Additional FTM and FTN Chest Procedures

Feeling good about yourself is a basic human need. If you’re a transman or non-binary transmasculine person and you feel uncomfortable in your own skin, there are several FTM/N transgender surgery options at our San Francisco office that can be used to enhance your self-esteem and body confidence.

Female-to-male (FTM) or female-to-neutrois (FTN) chest surgery is often the first, and sometimes only, FTM/N surgery many choose for their upper body transformation. However, there are additional “top” procedures that can be performed in conjunction with chest reconstruction surgery to enhance your final results.


Liposuction is one of the most commonly performed plastic surgery procedures in the U.S. It is ideal for transmasculine people who wish to remove excess fat from the abdomen, flanks, hips and buttocks, which give the body a softer, more feminine appearance.

Liposuction is a very straightforward procedure that can usually be performed alongside FTM/N chest surgery. Once you’ve been sedated, your surgeon will make very small incisions (around 4mm) near the target treatment sites.Then a cannula (a thin suctioning tube) is inserted into these incisions. Using gentle back-and-forth motions, your surgeon will breakup and suction out excess fat.

Pectoral Implants

Even with regular exercise and hormones, it can be difficult to achieve a toned, masculine physique. Pectoral implants can be used to add balance and proportion to your upper body. Implants are composed of a solid silicone base – unlike traditional breast implants – so there is no risk of rupture.  However, this material does not generate the sculpted, contoured chest that a dedicated weight training program can, so in general our practice recommends weight-lifting and exercise before deciding to use pectoral implants, and in fact our surgeons rarely perform pectoral implant surgery because of the mediocre aesthetics that they believes can result from them.

Combining Multiple FTM Procedures and Your Safety

It may be possible to combine multiple procedures into a single surgery. Dr. Mosser or Dr. Facque will be able to determine if you are a good candidate following an in-person consultation. Many patients prefer to group multiple procedures into a single surgery because it’s generally the less expensive option. It also eliminates the need for multiple recovery periods.

It is important to note that combining multiple procedures may increase your risk of surgical complications. Your surgeon will discuss these risks with you in-depth prior to your procedure. In certain circumstances, it may be safer to perform your FTM procedures in stages to decrease these risks.

Revision Chest Reconstruction Surgery

FTM/N chest surgery is a complicated procedure and there are no absolute guarantees. Though most patients only require a single surgery to achieve desired results, in Dr. Mosser’s practice there is a 3 to 4% chance (meaning that three to four patients out of a hundred FTM/N Top Surgery patients that Dr. Mosser operates on) that you will need revision surgery following FTM/N chest surgery. Additional procedures may be necessary to correct chest asymmetry or a complication related to surgery.

If revision surgery is necessary, you will not be charged an additional surgeon’s fee for revisionary procedures – as long as they are within the scope of the original surgery, and as long is the revision is performed within one year of the original surgery. However, you will still be responsible for anesthesia and operating room costs.