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Male to Female (MTF)

A Male to Female (MTF) Breast Augmentation is a surgical procedure designed to help patients feel more comfortable in their skin and to help them align who they are on the inside with their outer selves that they show to the world. MTF Breast Augmentation provides patients with a more feminine appearance through the placement of silicone or saline implants, or in some cases, a fat transfer to enhance the shape and size of the breasts. Though hormone therapy is not required of patients undergoing this procedure, it can, along with the surgery, provide the most natural looking results.

(MTF) Body Affirming Procedure

MTF Breast Augmentation is typically performed under total IV sedation or general anesthesia. Dr. Rednam performing augmentation surgery with silicone or saline implants will first create a carefully hidden incision in the patient’s natural inframammary fold. She will then place the implants and close the incision, checking meticulously to ensure that the implants look symmetrical and natural.

If a patient desires a large breast size but has an overall small breast size with minimal nipple to inframammary (IMF) fold distance, a preliminary expansion procedure will be performed before the augmentation. During this procedure, a tissue expander will be placed first. The expander will stretch the skin between the nipple and IMF so that once the implants are placed, they will create a full and natural breast appearance. Once the tissue is expanded, the augmentation is performed as a separate, second procedure, where the tissue expander is replaced with the implant.

A patient requesting only a modest augmentation may be a good candidate for fat transfer augmentation. During a fat transfer, Dr. Rednam will remove fat from other areas on the body (the location varies by patient), and place it inside the tissue below and surrounding the natural breast to augment their shape and size. Though a fat transfer is a less predictable augmentation technique, it can be a good option for select candidates.

(MTF) Body Affirming Recovery

After surgery, a compression dressing is placed around the bust for 5-7 days to help reduce swelling and bruising, and to improve patient comfort during recovery. Dr. Rednam will change a patient’s dressings at their first postoperative appointment and will also discuss scar care and healing.

Patients recovering from a breast augmentation will use a front-zip sports bra from their first postoperative appointment until 6 weeks after surgery. Drainage tubes are placed in very rare cases when necessary.

Patients can expect to see a significant decrease in swelling around 3-4 weeks post- surgery, and total swelling elimination by around 6-9 months after surgery. Typical total recovery—including swelling, scar, and bruise healing, etc.—is usually seen after about one year. Patients undergoing a two-stage implant procedure (tissue expander and implant), typically experience recovery from the implant exchange more quickly and with less pain than the initial expansion procedure.

Pain from the procedure is different for every patient, but most see significant pain decrease after the first 1-2 weeks, requiring no pain medication after this period. During recovery, patients working office jobs can return to work 2-3 weeks after surgery, whereas those in a heavy labor/active position typically must wait around 4-6 weeks. Lower body exercise may be resumed at 2 weeks recovery, and impact exercise, such as running or weights, can be resumed at 6 weeks.

Dr. Rukmini Rednam has either authored or reviewed and approved this content.

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