Home|Blog | What Are the Advantages of Inframammary Incisions for MTF Top Surgery?

What Are the Advantages of Inframammary Incisions for MTF Top Surgery?

2 Minute Read: 

Dr. Turkeltaub offers a variety of options for patients seeking MTF top surgery. This surgery is individualized to provide each person with the opportunity to obtain the best possible results. 

One of these options regards the location of the incision for the insertion of the breast implants.

an illustration showing the location of common breast surgery incisions.

Where Will My Scars Be After Gender-Affirming Surgery?

For trans women seeking male-to-female (MTF) top surgery, Dr. Turkeltaub recommends using an inframammary incision for breast implant insertion. With this approach, the incision is made in or near the crease at the bottom of the breasts. It is the same placement that he employs with his breast augmentation patients

This incision type is generally the safest, most effective, and best option for obtaining ideal results. It allows for greater precision and control, and the ability to insert implants of any size. The scars can be quite inconspicuous.

Both the trans-axillary and infra-areola approaches have very significant limitations and downsides. One of the drawbacks relates to implant size — not being able to insert silicone implants above a certain size.

Why Are Inframammary Incisions Better for MTF Surgery?

There are several reasons why inframammary incisions are the best choice for gender-confirming top surgery. One of these is that this option allows Dr. Turkeltaub to employ a longer incision when necessary. With this incision, larger but appropriately sized breast implants can be inserted to obtain the desired cup size. 

Many times, even the smallest of silicone implants can’t be placed through the relatively small-sized “masculine” areolas. 

This inframammary approach generally provides easier and better visualization of the pocket into which the implant is placed. In addition, it allows for finer control in the dissection of the pocket. 

Interested in Learning Which MTF Breast Incision Location Is Right for You?

If you want to learn more about gender-affirming surgery and MTF options, please contact our office. 

You can contact us by phone at 480-451-3000 or fill out online forms to schedule an in-office consultation or a virtual consultation. We are happy to help you determine a path forward during your transition.