What is MTF Gender Surgery?

MTF gender surgery is a procedure designed to relieve gender dysphoria for trans women or nonbinary patients related to the appearance of their chest. This procedure may also be called MTF (male-to-female) top surgery, feminizing breast surgery, or breast augmentation. MTF gender surgery usually involves using breast implants or tissue expanders to create a more feminine appearance of the chest. In some patients, fat transfer may also be used. 

Dr. Timothy Janiga is experienced in MTF top surgery. He is a board-certified plastic surgeon trained at the University of Michigan’s prestigious Plastic and Reconstructive Surgery program. 

"As a patient of both Dr. Jennifer and Tim Janiga, I have the utmost praise for the care I have received. They are fantastic at what they do. The attention to detail and going "above and beyond" is very much appreciated." - JB

The Procedure 

MTF top surgery is performed under general anesthesia. The most common method of the MTF top surgery procedure is to use breast implants, meaning that the procedure is overall similar to a standard breast augmentation. If necessary, tissue expanders can be placed before the procedure to gradually create space for the implant if there is not enough skin naturally present.  

To place the breast implants, incisions can be made in the armpit (transaxillary), around the nipple (preiareolar), or below the breast fold (inframammary). Through this incision, the breast implants can then be inserted to a pocket either below the pectoral muscle or behind the tissue and fat. Dr. Janiga will review these options with you to determine which suits your needs and desired results. With the implants in place, the incisions can then be closed. 

Fat Transfer 

Some transgender patients will need fat transfer in addition to breast implants to achieve their desired look. This involves collecting fat from another area of the body using liposuction before injecting it into the breast area around the implant to create the desired shape and fullness. Not all patients have sufficient fat in donor areas to donate to the breast area, but during your consultation, Dr. Janiga will advise whether this is a suitable option for you.

Meet Your Specialists

Timothy A. Janiga, MD, FACS

MTF Surgery Recovery and Results 

Following MTF top surgery, it is typical to have drains in place as well as bandages or a support bra to minimize swelling. Dr. Janiga’s office will explain how to care for any drains or bandages as you return home in addition to any medications or other considerations for your recovery. Most patients spend about a week resting and recovering at home after MTF top surgery unless they have a strenuous or physical job. Through the recovery period, swelling and some discomfort is  normal and can be alleviated using prescribed and over the counter medication and ice packs. 

Results from MTF top surgery are immediately visible, but swelling can cause the breasts to appear larger, firmer, or higher than they will be after healing is complete. 

Schedule a Consultation 

To schedule a consultation with Dr. Janiga in Reno, NV, call (775) 364-0224 or contact us online.