While the synthetic female hormones given to transitioning patients can produce mild to moderate breast development, most male to female (MTF) patients require breast augmentation to attain full, feminine breasts. Experienced triple board-certified plastic surgeon, Dr. Richard Chaffoo, performs artistic MTF top surgeries at La Jolla Plastic Surgery near San Diego, CA. The procedure is performed in much the same way as breast augmentation for women where saline or silicone gel breast implants are placed under existing breast tissue, usually below the chest muscles. Incisions can usually be concealed around the areolas or in the crease beneath the breasts. Dr. Chaffoo will help you determine which implant size and incision placement will best help you attain your aesthetic goals. And since attaining a feminine or masculine look depends on more than the chest, Dr. Chaffoo can customize a cosmetic treatment plan to enhance more feminine traits, such as liposuction that removes fat from areas like the waist and abdomen for feminine body curves.
"I truly had the best experience with La Jolla Skin! I was referred here by a friend who received micro needling and raved about how amazing her skin looked and felt after. This friend of mine recently moved to La Jolla from Beverly Hills and is definitely picky when it comes to all things beauty, so I completely trusted her recommendation. I had been wanting to do something more than just your standard facial to help the texture and appearance of my skin... acne scarring, pigmentation from the sun, large pores. I called to schedule my appointment and spoke with Jennifer who was SO sweet and helpful. When I went in for my appointment I have to admit I was a little nervous, but after consulting with Tracy I felt much more at ease. Nancy was the RN that preformed the micro needling and she too was amazing! She calmed my nerves and was just so so great. After having numbing cream on 30 mins prior to the micro needling I literally felt no pain or discomfort during the service. The machine is loud which sounds scary, but honestly it's nothing. My experience here was so wonderful and I look forward to continuing treatments with them. Highly recommend!!"- S.B. / Yelp / Sep 26, 2016
"Dr. Chaffoo is a great surgeon and is kind, gentle, experienced and has a great bedside manner. His staff (Nancy and Tracy) are equally as attentive and thorough. I felt safe and confident. I had my breast implants removed and a lift and a fat transfer to balance them. He did a great job. I am very happy with the results. I would recommend him to anyone."- S.E. / Yelp / Jul 25, 2017
"I just love coming here! Everyone that works here is not only extremely talented, but also very kind and welcoming. I've had microneedling, cool sculpting, vbeam, and a hydrafacial....I'm beyond happy with the results from each of these procedures! This whole team really takes time to listen to all of your questions and concerns, and patiently responds to each and every one. I've never felt like I was left feeling confused about anything, or that I had wasted my money on a service. I'm a client for life! Thank you all for being so awesome, I'd give you 6 stars if I could!"- N.R. / Yelp / Jul 17, 2017
"Very Natural Breast Augmentation, Wonderful Experience - Dr. Chaffoo is the utmost professional. I had a great experience with him from the start to finish of my surgery process, and continue to have a good experience. He is very attentive and caring, and I ended up with fabulous results from my surgery. I also appreciate that Dr. Chaffoo has me come in once per year for a check up, which gives me added peace of mind."- K. / RealSelf / Jul 11, 2017
"Great new experience - I went to La Jolla Plastic Surgery for Coolsculpting. It was a new experience for me but Dr. Chaffoo and his assistant Robert walked me through it and made sure I was comfortable through it all. I have already recommended them to several friends and I'm sure I'll be back soon. Thanks!"- S. / RealSelf / Jun 22, 2017
MTF breast augmentation uses the same techniques as traditional breast augmentation (inframammary, tranaxiallary, periareolar, transumbilical incisions) and the plastic surgeon will choose the best technique and incision site based on the patient’s physique, goals, and implant choices to create the most natural-looking breasts with the smallest, least visible incision site. The plastic surgeon will also decide whether to place the implant above or below the pectoral muscle.
MTF breast augmentation is usually performed as an outpatient procedure with the patient under general anesthesia at an accredited surgical facility. After the surgery, the patient’s chest will be wrapped in a special bra or compression to hold the implants in place and promote healing. Since the patient will typically be unable to drive after the anesthesia, they should make arrangements for a responsible adult to take them home and take care of them. Swelling and bruising is normal for the first week and most patients will experience some pain and discomfort during the first 1 – 2 days after surgery. Patients are usually able to return to work and light activities in 1 – 2 weeks. Exercise can usually be resume in 3 – 4 weeks or when the patient gets approval from their doctor.
Plan Your Procedure
- Recovery Time
- 1 - 2 Weeks
- Average Procedure Time
- Post-op Follow-up
- Procedure Recovery Location
MTF Breast Implant FAQs
Timing and HRT?
Patients who are using hormone replacement therapy (HRT) should wait at least 18 months after starting their treatment before considering MTF breast implants. This gives the HRT time to develop the maximum breast tissue before the patient makes implant decisions. Waiting for natural breast tissue to develop through HRT will also make implants look more natural than if they are placed in flat chest.
Breast Cancer Risk?
There has been no evidence found that links breast implants to increased breast cancer risk, however the implants can make it more difficult to detect lumps and abnormalities in the patient. Patients are encouraged to have regular mammograms that will be able to detect cancer under the implant earlier. Mammograms are also helpful in checking the condition of the breast implant and determining when the patient needs replacements.
Since a flat chest does not have enough skin to cover a larger implant size, the patient may need to have a tissue expander placed in their chest before they can have augmentation surgery. The tissue expander is surgically placed in the chest and gradually expanded over several months until there is enough skin to cover the patient’s desired implant.
With proper care, breast implants can last an average of ten years before they should be replaced. Patients should follow-up with their plastic surgeon regularly to have the integrity of their implant checked, so the surgeon can remove and replace the implant before there is a problem. Patients may also choose to have their implants removed or replaced at any time if they decide their current implants no longer fit their needs, wants, or lifestyle.