Female to male procedures

Everyone is unique, as is the transformation process! We are proud to provide an individualized plan of care for each patient.  Services provided include:

Drain-free female to male top surgery

Body contouring

Facial contouring

Drain-free female to male top surgery involves removing the breast tissues and repositioning the nipples.  Depending on your anatomy, this can be done with incisions at the bottom of the breast and removing the nipple as a free graft.  When the anatomy is appropriate, another way to perform this procedure is with minimal incisions by liposuction and direct excision.  So there is no large scar on the chest and the nipple and areolar size do not change.  This minimally invasive approach maintain the most sensation to the nipple and areolar.  But even with the free nipple graft, study has shown that 80% of the patient does regain some sensation.  These are a drain-free surgeries, so drain is not needed.  Drain-free female to male top surgery is an outpatient surgery that is very well tolerated.  Compression garment does need to be worn for a few weeks after surgery to optimize the contour.

Body contouring procedures include liposuction, abdominoplasty, and other surgeries employed to masculinize the body.  Individualized plans of care will be provided to meet your needs.  These are outpatient surgeries.

Masculinized facial procedures include surgical and non-surgical procedures.  Non-surgical procedures include fillers to reshape the face.  Surgical procedures include rhinoplasty, cheek implants, chin implants, blepharoplasty, browlift, and others.  Individualized plans of care are provided for each patient.  These are also outpatient surgeries.

Different requirements according to WPATH are recommended to have completed prior surgery depending to the procedure you’re seeking.  Surgical Requirements:

  • Category A: Must have received a clinical diagnosis of gender dysphoria, transsexualism, or gender identity 
disorder.
  • Category B: One letter of referral for surgery from a licensed mental health professional, or other health professional who is trained in behavioral health. The referral letter must include:
    • The individual’s general identifying characteristics;
    • Results of the individual’s psychosocial assessment, including any diagnoses;
    • The duration of the mental health professional’s relationship with the individual, including the type of 
evaluation and therapy or counseling to date;
    • Clinical rationale for supporting the individual’s request for surgery;
    • A statement about the fact that informed consent has been obtained from the individual;
    • A statement that the referring health professional has reviewed the WPATH Standards of Care section 
“Tasks Related to Assessment and Referral”; and
    • A statement that the referring health professional is available for coordination of care and welcomes a 
phone call to establish this.
  • Category C: Two letters of referral for surgery, dated within the past 12 months, from two licensed mental health professionals. One referral should be from the individual’s psychotherapist, and the second referral should be from a mental health professional who has only had an evaluative role with the individual. Two separate letters, or one letter signed by both (if practicing within the same clinic) may be sent. The referral letters must include:
    • The individual’s general identifying characteristics
    • Results of the individual’s psychosocial assessment, including any diagnoses
    • The duration of the mental health professional’s relationship with the individual, including the type of 
evaluation and therapy or counseling to date
    • Clinical rationale for supporting the individual’s request for surgery
    • A statement about the fact that informed consent has been obtained from the individual
    • A statement that the referring health professional has reviewed the WPATH Standards of Care section 
“Tasks Related to Assessment and Referral”
    • A statement that the referring health professional is available for coordination of care and welcomes a 
phone call to establish this.
  • Category D: You must have had genital or breast/chest surgery to change gender within the past two years.
  • Category E: Prescription from a doctor for hormone therapy (for replacement or maintenance)

 


 

Breast/Chest Surgery (Category Required – A & B)

    • Mastectomy with liposuction of the chest wall
    • Nipple/areola complex reconstruction

Facial Reconstruction/Contouring (Category Required – A & B or A & D)

    • Brow lift
    • Forehead contouring
    • Chin implant and/or genioplasty
    • Malar (cheek) implants
    • Jaw and/or chin re-shaping
    • Lip shortening
    • Rhinoplasty

Body Reconstruction/Contouring (Category Required – A & B or A & D)