FTM top surgery is one of the most requested and most consistently successful procedures we arrange, largely because the techniques involved are well-established and the decision-making process is fairly structured once your anatomy is assessed.
Why the technique isn't really a choice, most of the time
Double incision (with nipple grafts) is typically used for larger chests or less skin elasticity, since it allows for more tissue removal and skin tightening. Keyhole or peri-areolar techniques preserve nipple sensation and use smaller, less visible scars, but they only work well for smaller chests with good skin elasticity. A surgeon should assess this honestly rather than offering whichever technique they simply prefer to perform.
What determines final scar visibility
Double incision scars run horizontally across the lower chest and fade significantly over 12-18 months, though they never fully disappear — a surgeon experienced specifically in top surgery will position incisions to follow the natural chest contour as closely as possible, which meaningfully affects how noticeable the final scars are.
The recovery timeline, realistically
Surgery takes 2-3 hours, and most patients plan for about 10 days in-country. A compression vest is worn for several weeks, light activity resumes within about 2 weeks, and full sensation (if nipple grafts were used) can take up to a year to stabilise — some numbness in the nipple-areola area is common and expected during this period.
Questions worth asking before you book
- Which technique do you recommend for my specific chest size and skin elasticity, and why
- How many top surgeries specifically do you perform per month
- What does your revision policy cover if scar healing or symmetry needs adjustment