How long does it take to recover from transgender surgery? Smoking shrinks small blood vessels (vasoconstriction), which reduces the amount of red blood cells (hemoglobin) available to your body and interferes with the release of oxygen (fuel your cells need) to your cells. This part is really hard for some people but Plan to sleep on your back for the first 6 weeks after Top Surgery. It also includes the removal of the ovaries and the female genitalia. Potential complications include: bleeding, infection, hematoma, seroma, loss of nipple graft, poor healing of incisions, reaction to anesthesia, changes in pigmentation of the nipple and areola, permanent loss of nipple sensation and contour irregularities. TransHealthCare.org uses cookies and other tracking technologies to improve your browsing experience on our website, to analyze our website traffic, and to understand where our visitors are coming from. Search by U.S. State, Procedure and Insurance Search by Country and Procedure Browse the Global Surgeon Maps. If you're over 40, your Surgeon may also require you to have a mammogram before surgery. 500 per session (usually 4 sessions needed) Hyperhidrosis. Call Today - (214) 645-5560 Female to male (FTM) Top Surgery involves removing the breast tissue with a mastectomy. On the other hand, if your skin is more elastic or you have smaller breasts, you can probably expect prices to be lower. Rights Reserved Copyright 2015 - Meres perspective, writing, and advocacy can be found on social media, at conferences across the United States, and in books on gender identity. Exact pricing can only be determined following a consultation. Adolescent patients who have previously scheduled or completed a consultation, are in the insurance authorization process post-consultation, or have had a surgery already scheduled, should reach out to our office at (415) 780-1515 to clarify how this policy change will affect you. Applying for a grant is one way to top up your Top Surgery savings and get you an earlier surgery date. Key information includes: Periareolar top surgery, also known as peri or circumareolar, is a procedure typically recommended for people with smaller chest sizes (size A or B cup) prior to surgery. Meres vision and voice bring a deeper understanding of gender to our world. The Cost of Ftm Top Surgery. I am very happy in my decision to have had my surgery done by Dulin and his office., I have many Trans* friends who recommended Dr. Dulin, and after my surgery, I can see why. The study found that out of 150 transgender individuals who underwent keyhole top surgery, 97% were satisfied with their keyhole top surgery results. You'll have gauze or bandages on your incisions, as well as a compression vest or elastic bandage around your chest to minimize swelling. Cost: The overall surgery cost can burden people financially, from the doctors fee to surgery fees. It also discusses factors that affect these costs. The center is located in Plano, just 30 minutes from DFW International Airport. Ideal for small chested men, or those with B-sized chests and good skin elasticity. the possibility of needing an additional surgery to obtain your desired result, inconsistencies in the appearance of the implant, implant displacement, which is when the implant moves from the location where it was positioned during surgery, needing an additional surgery to obtain your desired result. Dr. Daniel J. Freet, MD, FACS, is a board certified Plastic and Reconstructive Surgeon who offers the full spectrum of Gender Affirming Surgery procedures at the University of Texas in Houston.Dr. These charges are mostly not included in the package and must be planned. Blue Cross. People with gender dysphoria may feel trapped in a body that does not match their true identity and struggle with gender expression and presentation. You can have a support person with you during the consult, if you like. Chest surgery was the most frequently reported surgical procedure in FtM transitions (33.3%), Genital procedures were reported in 1.4% of FtM transition respondents and 16.1% of MtF transitions. 972-543-2477 Under informed consent, here's no letter requirement; the patient only needs to possess accurate information and have the cognitive ability to decide about having surgery. Call us: 210-496-2639. Monthly payments for Top Surgery will be in the area of $250-$300. Metoidioplasty can also include: Vaginectomy, Urethroplasty, Scrotoplasty and placement of Testicular Implants. The recovery from FTM TOP surgery depends on the type of procedure done. And depending on your community, you may also consider crowdfunding your surgery costs on a site such as GoFundMe. Many plastic surgeons offer patient financing plans for transmasculine top surgery, so be sure to ask. The large majority of the complications and risks associated with all top surgeries are the same as those associated with any surgery, such as reactions to anesthesia, blood clots, and infection. This is a type of hormone therapy provided to FTM transitioning people. Frisco, Texas, 75036 Some surgeons can require up to 50 percent of the surgery cost up front. Top Surgery is a day