What is FTM Gender Surgery?
For transgender men and some nonbinary people, the chest can be a source of gender dysphoria, leading to significant emotional and psychological distress. FTM gender surgery, otherwise known as FTM (female-to-male) top surgery, is a gender-affirming surgery that removes breast tissue and creates a more masculine-appearing chest.
Dr. Timothy Janiga is a board-certified plastic surgeon trained at the prestigious University of Michigan Plastic and Reconstructive Surgery and is experienced in FTM top surgery.

The Procedure
Top gender confirmation surgery is performed under general anesthesia. First, incisions will be made in either periareolar (around the nipple) or double incisions (DI) along the bottom of each breast for double-incision top surgery. Dr. Timothy Janiga will help advise which incision technique will be best suited for your anatomy and most effective to achieve your goals.
After the incisions have been made, the breast tissue will be removed. In addition to all breast tissue, excess skin may be removed if necessary.
Following this step, the chest will be shaped and contoured for a more masculine appearance and then the area will be sutured closed. Drains will likely be put in place for a day or two to aid in proper healing.
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FTM Recovery and Results
After your procedure, you will wear a compression garment to minimize swelling. To ease discomfort as you heal, you may take pain medications, which may be over the counter or prescribed by Dr. Janiga.
Following top surgery, most patients require about two weeks to rest and recover before returning to work or school. Swelling and bruising are common; you may use ice packs to relieve swelling, which usually subsides within two weeks. Be sure to follow Dr. Janiga’s postoperative instructions carefully to ensure proper healing. Once you have healed, you will be left with a masculine chest contour.
Frequently Asked Questions about FTM Recovery
When will I see the final results of my FTM gender surgery?
You will notice a difference immediately after surgery as the breast tissue is removed, but the final scar maturation is 6-9 months.
How long will I need off work after FTM surgery?
You will need at least two weeks to recover from FTM surgery, but it may be longer depending on the physical needs of your job.
How noticeable will the scars be?
At first, the scars will be red and visible, but over time, they will gradually become softer, lighter in color, and less noticeable.
How long does FTM surgery take?
FTM surgery takes anywhere between 2-3 hours to perform.
What is the recovery process like after FTM gender surgery?
After surgery, you will need to wear a compression garment to reduce swelling and support the healing process. You will also be given prescription pain medication to help with any discomfort. You’ll likely have some swelling and bruising, but those diminish over a few weeks. Dr. Janiga will provide specific instructions based on your surgery and medical history to ensure proper healing.
Schedule a Consultation
To schedule a top surgery consultation with Dr. Janiga, call our Reno, Nevada office at (775)364-0224 or request an appointment online.