How is Breast Augmentation Performed for MTF Individuals? Top 5 Things You Need to Know


Breast augmentation is a popular choice for many transgender women (MTF) undergoing gender affirmation surgery. It’s a safe and effective procedure that can create a more feminine chest contour, enhancing confidence and overall well-being.

This article aims to be a clear and informative guide for MTF individuals considering breast augmentation. We’ll delve into the procedure itself, from pre-operative consultations to recovery, empowering you to make informed decisions about your transition journey.

Now, let’s talk about what you can expect. Hormone therapy (HRT) plays a significant role in breast development for MTF individuals. While HRT can stimulate some breast tissue growth, some women may desire a fuller and more rounded appearance. This is where breast augmentation comes in.

It’s crucial to have open communication with your surgeon during consultations. Discuss your desired aesthetic goals, including implant size, shape, and overall chest profile. Remember, achieving a natural look is often a top priority for MTF patients. Briefly, some individuals may also consider fat grafting as an alternative to implants, but we’ll explore that option in more detail later.

So, you’ve decided to move forward with breast augmentation. The next step? Understanding the surgical procedure itself.

How is Breast Augmentation Performed for MTF Individuals

The Surgical Procedure

Breast augmentation for MTF individuals involves meticulous planning and careful technique to achieve the most natural-looking results. Here’s a breakdown of the different stages involved:

Pre-Operative Preparation:

  • Medical Evaluation: A thorough medical evaluation is essential to ensure you’re a good candidate for surgery. This includes reviewing your medical history, current medications, and any allergies.
  • Imaging Tests: Depending on your surgeon’s preference, imaging tests like mammograms or ultrasounds may be recommended to assess your chest wall anatomy.
  • Blood Tests: Routine blood tests are performed to check your overall health and ensure you’re fit for surgery.
  • Medication Adjustments: Certain medications can interfere with anesthesia or wound healing. Your surgeon will advise you on any necessary adjustments to your medication regimen before surgery.


There are two main options for anesthesia during breast augmentation:

  • General Anesthesia: This puts you into a complete sleep throughout the procedure.
  • Local Anesthesia with Sedation: You’ll be awake but relaxed and pain-free during the surgery.

The choice of anesthesia will depend on your surgeon’s recommendation, your personal preference, and any underlying medical conditions.

Incision Techniques:

The surgeon will make an incision to insert the implants. There are three main incision techniques commonly used for MTF breast augmentation:

  • Periareolar: This incision follows the edge of the areola, offering excellent concealment but potentially limiting implant size.
  • Inframammary: This incision is made along the fold beneath the breast, providing good access and potentially better suited for larger implants.
  • Transaxillary: This incision is made within the armpit, leaving minimal scarring on the chest but requiring more technical expertise from the surgeon.

During your consultation, your surgeon will discuss the pros and cons of each incision technique and recommend the most suitable option for your anatomy and desired outcome.

Implant Placement:

Once the incision is made, the surgeon will create a pocket behind either your chest wall muscle (submuscular) or breast tissue (subglandular) to place the implants. The placement decision depends on several factors, including your desired aesthetic outcome, chest wall anatomy, and skin quality.

Closure and Dressing:

After implant placement, the surgeon will meticulously close the incision with sutures or surgical glue. A surgical dressing will be applied to the chest area for support and initial healing.

We’ve covered the surgical procedure itself, but what about the all-important recovery process? Buckle up, because that’s what we’ll explore next!

Recovery and Aftercare

Following breast augmentation surgery, proper recovery and aftercare are crucial for optimal healing and achieving the desired results. Here’s a glimpse into what you can expect:

Immediate Post-Op:

  • Pain Management: You’ll likely experience some discomfort and soreness after surgery. Your surgeon will prescribe pain medication to manage this effectively.
  • Drainage: Surgical drains are sometimes placed to remove excess fluids and prevent swelling. These drains are typically removed within a day or two after surgery.
  • Initial Healing: During the first few days, you’ll need to rest comfortably and avoid strenuous activity. Your surgeon will provide specific instructions on incision care and wearing a compression garment to support the breasts and minimize swelling.

