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FTM Top Surgery for Transgender Men

 “Top surgery” or bilateral mastectomy with male chest wall recontouring and nipple and areolar reconstruction, is a procedure designed to remove breast tissue and reshape the nipple and areola in order to create a more masculine chest appearance. Alongside hormone therapy, top surgery is typically one of the first steps for patients who are transitioning from female to male; this may also be the only surgical procedure undergone by many trans men.  Patients who opt for bilateral mastectomy can expect to experience a number of benefits, including a greater congruence between their outside appearance and experienced gender, improved self-esteem, and self-image.