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FTM Top Surgery

Female to Male Top Surgery

FTM Top Surgery in Marbella – At a Glance

Feature	Details
Procedure	Female to Male Top Surgery (Chest Masculinisation)
Goal	Create masculine chest contour
Anaesthesia	General anaesthesia
Surgery Duration	1–3 hours
Clinic Stay	Same day discharge
Return to Social Activities	~4-5 days
Return to Work	~7-10 days
Aftercare	Compression vest for 4–6 weeks
Often Combined With	Liposuction contouring

Gender-affirming treatment results collage showing different procedures

Consultation room at Ocean Clinic Marbella

What Is Female to Male Top Surgery?

Female to male top surgery (chest masculinisation surgery) involves removal of breast tissue and reshaping the chest to create a masculine chest contour.

For many trans men, the presence of breasts can cause significant discomfort and emotional distress. Chest masculinisation surgery often provides significant improvement in quality of life, confidence, and comfort in daily activities.

The goal of the procedure is to:

Remove breast tissue
Tighten the skin envelope
Reposition and resize the nipple
Create a masculine chest contour
Keep scars as short and discreet as possible

In many cases, contouring liposuction is performed at the same time to improve chest shape and reduce scarring length.

Man in a suit showing chest and upper body

Who Is a Good Candidate?

This procedure may be suitable for patients who:

✓ Are undergoing female-to-male gender transition
✓ Want chest masculinisation
✓ Experience discomfort or dysphoria due to breasts
✓ Use chest binding regularly
✓ Are in good overall health
✓ Have realistic expectations

Treatment is personalised depending on breast size, skin elasticity, and chest anatomy.

Male torso in a fitted t-shirt showing chest shape

Female to Male Top Surgery Works

Consultation & Planning

During consultation, the surgeon will evaluate:
- Breast size
- Skin elasticity
- Nipple position
- Chest width
- Scar placement options
- Need for liposuction contouring
The goal is to create a natural masculine chest contour with minimal scarring.
Anaesthesia
- The procedure is performed under general anaesthesia.
Surgical Technique

The surgical technique typically involves:
- Removal of glandular and fat tissue
- Release of the inframammary fold
- Tightening of the skin envelope
- Contouring liposuction
- Reduction and repositioning of the areola
- Creation of masculine chest contour
In most cases, the nipple remains attached to its blood supply, although in large breasts it may be grafted.
Scar Placement

Scar placement depends on breast size:

Periareolar technique
- Circular scar around the nipple
- Usually barely visible
Horizontal scar technique
- Horizontal scars extending toward the armpit
- Used for larger breasts
Scar length depends mainly on breast size and skin excess.