surgery that is performed in 2-4 hours. Search by U.S. State, Procedure and Insurance Search by Country and Procedure Browse the Global Surgeon Maps. Dr. Dulin performs a few different types of Top Surgery: Drain-free Method: Dr. Dulin and the surgeons at the American Institute for Plastic Surgery developed a surgical technique for Top Surgery that eliminates the need for post-operative surgical drains. Medicare and some state Medicaid plans also cover Top Surgery but finding Surgeons who accept Medicare and Medicaid can be a bit challenging. includes the removal of the female reproductive organs and genitals. If you are transitioning FTM, you may want to explore top surgery options. Studies have shown that Top Surgery improves psychological and social functioning, helping trans men to live more comfortably. Due to the uniqueness of the surgery, the methods used and procedure duration may affect the cost. Dr. Reid has experience performing Keyhole, Peri-Areolar, and Double Incision Top Surgery procedures for trans men living in Texas and nearby southern states. Read on to find a breakdown of FTM top surgery cost. All rights reserved. Double-Incision Mastectomy Initial Evaluation Facial feminization surgery (FFS) is a key surgery for many trans women, and Dr. Dulin has the experience to address facial features with procedures such as a brow lift, cheek and/or chin implants, lip augmentation, and rhinoplasty, among others. When you're looking at paying for something as expensive as top surgery, it's important to know what you're paying for. This surgery, paired together with hormonal therapy, maybe the only surgical step that one takes for their transition. It can also result in physical changes like male-pattern hair growth and a deeper voice. I love the results that I have. 6410 Fannin St., Suite 1400 There are several factors that can contribute to this price, including which surgeon you use and which area you're in. Of course, two of the biggest things you'll be paying for is the actual surgeon's fee and the anesthesiologist's fee. Additional Charges: The hospital room rent and the stay until recovery can heavily impact the final bill amount. Identify Top Surgery Surgeons who are located near you. Ftm top surgery question. Top Surgery: Double Incision with Nipple Grafts, Peri-Areolar, Keyhole. All rights reserved. Orchiectomy may be a first step in gender confirmation surgery for transgender women. There are several medical financing companies that offer loans for Top Surgery. Painful intercourse is a common but serious problem among women. Are they permanent? This procedure can be done for individuals looking to achieve a more masculine or flat appearing chest, or for individuals seeking a more feminine sized and shaped chest. . However, he does not accept any insurance for FFS procedures. You'll have at least two follow-up appointments with your Surgeon. There are several medical financing companies that offer loans for Top Surgery and among them CareCredit is the best known. A tummy tuck can create smoother body contours if you have problems with loose skin or a belly pooch. The person is kept on hormone therapy during the surgery to inherit typical male behavior. Hormone replacement therapy (HRT) is a treatment that's helping millions of people worldwide alleviate symptoms caused by hormonal imbalances. Dr. Ashley DeLeon, MD You are put under general anesthesia for the duration of the surgery. 2023. Dr. Dustin Reid, MD, FACS Restora Austin Plastic Surgery Centre 901 W. 38th St., Suite 401 Austin, Texas 78705 512-371-8817 www.restoraaustin.com Double board certified, WPATH member, accepts medical financing; informed consent; $150 consultation fee; wait list 3-4 weeks; no drains! Surgery Facility Dr. Reid operates primarily at Inspire Surgery Centre and has full staff privileges at all local Austin hospitals, including Seton Hospital, St. Davids, and Central Park Surgery Center. Copyright TransHealthCare.org & Trans Media Network, 2011-2022. United Health Care. The Surgeon will also have questions for you, regarding your transition, surgery goals, current health, drug allergies, and alcohol, tobacco and drug use. If you're planning on using insurance, a grant, or a loan to cover your surgery, you'll need to make sure the payout comes before you need to reserve your surgery date. FTM Top Surgery is a gender confirmation surgery procedure that creates a masculine chest. 