Breast Augmentation (MTF Breast Implants, Augmentation Mammoplasty) - San Diego, CA*

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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.

Surgical Technique

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.

During/After Surgery

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.

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Recovery Time  
1 - 2 Weeks
Average Procedure Time  
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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.

Larger Sizes?

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.

Implant Replacements?

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.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.