When it comes to top surgery, many non-binary patients express interest in maintaining a certain amount of chest fullness or chest/breast tissue after top surgery. The Gender Confirmation Center (GCC) offers a variety of breast reduction and chest reconstruction options that yield non-flat results. This article will address the difference between a breast reduction and a top surgery with a non-flat end goal. By having some tissue left behind after top surgery, some non-binary and gender fluid patients have expressed experiencing greater gender euphoria; this is because having minimal leftover tissue allows them, in their words, to more easily present feminine on some days and more masculine on others, without needing to wear a chest binder.
The photos and descriptions on this page are used to highlight breast aesthetics that are shared among many people who underwent a first, predominantly estrogenic puberty. Because there is natural variation to body types and sizes, your particular body shape might not be represented in the images below.
Chest fullness can be achieved either with weight training to develop pectoral muscles, the placement of silicone pectoral implants or leaving behind a small amount of tissue so that there is some overhang. There are two different types of top surgery incisions that are likely to yield a result that is nonflat in appearance: the buttonhole and the Inverted T. The ammount of tissue left behind is never determined by the size of a patient’s body, but rather the patient’s individual goals.
Image E and F below depict a likely end result for someone who received the buttonhole incision type, and Image G and H show the end result of someone who received the Inverted T incision type.
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