3. If they do cover transgender surgery, ask about requirements to qualify. Good credit (A, B, C) and a minimum monthly income of $1500 is required. Social media is driving some of the demand. Dulin is very skilled and has my chest looking the way i always imagined. Factors affecting Female to Male Surgery Cost. The common reasons for a revision are contour irregularities, Dog Ears, nipple/areola irregularities, and poor scarring. ), Keyhole Top Surgery or Peri-areolar mastectomy. This transformative procedure involves a range of surgical options, including the top Surgery, chest reconstruction, hysterectomy, and phalloplasty, each tailored to the individual's unique needs and goals. JAMA Pediatr . You'll need to talk to your doctor about which operation will work best for you. Medical financing via CareCredit is also accepted. Good credit and a minimum monthly income of $1500 is required. Patient reviews can be helpful but can also be inaccurate, so take them with a grain of salt. Houston, Texas 77030 Topical silicone gels, strips and sheets have remained the favored treatment of medical experts in scar management for more than 30 years. The Food and Drug Administration (FDA) issued a new warning for breast implants that requires healthcare providers to thoroughly communicate the risks, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. One technique, called phalloplasty, uses tissue from either the forearm or the thigh to create a phallus and a urethra for standing urination. What does the FTM Facial Masculinization Surgery Cost? Do you still get periods after bottom surgery? The nipple stalk is left intact so sensation is retained. Applicant must demonstrate a genuine need for financial assistance. In any case, you may still be required to fulfill a number of criteria, including a letter from a licensed therapist, an official gender dysphoria diagnosis, and time on hormone therapy. Our surgeons offer FTM Surgery, or female to male surgery, a group of gender-affirming surgery procedures for trans masculine people. Some tips include: Recovery time for top surgery varies from person to person. The FTM surgery cost, on average, is about USD 3800 to USD 5066. FTM Top Surgery San Antonio TX FTM double incision mastectomy (breast reconstruction/removal) is performed on female-to-male patients who present for reduction/removal of the breasts. Ascha M, Sasson DC, Sood R, et al. More about Dr. Freet . In order for this technique to result in an aesthetically pleasing and flat result, you must meet the criteria of having a small chest and tight chest skin. You'll need a lot of rest during this time. In general, the cost ranges from $3,500 to $10,000. For example, the Keyhole and Peri-areolar methods tend to be less expensive than Double Incision. Austin, Texas, 78746 Note: Only Medicare Advantage plans are accepted (also known as Part C.), Dr. Dany Hanna, DO Buttonhole procedures work well for people with smaller breasts who want to keep sensation in their nipples. Cost Range As with any surgery, FTM top surgery is expensive. The nipple is reduced and replaced in a new position to masculinize the chest. For many patients, Dr. Reid is able to do Top Surgery without drains. Using liposuction, Dr. Dulin can target areas of the mid-section, abdomen, midriff, flanks (love handles), outer thighs and mid-back to give you a curvier look. Top Surgery is the most commonly performed gender affirming surgery for trans masculine people. Financing Cash, all credit cards, and cashiers check are accepted. There's a lot to consider when choosing a Surgeon for Top Surgery. Silicone scar care products are reasonably affordable and can be easily obtained at a local drug store or online. You'll need assistance from a friend or loved one to go home from the surgical center. Very few people are good candidates for keyhole top surgery because no excess skin is removed. This article gives a clear and detailed explanation of all the types of affirmation procedures and their detailed costs. The average range for cost of FTM and FTN top surgery is currently between $3,000 and $10,000. Step 2 Open the incision at the marked site that requirement and remove the breast mass to flatten. Phalloplasty involves the formation of a penis and urinary tract (to stand while urinating). Often overlooked when choosing a Surgeon is credentials. The exact techniques employed for a patient's FTM top surgery can affect the overall cost of the procedure. Dr. Won is a board-certified cosmetic surgeon who gained significant experience with FTM Top Surgery during a year-long fellowship in 2018/2019. And while some companies may refuse at first to cover what they consider a cosmetic surgery, you might still be able to get your operation covered by insurance. Square jaw reduction (masseter) with botulinum toxin. Find a list of questions to ask at a Top Surgery consultation here. Top Surgery involves breast removal and male chest contouring, and may also include free nipple grafts, or nipple/areola resizing and repositioning. There are several factors that can contribute to this price, including which surgeon you use and which area you're in. ClinicSpots powered by Digicore Technologies Pvt. This procedure is usually an outpatient surgery that takes between 3 and 4 hours for the surgeon to perform. Palms bilateral: 750. "Information on Estrogen Hormone Therapy." Accessed ; May 29, 2021. By browsing TransHealthCare.org, you consent to our use of cookies and other tracking technologies. Preparing a week's worth of meals in advance is also recommended. In all three types of procedures, a drain will be placed on each side of the chest. I have had friends with different body types, and he has always done a great job. It can take up to 18 months for scars to resolve, and some people elect to have further surgery to minimize them. Aetna (Student Services for University of California