Mastectomy

Mastectomy in transgender people is one of the key stages of gender affirmation – it allows for the removal of the mammary gland and gives the chest a masculine or neutral shape. The procedure is not only for aesthetic correction, but above all, it enables people to live in accordance with their gender identity.

Mastectomy

Mastectomy (commonly referred to as top surgery) is a procedure involving the surgical removal of breast gland tissue and the creation of a masculine chest contour. At Luna Clinic, we consider this surgery an important element of gender affirmation and support for transgender FtM and non-binary individuals. In our practice, qualification for the procedure is possible only for individuals who have obtained a legal change of gender marker, ensuring compliance with legal requirements and the safety of the medical process. The surgical technique is selected individually, taking into account the patient’s anatomy and expectations.
Indications
Contraindications

Preparation for the procedure:

Consultation with a plastic surgeon experienced in transgender surgery

Anesthesiology consultation

Laboratory tests

Documentation confirming the diagnosis of gender dysphoria

Discontinuation of aspirin, anticoagulants, and certain supplements at least 14 days prior to the procedure.

No smoking or alcohol for at least 2 weeks prior to the procedure.

Maintaining a stable body weight (best results with a BMI <30)

Detailed discussion of expectations regarding the shape of scars and nipples

Close up picture of lips taking hyaluronic acid injections in an aesthetic clinic. Non-surgical treatment to reduce wrinkles and avoid aging. Copy space for titles

The course of the procedure

Consultation with a plastic surgeon experienced in transgender surgery

Anesthesiology consultation

Laboratory tests

Documentation confirming the diagnosis of gender dysphoria

Discontinuation of aspirin, anticoagulants, and certain supplements at least 14 days prior to the procedure.

No smoking or alcohol for at least 2 weeks prior to the procedure.

Maintaining a stable body weight (best results with a BMI <30)

Detailed discussion of expectations regarding the shape of scars and nipples

Recovery and post-treatment recommendations:

Stay at the clinic: approx. 12 hours

Wearing a compression vest for at least 8 weeks

Limit physical activity for at least 4–6 weeks

No lifting heavy objects or raising your arms above shoulder level for 4 weeks

Avoid sun exposure on scars for at least 6 months.

Start massage and scar treatments after complete healing (usually after 3–4 weeks).

Check-ups: after 1, 3, 6, and 12 months

Possible complications and risks:

Hematoma or bleeding requiring drainage

Infection requiring antibiotic therapy

Transient or rarely persistent sensory disturbances in the face or auricle

Hypertrophic or discolored scars – minimized thanks to precise suturing techniques

Asymmetry requiring correction

Prolonged swelling or bruising

Unsatisfactory aesthetic result requiring possible reoperation

Frequently asked questions

Does the procedure hurt?

It is mainly felt in the first few days, but the pain is effectively controlled with medication.

Do I need to have hormones to undergo the procedure?
Are there always scars?
How long does it take to return to work?
Can I choose the shape and position of the nipples myself?
Will there be drains?
Is the effect permanent?
Are further operations necessary?
How long should a compression vest be worn?
Can I combine this treatment with other procedures?

Do you have any questions?

Get in touch with us

Luna Clinic

Władysława Syrokomli 46,
51-141 Wrocław

Working hours

Mon-Fri: 09:00 - 17:00
Saturday - Sunday: closed

Contact

Call :+48 666 850 666


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