Hormone therapy is limited in terms of breast growth and development. For this reason, many transwomen and transfeminine gender non-conforming people feel that breast augmentation, and possibly other gender confirmation surgeries, are essential steps towards mind and body transformation. While not all trans people feel the need to undergo a breast augmentation procedure, those who do should know that MTF/N breast augmentations are a multi-step process and there are several decisions that you will need to make to ensure satisfying results.
Dr. Mosser is available to guide you through the various choices and details, including:
Saline vs. Silicone: Saline implants are filled with saline (saltwater), typically at the time of surgery. For a lower cost and a shorter incision line (about 1.5 inches), saline implants are a popular choice. Silicone implants come pre-filled with a cohesive silicone gel and have become the more popular choice because they offer a softer, more natural appearance, especially for those without a lot of breast tissue.
Implant Size: Though you may be tempted to think in terms of cup size, you should instead think in terms of your body’s natural proportion. Breast implant sizes are based on the amount of liquid or gel contained within the implant’s outer shell (200cc-500cc on average). During your personal consultation with Dr. Mosser, you’ll have the chance to try out a variety of implant sizers to help you better envision your final results.
Implant Shapes: People come in all shapes and sizes, and so do implants. When it comes to shape, you have two distinct shapes to choose from: round and anatomic (or teardrop). Round breast implants are the most common choice because they are completely symmetrical, so rotation is not an issue. Anatomic implants get their name from the way their shaped – with a sloped contour that can give your breasts a more natural look.
You have several options when it comes to incision location. Your implants can be placed through an incision made along the border of your areola (periareolar), just below the fold of your chest muscle (inframammary), or through your armpit (transaxillary).
Though your incision location will ultimately depend on your personal preference, Dr. Mosser typically recommends the inframammary fold incision. This is because most patients choose silicone implants (which are inserted fully inflated and sealed) and have narrow areolas.
Autologous fat grafting (fat transfer) may play a role in MTF breast augmentation in the future. However, this technique is not as successful when a large amount of volume is needed and the skin is particularly tight. Breast augmentation with saline or silicone breast implants is currently greatly preferred. If you have additional questions about this technique, Dr. Mosser will be able to answer them during your personal consultation.