System) Cigna. Keyhole Surgery transgender individuals is a type of gender confirmation surgery that creates a more masculine chest by removing breast tissue and repositioning the nipples. DOI: dx.doi.org/10.1016/j.jadohealth.2016.10.354, thetransgendercenter.com/index.php/mtf-price-list.html, Vaginoplasty: Gender Confirmation Surgery, Penectomy for the Treatment of Penile Cancer, Fat, Face, and Facebook: The Latest Trends in Plastic Surgery, What You Should Know About Orchiectomy for Transgender Women, What to Expect from Gender Confirmation Surgery. It mostly depends on the mental and physical health of the person and what kind of treatment you are involved in. Feet bilateral: 900. But as with any medical procedure, top surgery can be expensive. I am a trans male who's fiance is a member under his job. Dr. Raphael has presented at both state and national medical meetings on the advances in plastic surgery. Step 3 Resect the excess skin and adjust the size and position of nipple-areolar like the original male chest. Right? FTM Top Surgery, or Chest Masculinization, is a gender-affirming procedure that involves the removal of the breasts (Bilateral Mastectomy) and male chest reconstruction to create a masculine-looking chest. Dr. Dr. Alan Dulin, MD is a board-certified surgeon with many years of experience performing transgender surgeries in the Dallas area, including Top Surgery and Metoidioplasty for trans men, and Breast Augmentation, Facial Feminization and Orchiectomy for trans women. Read some of the amazing testimonials from Dr. Jaime Schwartz's patients and schedule your personalized consultation today. Increasingly, insurance companies are paying for Top Surgery because it's considered a medically necessary procedure. Due to the personal nature of this surgery for many people, its critical you find a surgeon who youre comfortable with and who has proper training in transgender and gender affirming surgeries. Theres typically a hospital or facility fee and anesthesiologist fee added to the total bill. Day 1 and 2 of recovery are often the most uncomfortable. The skin is pulled back and the breast tissue is removed. These tissues are then used to remodel the male genitals. 020 4583 0872 . In female to male top surgery, the upper body alterations are made to the patient. Incisions are most commonly located along the areola, under the armpit, or under the fold of skin where your chest meets your breast tissue. At present, we have gotten successful insurance approval for FTM/N top surgery from the following insurers: Anthem BC (Anthem Blue Cross) Blue Shield. Double incision top surgery with nipple grafts, also known as a bilateral mastectomy with nipple grafts, is a procedure typically recommended for people with larger chests and bodies. For people who were assigned female at birth, but who identify as male (otherwise known as Female to Male, or FTM), top surgery generally takes the form of breast reduction. Top surgery is one of the key components for many transgender people in reducing body dysmorphia and becoming comfortable in their own skin. What are the techniques of vaginoplasty for gender confirmation surgery? This surgery is typically performed by a plastic surgeon that has specific training in transgender or gender-affirming surgeries. What happens in a female to male surgery? In this procedure, your lower arm or thigh tissue is used. FTM Bottom Surgery Surgery to create male genitalia can be performed using different techniques and may or may not be combined with a hysterectomy. Dr. Amirlak works with endocrinologists and psychologists both at UTSW and Children's hospitals, as well as other Dallas communities. Copyright Trans Media Network, 2011-document.write(new Date().getFullYear());. By browsing TransHealthCare.org, you consent to our use of cookies and other tracking technologies. Home Questions And Answers Ftm top surgery question. There are a number of different procedures that can be used to achieve a more flat, masculine, or male looking chest. Your Surgeon will prescribe pain medication but Tylenol is often adequate. As long as the treatment is done by an experienced medical professional, 94 to 100% of such patients are satisfied with their procedures. Because the nipple stalk and nerve are not severed, sensation is often retained. Consultations Dr. Dulin is available for free in-person consultations. MTF or MTN top surgery in combination with facial feminization surgery (FFS) may be the only surgical steps in one's transition. Breast tissue is then removed and additional contouring using liposuction may be performed. MTF and FTM Top Surgery Care Credit Stephen Lex, MD psna.net 1020 N. San Francisco Flagstaff, AZ 86001 (800) 962 -1390 MTF and FTM Top Surgeries Most private insurance accepted Toby Meltzer, MD tmeltzer.com 9700 N. 91st Street, Suite B -115 Scottsdale, AZ 85258 Toll-free: (866) 876 -6329 . 