Mammoplasty with free nipple graft is the most used for trans boys and consists of removing excess gland and skin through an incision made in the lower edge of the pectoralis to hide it.
This technique is the most used to remove excess gland and skin through an incision made in the lower edge of the pectoralis major to hide it, in a first step. In a second step but in the same surgery and procedure, we perform a vibramatic, assisted and safe liposuction to give the chest contour a masculine appearance: a conical shape with a relief of the pectoralis major and narrower at the waist than at the top.
Finally, the nipple thickness is reduced to make a nipple transplant to place it in the male site, that is, lateral and looking a little down where the pectoral changes its direction. Having made a nipple graft, the patient must be very careful and rest for several days until the graft is vascularized in the area where we have implanted it.
Type of anesthesia
Type of surgery
Open with Lipomatic liposuction.
Free nipple graft mammoplastyMasculinization
Surgical procedure and hospital admission
Blood analysis evaluation
It is a surgical technique whose objective is to achieve a male thoracic form in people who have a medium or large breast or in people with a drooping breast due to the use of binders.
Logically, no. This technique can only be applied to people with a small breast and very elastic skin since otherwise we will subject the patient to multiple surgical procedures and the end result will be poor.
In the masculinization mammoplasty with free nipple graft, the rest should be absolute during the first week. In the subcutaneous mammoplasty of masculinization the recovery is faster and does not need such absolute rest since there is no free graft, there is no tissue transplant from one side to the other.
Because we perform a tissue transplant without making the connection between the different vessels since in an areola graft, the vessels at this level are capillaries that cannot be sutured, therefore the graft will be nourished in the first days by direct contact with the recipient bed where we implanted it. This bed diffuses glucose and oxygen that nourish the graft, if movement occurs, liquid accumulates underneath that will prevent this diffusion and the graft will be lost.