Dr. Theerapong Poonyakariyagorn, MD, is a renowned plastic surgeon based in Bangkok, Thailand, specializing in FTM top surgery. This transformative procedure is an essential step for many transgender men, helping them align their physical appearance with their gender identity by creating a masculine chest contour. Dr. Theerapong customizes each surgery to the patient’s unique body type and personal goals, ensuring precise, natural-looking results.
FTM Top Surgery / Mastectomy Overview
FTM top surgery, also known as mastectomy, involves the removal of breast tissue to create a flat, masculine chest. Dr. Theerapong offers a range of surgical techniques, chosen based on factors such as chest size, skin elasticity, and patient preferences, to achieve the best possible aesthetic and functional outcome.
Top Surgery Techniques
1. Double Incision with Nipple Grafts
- Overview: This technique is ideal for patients with medium to large chests or reduced skin elasticity. It involves making two horizontal incisions to remove excess tissue and reshape the chest.
- Nipple Grafts: Nipples are resized and repositioned to achieve a natural, masculine appearance.
- Scarring: Horizontal scars are placed along the lower edge of the chest and typically fade over time with proper care.
2. Peri-Areolar (Keyhole) Technique
- Overview: This method is suitable for patients with smaller chests and good skin elasticity. Small incisions are made around the areola to remove breast tissue, resulting in minimal scarring.
- Nipple Position: Due to the smaller incisions, nipple resizing and repositioning may be limited.
3. Inverted-T or Anchor Technique
- Overview: Recommended for larger chests or significant sagging, this technique involves incisions around the areola, down the center of the chest, and along the lower breast fold.
- Advantages: This method offers excellent control over chest contouring and nipple placement, resulting in a well-sculpted, masculine chest.
Ideal Candidates for FTM Top Surgery
- Transgender men or non-binary individuals seeking a masculine chest contour.
- Individuals in good physical health and stable mental well-being.
- Patients with realistic expectations about the surgical outcome.
- Those who have undergone hormone replacement therapy (HRT) (if applicable, though not required).
Recovery and Post-Operative Care
- Recovery Time: Most patients can resume light activities within 2-3 weeks.
- Compression Garment: A compression vest is recommended during recovery to reduce swelling and support healing.
- Nipple Sensitivity and Healing: Temporary numbness in the chest area is common and usually improves over time.
- Scar Management: Dr. Theerapong provides detailed guidance on scar care to promote optimal healing and minimize scarring.
- Full Recovery: Final results typically become visible within 2-3 months as swelling subsides.
Why Choose Dr. Theerapong Poonyakariyagorn for FTM Top Surgery?
- Expertise in Gender-Affirming Surgery: Dr. Theerapong has extensive experience performing FTM top surgeries, achieving natural, symmetrical, and aesthetically pleasing results.
- Customized Surgical Plans: Each procedure is tailored to fit the patient’s chest size, skin quality, and personal goals.
- Commitment to Safety and Precision: Dr. Theerapong uses advanced surgical techniques to minimize risks and ensure patient satisfaction.
- Comprehensive Pre- and Post-Operative Care: He provides detailed support throughout the entire process, ensuring a smooth recovery and optimal outcome.
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