For many transgender people here in Toronto, gender reassignment or confirmation surgery is an incredibly important step toward looking and feeling complete.
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In addition to offering “top surgery” to FTM patients, Dr. DuPéré also offers a variety of procedures to masculinize features. Wherever you are in your transition, let us help you achieve the look that lets you be your true self.
Dr. DuPéré’s expertise extends beyond top surgery, providing comprehensive options for those seeking to further align their physical appearance with their gender identity. Whether it’s through pectoral augmentation to create a more defined chest, body contouring to achieve a masculine silhouette, or facial masculinization techniques such as jawline enhancement and cheek implants, Dr. DuPéré tailors each procedure to meet the unique needs and goals of his patients. He understands that each individual’s journey is different, and he is committed to offering personalized care that reflects this. By providing a range of surgical options, Dr. DuPéré helps his patients not only achieve their desired appearance but also gain confidence and comfort in their bodies, allowing them to live authentically and proudly as their true selves.
Mastectomy, or top surgery, is often the most pressing concern for trans men. However, mastectomy for FTM individuals is different than mastectomy for other reasons, such as breast cancer. In addition to removing breast tissue, Dr. DuPéré carefully sculpts the chest, often incorporating liposuction and other techniques to create a complete masculine contour. Depending on the patient’s unique anatomy, Dr. DuPéré may use 1 of 3 of the following techniques:
Also called the “free nipple” technique, this approach is used for patients with larger breasts who require a significant amount of skin and breast tissue excision. This method includes a nipple or areolar graft. On average, an areolar graft offers a faster recovery. However, patients who undergo this type of procedure will not maintain sensation in their nipples.
This technique is used for smaller breasts. It leaves only a circular scar at the periphery of the areola. Once healed, this scar is usually quite inconspicuous since it blends into the natural color border of the areola.
This is the same incision that’s often used in classic breast reduction techniques, which uses an anchor-style scar (also known as an inverted “T” scar). This approach results in a vertical scar.
During your initial consultation and pre-operative appointments with Dr. DuPéré, he reviews his surgical technique with you to help you understand precisely what to expect.
Depending on the surgical technique used, recuperation after top surgery may take up to 2 weeks. However, some patients feel comfortable returning to work and more sedentary daily activities after just 1 week. Localized bruising and swelling are common within the first week or so after the procedure, and Dr. DuPéré uses surgical drains to minimize fluid buildup. Each top surgery patient receives a compression garment to support the chest and further reduce swelling as the area heals. Patients must wear the garment for about 6 weeks after surgery. The garment is quite discreet and not easily seen through clothing.
The results of your top surgery are permanent, so it’s important to seriously consider the procedure before moving forward.
During your own consultation, Dr. DuPéré talks to you at length about your transition to understand where you are in the process and ensure top surgery is the right step.
Depending on the significance of your chest procedure, you may choose to incorporate one of the following into your surgery. You may also undergo these procedures at any point in your transition. They can help create masculine features that make all the difference in your result.
Using a special type of firm silicone implant, Dr. DuPéré can create the appearance of firm, defined pectoral muscles, typically associated with an attractive male chest.
Learn MoreVisible calf muscles lend a look of athleticism and vigor to the legs. These implants are especially popular with male patients who want to enlarge their calves without endless hours in the gym.
Learn MoreYes, men have buttock augmentation too! Dr. DuPéré often sees men for Brazilian butt lift or buttock implants. These procedures can lift and firm the buttocks for attractive definition.
Learn MoreThe biologically female body is prone to accumulating fat deposits in certain areas, such as the hips and thighs. Liposuction can reduce the curvature of these areas, creating more angular, masculine results.
Learn MoreWant a six-pack without the crunches? Abdominal etching might be for you. This technique sculpts the topmost layer of fat beneath the skin to create the appearance of muscle definition.
Learn MoreIn addition to filling in and softening wrinkles, dermal fillers can add definition and shape to the jawline for a chiseled look.
Learn MoreThese implants can help further strengthen and define the features, especially the chin.
Wherever you are in your transition, Dr. DuPéré wants to help you realize your identity. Request your consultation online, or call Visage Clinic at (416) 929-9800 to schedule your visit.
Learn MoreNipple grafting is a critical consideration during FTM top surgery, particularly when the double incision technique is used for patients with larger breasts. This technique involves resizing and repositioning the nipple to create a more masculine chest appearance. However, this method can result in the loss of sensation in the nipples. Dr. DuPéré carefully discusses these considerations with each patient, helping them weigh the aesthetic benefits against the potential loss of sensation. The goal is to achieve a natural-looking, well-sculpted chest that aligns with the patient’s gender identity while minimizing visible scarring and ensuring the best possible aesthetic outcome.
Yes, FTM top surgery can be combined with other masculinizing procedures in a single surgical session, such as pectoral augmentation, liposuction, or abdominal etching. Combining these procedures offers several benefits, including a single recovery period and the opportunity to achieve a more comprehensive transformation in one operation. For example, pectoral augmentation with firm silicone implants can enhance the appearance of the chest, providing a more muscular and defined look that is often associated with male physiques. However, combining surgeries also increases the complexity of the procedure and the risk of complications. Dr. DuPéré meticulously plans each case to ensure patient safety and optimize results, taking into account the patient’s health and aesthetic goals.
Skin elasticity is a key factor in determining the appropriate technique for FTM top surgery. Patients with good skin elasticity may be suitable candidates for less invasive techniques, such as the keyhole or periareolar methods, which result in minimal scarring and preserve more of the skin’s natural texture. However, for those with reduced skin elasticity—often due to factors such as age or significant weight fluctuations—the double incision technique may be more appropriate. This method allows for the removal of excess skin and breast tissue, resulting in a flatter, more masculine chest. Dr. DuPéré’s expertise in sculpting the chest ensures that regardless of the technique used, the results are natural and aesthetically pleasing.
For transgender men seeking to masculinize their lower body, procedures such as liposuction and body contouring can effectively reduce the feminine appearance of the thighs, hips, and buttocks. Liposuction can be used to remove excess fat from these areas, creating a slimmer, more traditionally masculine silhouette. Additionally, Dr. DuPéré offers abdominal etching, a technique that enhances the appearance of the abdominal muscles by removing fat and creating more defined lines. These procedures can be performed in conjunction with top surgery or as standalone treatments, depending on the patient’s goals. The result is a more cohesive and masculine body contour that aligns with the patient’s gender identity.
