic needs. Most patients find they feel well enough to return to work approximately one week following FTM top surgery in Chicago. You should avoid heavy exertion for at least three weeks following your procedure, as well as any heavy lifting or chest exercises for approximately six weeks.


Yes. You will be wearing a compression vest on your chest for three to four weeks following FTM top surgery. This garment will help to reduce swelling, aid in the healing process, and minimize post-operative bruising. This will also aid in the tightening of your skin as your body continues to heal.

How does FTM Top Surgery Differ from a Breast Reduction?

Thankfully, we now live in a time when people are starting to be accepted for who they are, what they look like, and how they feel inside.

Top Surgery VS Breast Reduction

You should be able to look the way you feel, and this is exactly why FTM top surgery was created.

At this time, plastic surgery has developed to the point where we can change anything we don’t like about ourselves. Whether we want our breast bigger, perkier ones, smaller or even none at all, the transformation to a new body is never far away.

As far as the difference between top surgery and breast reduction surgery, here’s how they compare:

FTM (female to male) top surgery was created for people who don’t feel comfortable with the breasts they are naturally endowed with. This mostly appeals to people who are transgender, gender fluid, or identify somewhere else along the spectrum.

FTM top surgery basically removes all of the breasts to give the chest a much more masculine look and feel to it. This is considered cosmetic plastic surgery and won’t be subsidized by the government.

A breast reduction, on the other hand, is surgery to reduce the breasts without completely removing them. Breast reductions are usually sought after to aid with the shoulder and lower back pain that comes along with having naturally large breasts.

Whether they come after having children or simply through the genetic lottery, having large breasts can be a tiring and painful experience. Many times health plans will subsidize the cost of a breast reduction because of the extreme health benefits carrying around less body weight has.

One of the biggest differences between the two surgeries is the amount of scarring; in a breast reduction, the scars are hidden underneath the fold of the breast, whereas in FTM top surgery the scars have nothing to hide behind and are much more visible.

FTM top surgery is generally used as an expression of self from the inside out, whereas breast reduction surgery is to simply decrease the size of the breasts so as to stop them from causing excessive strain on the body.

Either way, the surgeries are intended to make you feel better about your body and positively affect the way you carry yourself. When you look as good on the outside as you feel on the inside, there is very little that can get in your way of being successful.

FTM/N Breast Reduction vs. Breast Reconstruction: What’s the Difference?

Female-to-male (FTM/N) chest surgery, commonly referred to as “top” surgery, is a highly adaptable procedure designed to make you feel more comfortable with your body. Most often the goal of FTM/N is to reduce “feminine” characteristics to make your body appear more “masculine” or less gendered.

Both breast reduction and chest reconstruction are elected to remove excess skin, fat and tissue from the chest. The biggest difference between the two procedures is the amount of skin and tissue removed. Breast reduction can be used to minimize, but not completely eliminate the breasts, and as a result the chest isn’t contoured to appear male.

FTM/N chest reconstruction removes nearly all underlying fat and tissue (including milk producing ducts and glands) to give the appearance of a masculine-looking chest. In some cases, chest reconstruction surgery also requires free nipple grafting (nipple removal and relocation) which typically results in a reduction in nipple sensation.

Chest Reconstruction after Breast Reduction

If you decide that breast reduction did not provide you with desired results, it’s possible to have chest reconstruction later. However, this is not usually recommended because it may result in increased scarring.

Non Flat Top Surgery

Non-flat top surgery is a new approach to gender-affirming chest surgery.  There has been an increasing demand for techniques that allow for more customization and natural-looking results. Non-flat top surgery is becoming more recognized and offered as an option by some experienced gender-affirming surgeons. But, it’s still not as commonly performed as traditional “flat top” chest surgery.

Non-flat top surgery is a type of ftm top surgery. The surgery is performed for transgender men or non-binary people who want a masculine appearance. It was not previously known. But currently it is getting high in demand, because in this surgery patients can get customized top.

There are several techniques used in non-flat top surgery, including:

  • Key-hole surgery
  • Peri-areolar surgery
  • Double incision surgery etc.

It is important to choose a qualified surgeon who has experience performing this type of surgery. As with many surgeries, there are risks involved. So patients should carefully consider their options. And consult with a medical professional before undergoing surgery.

Is non flat top surgery possible? Does it work? How safe and effective is it?

Is non flat top surgery a safe and effective option? Let’s find out in this in-depth analysis…


Yes, non-flat top surgery is possible. It can be an effective way to achieve a more natural-looking chest as you wish to have. It is for transgender individuals undergoing gender-affirming surgery. This is a safe surgery with a desired chest look. 

The safety and effectiveness of non-flat top surgery depend on several factors

  • individual’s anatomy,
  • surgical technique used, and
  • skill and experience of the surgeon.

Studies have shown that non-flat top surgery can be safe and effective when performed by experienced surgeons.

