Introduction
Dr. Randall Craft performs FTM gender confirmation top surgery in Scottsdale, Phoenix, and the surrounding area for non-binary and trans men who want to remove their natural breasts in order to match their physical appearance with their true identity.
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Female-to-male gender confirmation top surgery (or transgender mastectomy) refers to the surgical procedure of removing breast tissue to masculinize the chest. This can be a life-changing procedure for trans men whose breasts have been causing them emotional damage, or if they want their physical appearance to align more closely with who they truly are.
A big reason why FTM top surgery is so important for trans men is that breasts are so connected to the idea of femininity, and having them can make a trans man feel trapped within his own body—and this can have a significant negative impact on their self-esteem and life. Although many patients who are ready for FTM top surgery in Phoenix have already been living for a while as their self-assigned gender, undergoing a transgender mastectomy to remove the breasts can make them truly feel like who they really are.
Ideal candidates for FTM top surgery are healthy transmen who don’t smoke, use nicotine products in ANY form (patches, vaping, gum, wrappers for THC can have it as well), have no uncontrolled medical issues, are willing to follow postoperative instructions, and have realistic expectations for their results. Dr. Craft will provide a detailed consultation process to ensure the procedure is successful, safe, and rewarding for you. The WPATH Standards of Care list good candidates as those with persistent, well-documented gender dysphoria and the ability to consent to treatment.
Dr. Craft performs FTM top surgery with precision and attention to detail, providing the following key benefits:
Your unique female-to-male top surgery journey starts with a private consultation with Dr. Craft and his team in Scottsdale, AZ. This initial visit entails an in-depth discussion of your goals, addressing your questions, and providing information on the specific techniques we will utilize. The doctor will also explain the recovery time, costs, and risks associated with FTM top surgery.
FTM gender confirmation top surgery is performed under regional nerve blocks and IV anesthesia. The procedure removes breast tissue in order to flatten and masculinize the chest, and does so with a few different techniques. Dr. Craft will review these techniques with you during your initial consultation to determine which one is best suited for your specific needs. The existing breasts and nipple position will be a factor in determining which method is right for you. Each of these techniques can also incorporate liposuction to remove excess fat and enhance the outcome.
Marks are made on the breasts to guide Dr. Craft as he performs the surgery. The areolas are removed from the chest, prepared for re-attachment, and stored. Liposuction may be done, but this will depend on the patient. The incisions are made along the fold of the breast, and a second incision is made higher up on the breast.
Breast tissue and excess skin are removed, and the skin edges are then lined up perfectly and sutured closed. The new location for the areolas and nipples is chosen, and they are then placed. A double incision technique achieves the tightest and flattest results, and also allows for full customization of the areolas. The downside is that sensation will be lost or enhanced in the nipples, and there are considerable scars. A double incision technique is best suited for individuals with excess skin on the chest.
The incision is made along the bottom border of the areola, and the breast tissue is removed directly through this small hole. Dr. Craft will use a metal retractor and headlight to develop a layer superficial to the breast tissue, out to the edges of the breast tissue in every direction. With the skin elevated, Dr. Craft will remove the breast tissue from the underlying muscle and excise it through the hole. The incisions are then closed with sutures. This method is best for those with minimal excess skin and breast tissue. The areola is not resized with the keyhole technique.
The incisions are made around the areolas, which are resized to the standard size for male areolas. A curved incision is then made to remove the breast tissue. The skin is tightened, and the incisions are closed with sutures, leaving behind a smooth, flat, and symmetrical chest. This technique is best suited for patients with mild to moderate skin excess, yielding scarring that is minimally visible.
After your FTM top surgery, you will be given a compression garment to wear for 6 weeks to help reduce swelling and assist in shaping the contours of your new chest. Some patients will need to use drains for about a week to collect excess fluid.
Patients should expect to experience bruising, swelling, and bloating. Many are able to return to desk-type work between 2 and 3 weeks. You may return to light exercise in two weeks, but any strenuous activity should be avoided for two months after the surgery.
Your dressings will be changed at your first follow-up appointment with Dr. Craft, and you will be given a compression garment to wear for 4 to 6 weeks after surgery.
The cost of female-to-male top surgery in Phoenix varies depending on the surgical techniques selected by Dr. Craft, your goals, and whether the procedure is combined with other aesthetic options. Upon completion of your initial consultation and physical assessment, Dr. Craft can provide a comprehensive, all-inclusive price quote.
Our Ethos
We cannot overstate the importance of selecting a surgeon for your female-to-male top procedure who is a specialist in top reconstructive surgery. You will want someone who meets the criteria and also has an artistic eye, providing patient-centric care. This is why Dr. Randall Craft is an excellent choice for FTM gender confirmation top surgery in Phoenix. He is a double-board-certified, Harvard-trained surgeon specializing in reconstructive surgery, with a constant emphasis on safety. Dr. Craft is proud to offer this life-changing procedure and looks forward to meeting you. Both Dr. Craft and our Anesthesiologist, Dr. Andersen, are proud members of the LGBT community and create a comfortable, discreet, and respectful environment so you can focus on becoming your best self.
Dr. Craft is affiliated with the American Board of Plastic Surgery (ABPS), the American Board of Surgery (ABS), the American Society of Plastic Surgeons (ASPS), and the American Society for Reconstructive Microsurgery (ASRM).