Activity Restrictions:

  • Gradual Return: Gradually resume your daily activities as tolerated, but avoid strenuous exercise or lifting heavy objects for at least 4-6 weeks.
  • Upper Body Restrictions: Avoid activities that involve excessive arm movement or straining your upper body for the initial healing period.

Scar Management:

  • Minimizing Scars: Scars will fade over time. Your surgeon may recommend scar management techniques like silicone gel sheets or massage to minimize their appearance.

Long-Term Care:

  • Follow-Up Appointments: Regular follow-up appointments with your surgeon are essential to monitor healing, adjust dressings, and address any concerns.
  • Potential Adjustments: In some cases, minor adjustments to the implant position or capsule may be necessary after complete healing.

Remember, recovery is a journey, not a race. Be patient with your body and listen to your surgeon’s guidance. Now, let’s talk about some potential risks and complications associated with breast augmentation surgery.

Risks and Complications:

It’s important to be aware of the potential risks involved in any surgery. While uncommon, some complications associated with breast augmentation for MTF individuals include:

  • Infection: As with any surgery, there’s a slight risk of infection. Following proper post-operative care instructions helps minimize this risk.
  • Capsular Contracture: This occurs when the scar tissue around the implant hardens and contracts, potentially causing discomfort and altering the breast shape.
  • Implant Malposition: This refers to the implant shifting from its ideal position.
  • Bleeding: Bleeding is a potential risk during any surgery.

If you experience any concerning symptoms after surgery, such as excessive pain, fever, or redness around the incision, immediately contact your surgeon.

We’ve covered the risks and complications, but how do you choose the right surgeon to perform your breast augmentation?

Choosing the Right Surgeon

Selecting the right surgeon is paramount for a successful and safe breast augmentation experience. Here are some key factors to consider:

  • Experience with MTF Patients: Look for a board-certified plastic surgeon who has extensive experience performing breast augmentation specifically for transgender women. Their experience with MTF anatomy and desired aesthetic outcomes is crucial.
  • Board Certification: Ensure your chosen surgeon is board-certified by a reputable organization like the American Society of Plastic Surgeons (ASPS) or the American Society for Aesthetic Plastic Surgery (ASAPS). This guarantees they meet the necessary qualifications and training standards.
  • Consultation: Schedule consultations with several surgeons to discuss your goals, ask questions, and assess their bedside manner. A comfortable and open communication style is essential.
  • Before-and-After Photos: Review the surgeon’s portfolio of before-and-after photos from MTF breast augmentation procedures. This allows you to visualize their surgical technique and aesthetic approach.
  • Patient Reviews: Read online reviews and testimonials from previous MTF patients of the surgeon. This can offer valuable insights into their experience and satisfaction level.
  • Facility Accreditation: Ensure the surgical facility where the procedure will be performed is accredited by a reputable organization. This guarantees it meets strict safety and hygiene standards.

Don’t be afraid to ask questions!

The consultation is your opportunity to gather information, clarify any doubts, and ensure you feel confident and comfortable with the surgeon. Remember, this is a personal decision, so choose a surgeon who makes you feel heard, respected, and understood.

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Breast augmentation can be a transformative experience for MTF individuals on their transition journey. It can significantly enhance confidence and create a more feminine chest contour. By understanding the procedure, potential risks, and recovery process, you can make informed decisions about this surgery.

Remember, this article provides a general overview. It’s crucial to consult with a qualified and experienced surgeon specializing in MTF breast augmentation to discuss your individual needs and goals. They can tailor a surgical plan that aligns with your desired aesthetic outcome and ensure a safe and positive experience.

Visit Dr.MFO Instagram profile to see real patient transformations! Get a glimpse of the incredible results achieved through facial feminization surgery and other procedures. The profile showcases before-and-after photos that highlight Dr. MFO’s expertise and artistic vision in creating natural-looking, beautiful outcomes.

Ready to take the next step in your journey? Schedule a free consultation with Dr. MFO today. During the consultation, you can discuss your goals, ask any questions you may have, and learn more about how Dr. MFO can help you achieve your desired look. Don’t hesitate to take advantage of this free opportunity to explore your options and see if Dr. MFO is the right fit for you.

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