Torsoplasty (or Mastectomy)
Thoracic masculinization surgery as part of gender transition
Overview
Male chest masculinization surgery, also known as torsoplasty, is a plastic surgery procedure designed to achieve a masculine-looking chest.
This procedure is often part of the gender transition process and is frequently a significant milestone for many transgender patients. The surgery primarily involves:
- remove the mammary gland
- redraw the outline of the chest
- reposition and resize the areolas and nipples if necessary
- to create a balanced chest contour
The goal is to achieve a flat, natural, and proportionate chest, while respecting each patient’s anatomy and body type.
The surgical technique used depends, in particular, on:
- breast volume
- skin quality
- skin elasticity
- the morphology of the thorax
Each project is customized to achieve a natural and harmonious result.
As part of a gender transition process, this procedure may, in certain situations, be covered by health insurance. The terms of coverage depend largely on the medical and administrative process and will be discussed during the consultation.
Explanation of the technique
Several techniques can be used depending on the anatomy and breast size.
Periareolar mastectomy
This technique may be recommended when breast volume is limited and the skin has good elasticity.
It allows you to:
- removal of the mammary gland
- a scar around the areola
- a relatively minor correction
In some cases, additional liposuction may be performed to improve the contour of the chest.
This technique is generally recommended for patients with underdeveloped breasts and good skin quality.
Mastectomy with an inframammary incision
When there is a larger breast volume or excess skin, a technique involving an inframammary incision may be recommended.
This technique allows:
- complete removal of the mammary gland
- removal of excess skin
- the repositioning and resizing of the areola
- a clearer definition of the chest
The areolas can be repositioned to match the typical proportions of a male chest.
The choice of technique depends on the assessment conducted during the consultation.
Overview of the procedure
Care for a mastectomy as part of a transition process begins with a specialized consultation to assess your surgical plan and your anatomy.
During this consultation, a clinical examination of the chest is performed to assess the shape of the breasts, the condition of the skin, and the distribution of volume. This evaluation helps determine the most appropriate surgical technique and allows us to discuss your goals and the expected outcome.
You will receive detailed medical information and a personalized quote, in accordance with the legal cooling-off period.
Depending on the situation and the transition process, certain medical documents may be required as part of the care plan.
Medical photographs may be taken to aid in preoperative analysis and to monitor results.
Before the procedure, a preoperative evaluation is ordered and a consultation with the anesthesiologist is scheduled.
A mastectomy is performed in a clinic under general anesthesia.
The procedure involves removing breast tissue and reshaping the chest to achieve a more masculine and harmonious contour.
The procedure typically lasts between 1.5 and 3 hours, depending on the technique used and the patient’s anatomy. A short hospital stay is usually required.
BEFORE / AFTER
Postoperative Care and Expected Results
Recovery from surgery requires a gradual healing process. In the first few days following the procedure, it is common to experience:
- chest edema
- bruises
- a feeling of tension
- temporary fatiguetemporary fatigue
A chest compression garment is typically prescribed for several weeks to support the tissues and promote optimal healing.
Activities are gradually resuming :
- light activities: after a few days
- sedentary work: generally after about 2 weeks
- Sports activities: usually after 4 to 6 weeks
Postoperative follow-up appointments are scheduled to monitor the healing process and track the progress of the results.
A mastectomy results in a flatter, more masculine chest that is more in harmony with the body's silhouette.
The expected benefits include:
- mastectomy
- improvement in the shape of the chest
- greater consistency between appearance and identity
- improved comfort in daily life
The results become increasingly apparent as the swelling subsides and the scars heal over time.
FAQ
Frequently Asked Questions About Torsoplasty (Mastectomy)
No. Everyone’s journey is unique, and not all transgender people necessarily want this procedure.
Scarring depends on the technique used and the patient’s anatomy. Scars generally fade over time.
The return to daily activities is gradual and depends on post-operative recovery.
As part of a recognized transition program, coverage may be available based on current medical and administrative criteria for French patients only.
Yes, the removed breast tissue does not regrow. The results are long-lasting.
>> This page is intended to provide general information. Only a consultation with Dr. Vairinho will allow for an accurate assessment of your situation and the recommendation of an appropriate treatment plan. A personalized quote is provided only during a consultation.
