FTM Chest Masculinization

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Over the past several years, many transgender males in the process of undergoing "gender reassignment" have contacted Dr. Steinwald to inquire about "top surgery" or chest masculinization, especially in light of the potentially disappointing results associated with nipple excision and grafting. While early cases required several stages to meet the patient's desires and expectations, Dr. Steinwald is now able to achieve a masculine-appearing chest in most cases in one stage. Somewhat of a pioneer in the field, Dr. Steinwald has delivered several formal lectures on the topic, and has built an international patient base, having performed dozens of "FTM Chest Masculinizations" for patients from near and far.

Meet Dr. Steinwald

Paul M. Steinwald, M.D. is one of the few plastic surgeons in Chicago who is double-board certified in both plastic and general surgery. Read On

This is basically an extended or "extreme" version of a standard breast reduction in Chicago, which results in an anchor-shaped scar (mostly along the fold beneath the breast) and has a reasonably high probability of retaining nipple sensation. There are risks above and beyond a standard breast reduction, especially in patients with D cup breasts or larger, or those who smoke.

Patients are carefully screened preoperatively for the above reasons, but mostly because this is a (relatively) irreversible procedure that will have a significant impact not just on their life, but their actual identity. In appropriate candidates with realistic expectations, however, the results can be dramatic (as with all plastic surgery!), and most patients express extreme satisfaction with the results.

Because this procedure is being performed to dramatically change one's appearance (and not for symptoms associated with "mammary hypertrophy"), and because Dr. Steinwald is one of the few surgeons in the country applying specialized techniques and taking on added risks to perform this surgery (and lastly, because we do not wish to be accused of insurance fraud), we do not accept insurance for this procedure.

Your Next Step

If you are considering chest masculinization in the course of gender reassignment, and wish to visit Chicago for "top surgery," please call Lake Forest Plastic Surgery at (847) 234-9464 for a confidential consultation today. Our staff is very sensitive to the special issues related to this patient population, and dedicated to making your experience as comfortable as possible. We are able to accommodate Northbrook, Highland Park, and Barrington plastic surgery patients, as well as patients from other parts of the country. In some cases we are able to perform a consult/pre-operative counseling in the same visit (several days prior to surgery), and in these situations it is very helpful to send photos before scheduling a consultation and/or surgery. We also require that patients plans to stay at least a week following the date of surgery to manage drains, as well as early post-operative issues in general. Finally, once the patient is through the acute recovery period (4-6 weeks), we are able to help with post-operative documentation to facilitate formal/legal gender change, although we also encourage the continued involvement of counselors in these matters.

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