As with every surgery there are complications with this surgery also. These may include bleeding, infection, scarring, asymmetry, and loss of nipple sensation. But, with proper pre-operative planning and careful surgical technique, these risks can be minimized.

The effectiveness of non-flat top surgery depends on-

  • amount of breast tissue that needs to be removed,
  • elasticity of the skin, and
  • individual’s healing process.

In general, individuals with smaller breasts and good skin elasticity may have a better chance of achieving a natural-looking chest contour with non-flat top surgery.

It is recommended to consult with your surgeon before the surgery. The surgeon can assess the individual’s anatomy and recommend the most appropriate surgical technique for achieving the desired results. It is also important to consider the risks and benefits of surgery and to have realistic expectations about the outcome.

Don’t settle for a flat chest if it’s not what you want. Non-flat top surgery offers a customized approach to achieving the chest appearance you desire..

How Does Non Flat Top Surgery Work?

If you’re considering gender-affirming surgery, it’s important to know all your options. 

how it works

The most common techniques used in non-flat top surgery are:

1.   Double Incision: This technique involves making a horizontal incision across the   chest and removing breast tissue through that incision. The nipple and areola are then repositioned to create a more natural-looking appearance.

2.   Keyhole: This technique involves making small incisions in the chest and removing excess breast tissue through those incisions. This technique is used for individuals with smaller breasts and a limited amount of excess tissue.

3.   Peri-Areolar: This technique involves making an incision around the edge of the areola and removing breast tissue through that incision. This technique is used for individuals with little larger breasts and a moderate amount of excess tissue.

After the breast tissue is removed, the surgeon will contour the remaining tissue to create a more masculine chest appearance. This may involve reshaping the chest tissue and repositioning the nipples to create a more natural-looking contour. The surgeon may also use liposuction to remove any excess fat and create a more defined chest appearance.

Benefits and Risks of Non-Flat Top Surgery

Let’s dive into the world of non flat top surgery and explore its benefits, risks.

Benefits of non-flat top surgeryRisks of non-flat top surgery
Improved body image: Non-flat top surgery can help transgender men and non-binary individuals feel more comfortable. By creating a chest that is more masculine in appearance.Bleeding: As with any surgical procedure, there is a risk of bleeding during or after the surgery.Infection: There is a risk of infection at the surgical site, which can delay healing and need extra treatment.
Increased self-confidence: The surgery can improve self-confidence and self-esteem. Which can have a positive impact on an individual’s mental health and quality of life.
Scarring: The incisions made during the surgery will leave scars. It can be visible and may need extra treatment
Greater comfort: Some individuals may experience discomfort or even pain from having breasts that do not align with their gender. Non-flat top surgery can ease this discomfort and improve physical comfort.
Asymmetry: There is a risk that the chest may appear uneven or asymmetrical after surgery. It may further need more procedures to correct.
More clothing options: After non-flat top surgery, individuals may feel more comfortable wearing clothing that fits their masculine identity. Such as tank tops, t-shirts, and swimsuits.
Loss of nipple sensation: There is a risk of loss of sensation in the nipples or areola after surgery. This can be temporary or permanent.Anaesthesia risks: There is always a risk associated with general anaesthesia. It includes adverse reactions and complications.

How Small Can A Breast Reduction Go

Theoretically, you can go as small as you would like, as long as there is enough breast tissue, milk ducts, and blood supply to support proper breast and nipple function. However, the goal is to keep your breasts looking natural and proportionate to your body.

When it comes to breast size, the possibilities are endless. Theoretically, you can go as small as you would like, as long as there is enough breast tissue, milk ducts, and blood supply to support proper breast and nipple function. However, the key is to keep your breasts looking natural and proportionate to your body.

It is important to consider the following factors when determining the ideal breast size:

  • Breast Tissue: The amount of breast tissue you have will play a significant role in determining how small you can go. If you have very little breast tissue, going too small may result in a lack of natural shape and fullness. Milk Ducts: The size of your milk ducts will also impact how small you can go. If your milk ducts are too large for a very small breast size, it may affect your ability to breastfeed in the future. Blood Supply: Adequate blood supply is essential for proper healing and function of the breasts. Going too small may compromise blood flow to the breasts, leading to potential complications.
  • It is recommended to consult with a board-certified plastic surgeon who specializes in breast augmentation to discuss your goals and determine the best size for your body. They will take into account your anatomy, skin elasticity, and desired outcome to help you achieve natural-looking results.While it is possible to go very small with breast implants, it is important to keep in mind that overly small implants may not provide the desired fullness and shape. It is crucial to strike a balance between achieving your desired size and maintaining a natural appearance.Ultimately, the goal of breast augmentation is to enhance your natural beauty and boost your confidence. By working closely with a skilled plastic surgeon, you can achieve the ideal breast size that complements your body and looks harmonious and proportionate.

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