The chest, after successful hormone therapy, is often the most visible part of the body that still reflects the undesired gender.
A man wants to be clearly perceived as male in society.
The surgical approach is similar to that used in treating gynecomastia (enlarged male breasts).
Depending on breast size, different techniques can be applied to achieve the desired reduction.
Our preferred method combines liposuction of the glandular tissue with tightening around the areola.
Even when larger volumes are removed, the skin is pleated around the areola (a technique called plissé).
Over time, the skin smooths out naturally, and any slightly widened scar can be refined later under local anesthesia.
This avoids broad scars under the chest and results in a more aesthetic, masculine contour.
The nipple is reduced and repositioned along the lower pectoral line, shaped to resemble the male oval form.
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