Skip to content

MTF Surgery Procedures » MTF Breast Augmentation

MTF Breast Augmentation 101 – Everything You Need to Know

MTF Breast AugmentationMTF Breast Augmentation is a surgery procedure for transgender and transsexual women who want a more feminine breast shape and size. Using breast implants, MTF Breast Augmentation can provide a female breast contour when hormone replacement therapy alone has proved insufficient for breast development.

While hormone therapy can increase breast volume somewhat, many trans women still seek to enhance the feminine shape and contour of their breasts to alleviate gender dysphoria, match gender identity to presentation, and improve confidence and self-esteem.

Breast Augmentation Techniques

Experienced MTF surgeons custom design your Breast Augmentation surgery around your goals, going for a result that enhances your feminine curves.

Breast Augmentation is performed on an outpatient basis, under general anesthesia. An incision about 1" long is made and a "pocket" for the implants is made behind each breast. Incisions are made carefully to keep scarring as invisible as possible. Once the implants have been inserted and positioned, the incision is closed. The total surgery time is about 1 hour.

Breast Augmentation can take place at any point during your transition, and can also be combined with other surgeries, such as Body Feminization and Facial Feminization.

If hormone therapy did not result in much breast development, you may not have enough skin tissue to accept an implant as large as you might like. In this case, your Breast Augmentation Surgery can be broken into two stages, with skin expanders placed in the first stage. Positioned where your implants will eventually go, the expanders are gradually filled, slowly stretching the skin tissue on the chest to accommodate breast implants, which are placed in stage two.

All About Breast Implants for Trans Women

MTF breast implants - saline vs. silicone

Breast implants have a silicone polymore outer "shell" and are filled with either silicone gel or saline. Silicone implants are firmer, with a smooth surface, and provide a very natural look. Saline implants are rounder and more fluid-feeling than silicone implants, but also have a greater risk of rippling, particularly around the outer edges of the implant. However, they are less expensive than silicone implants and require a smaller incision.

Cohesive gel or "gummy bear" implants are also available. These are made of "highly cohesive" silicone gel and are designed to be very form stable. That stability also means a reduced spread of silicone in the case of a ruptured implant. They are more expensive than silicone breast implants though, and also require a larger incision.

When choosing an implant size, it's important to consider the overall appearance of your physique so your breasts appear balanced and proportional. Breast implants also come in a variety of shapes, or profiles. A high profile implant has more projection and less width than a low or medium profile implant. Your surgeon will discuss with you how much breast projection, width and volume you would like and will make appropriate recommendations for breast implant size and shape. You will also be able to try out breast implants in the surgeon's office.

Breast implants can last a lifetime, but sometimes can require replacement after about 10 years.

Breast Augmentation Considerations

MTF breast implants - shape and placement

Location of Implant: Implants can be placed over the pectoral muscles (subglandular) or under the muscles. Submuscular placement creates a gentler breast slope and may appear more natural. This placement also provides more support for the implants.

Incision Placement: Incisions are most commonly made under the inframammary fold of the breast, which naturally conceals scarring. Implants can also be placed through peri-areolar incisions (around the edge of the areola-nipple complex) or trans-axillary (under the armpit.)

Recovery from Breast Augmentation

Dr. Kathy Rumer - Breast Augmentation in Philadelphia

Dr. Rumer's Recovery Program can help you recover in the Philadelphia area following Breast Augmentation surgery. You will be seen by Dr. Rumer and/or her Nurse Practioner every day. Stay in one of Dr. Rumer's guest rooms, located on the third floor of the facility that houses her office. One guest may stay with you. Learn more »

When you wake up from surgery, you will have bandages and will be wearing a surgical bra that you will have on 24/7 for about two weeks and then only during the day for another four weeks.

After discharge, bed rest is recommended for the first few days after surgery. Plan on having someone stay with you during this time to provide assistance. You won't be able to drive for the first week after surgery; plan accordingly.

The day after your surgery you will be seen by your surgeon and have dressings changed.

You will need to avoid stretching your arms above your head and heavy lifting for the first two weeks after surgery. Two weeks after your surgery, you will be able to resume light exercise like walking.

Those with desk jobs or similar can return to work in as little as 5-7 days. More strenuous exercise and activities should be delayed for at least six to eight weeks.

Your breast shape and size will be settled by about 10-12 weeks.

Potential Complications

Breast Augmentation, like any surgery, carries some risk but comparitively the rate of complication is quite low. Potential complications include:

  • Need for revision surgery
  • Capsular contracture: scar tissue that forms around the implant and squeezes the implant
  • Breast pain
  • Negative changes in nipple and breast sensation
  • Rupture with deflation of saline-filled implants
  • Rupture with or without symptoms (silent rupture) of silicone gel-filled implants

Also see: FDA list of local complications and adverse outcomes that occur in at least 1 percent of breast implant patients at any time.

Eligibility for Breast Augmentation

  • Patients must be physically healthy, and have realistic expections of outcome.
  • 18+ years of age
  • Some surgeons may require counseling and/or a letter of recommendation from a qualified mental health practitioner.
  • If you smoke, you will need to quit, preferably for good.

What to Look For in a Breast Augmentation Surgeon

  • Board-certification in Plastic Surgery
  • Ample experience working with trans patients, preferably specializing in transgender surgeries, with extensive training in transgender procedures.

Breasts can play an important role in how women view and express themselves, and MTF Breast Augmentation is a reliable way for you to achieve the breast look and feel you desire.

Last updated: 12/08/17