77 Pond Ave, Suite 104C, Brookline, Massachusetts 02445
Recognized as one of “Boston’s Most Trusted Doctors” by Boston magazine, Richard A. Bartlett, M.D. is a board certified plastic surgeon in practice for over 30 years Dr. Bartlett is considered a “doctor’s doctor,” and is a favorite choice of New England medical professionals when referring family and friends for cosmetic and reconstructive plastic surgery in Boston, Massachusetts.
77 Pond Ave. | Suite 104C,
Brookline, Massachusetts 02445
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Dr. Bartlett performs gender-confirming top surgery for both female-to-male and male-to-female transgender patients. Our patients come from the greater Boston area as well as other parts of the United States and overseas. In general Dr. Bartlett uses the WPATH guidelines to screen patients regarding their suitability for surgery. Dr. Bartlett’s staff takes pride in their knowledge and sensitivity towards transgender individuals and makes every effort to make the process as straightforward as possible.
Transgender top surgery works by modifying the patient’s body so that it can take on the qualities that the patient desires. Dr. Bartlett can create more masculine or more feminine chest contours depending on a patient’s aesthetic goals.
Ideal candidates for transgender top surgery are patients who desire upper-body contours that reflect the gender with which they identify. Patients must have realistic expectations and should also be in good health. Patients who are still healing from recent surgeries or injuries would need to wait for complete recovery.
Before patients can undergo top surgery, they will first need to schedule a consultation. This will involve a discussion regarding the patient’s health, their medical record, and what they want to achieve with the procedure. The surgery itself will also be explained to ensure that patients understand what it will involve and can be prepared.
There are two basic operations in FTM top surgery. For individuals with smaller breasts and good skin elasticity, a “keyhole” approach can be used. This involves making an incision at the junction of the areola and the lighter surrounding skin. Through this small incision, the underlying breast tissue is removed. Some patients also require a periareolar mastopexy, (incision around the areola), to decrease the size of the areola. The advantage of the keyhole technique is the inconspicuous scar.
For patients with larger breasts, or loose or lax skin a “double incision” technique is used. Both breasts are removed with formal mastectomies, leaving scars along the border of the pectoralis, (chest), and muscle. The nipples are removed, resized to a male dimension, and reapplied as “free nipple grafts”. Although scars from the double incision are more visible the technique is highly effective at producing a male contour with minimal chance of needing any significant secondary operations.
For individuals who are unsure of which technique would be best for them, a consultation with Dr. Bartlett will include counseling to determine the best procedure for you.
The price of gender confirming surgery varies, as treatments are highly customized. The total surgery time, anesthesia and facility fees, and the surgical techniques employed will impact the overall cost.
If you are considering gender confirming surgery in Boston, reach out today to schedule a consultation with Dr. Bartlett. We look forward to providing quality care and personalized results.
Call us for a consultation 617.735.1800
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