832-325-7181 Let's discuss all the procedures followed in female to male transgender surgery and their respective costs. According to a study published in the Journal of Plastic, Reconstructive & Aesthetic Surgery, keyhole top surgery is becoming increasingly popular due to its lower complication rates and minimal scarring. Mere Abrams is a nonbinary writer, speaker, educator, and advocate. MTF and MTN top surgery typically takes between 1 and 2 hours. It is then replaced with the male genitals. This surgery has given me incredible confidence and joy. If you plan to pay out-of-pocket for Top Surgery, knowing about the cost of the procedure and related fees will help you plan accordingly and schedule your surgery date. It is then replaced with the male genitals. It is reported that 3/4th of participants felt a better quality of life and more comfortable in their newly assigned bodies. Let's check the cost of female to male gender assignment surgery across countries. Use several pillows to elevate your upper body to reduce swelling. The nipple can be re-sized. Metoidioplasty is a surgical procedure in which the ligaments which hold the clitoris in place are released, allowing it to hang away from the body to provide the genitals with a more masculine appearance. Once under general anesthesia, the surgeon makes an incision in the previously determined location and the implant is placed in the pocket above or below the pectoral muscle. Moderately sized chests (B cup) with good skin elasticity: Peri-areolar, Buttonhole, Double Incision or Inverted-T. Large chest or moderately-sized chest with poor elasticity: Buttonhole, Double Incision or Inverted-T. (Nipples are optional though some Surgeons are not comfortable omitting them.) In these videos, Dr. Daniel Medalie, a Top Surgery Surgeon in Cleveland OH, performs Top Surgery using the Double Incision and Peri-Areolar procedures. He is internationally known for his techniques in transgender surgery. The patient will have a dressing placed around the chest that will also stay in place until the first visit . Some of the transitions may take less than a month and some can take even years. For several years now, patients have had great results with this approach and have not had to endure the discomfort that drains often cause. They were completely respectful of my pronouns and name. Find license and certification lookup tools and get clear answers about what board certification and other credentials mean here. Top surgery is a reconstructive surgery performed on the chest for those who wish to alter their chest size, shape, and overall appearance. You'll need to see your PCP for a check-up to be medically cleared for surgery so be sure to book that appointment well ahead of time. In the United States, Virginia, Florida, and Utah are on the lower cost end, whereas states like California, North Carolina, and Pennsylvania tend to be middle-of-the-road. Oral testosterone is available; however, some experts believe it can have negative effects on the liver and opt for alternative methods. The cost of a revision depends on your Surgeon's revision policy and the type of anesthesia required (general versus local anesthesia.). I am not covered yet but we are planning on getting married soon. Factors like skin elasticity, amount of breast tissue, nipple sensitivity preferences, and recovery plans can impact your choice. Dr. Reid has superior education and training. Consultations Dr. Reid is available for phone or in-person consultations for a fee of $150, which is applied to the cost of your surgery. Insurance: Most insurance companies worldwide do not yet cover female-to-male transitioning costs. The average cost range for this surgery is between $5,000 and $10,000. If Top Surgery results need improvement or correction of aesthetic irregularities, a revision surgery can be performed 6-12 months after the original Top Surgery. The key factors to consider when choosing a Top Surgery technique are chest size, amount of excess skin, and desire for nipple sensation. 512-371-8817 Please be aware that the costs listed below are not universal. If you live in Oregon, California, Colorado, Vermont, Connecticut, Washington D.C., Massachusetts, Washington, Illinois, or New York, your insurance company is required to cover your healthcare costs. The cost of rhinoplasty in FTM surgery is USD 1076 on average. It would take 6 to 8 weeks to recover from your transgender surgery. Individual results are not guaranteed and may vary. Dulin makes you feel very comfortable and is extremely patient when answering any questions or concerns., Very professional and welcoming staff. There are many factors that Dr. Kim will discuss with you during your consultation. Following his education, and exceptional training, Dr. Peter Raphael entered into a private practice in Plano, Texas, specializing in Plastic and Reconstructive Surgery. Informed consent is a health care model that allows patients to make decisions about their gender identity and health care. Double incision and inverted T procedures work best for patients with larger breasts. While this may be too graphic for some, it serves as an important source of information for anyone interested in this procedure. 2005-2023 Healthline Media a Red Ventures Company. Medical Tourists: If people travel overseas for surgery, additional accommodation and food expenses will be incurred. Surgeons say fat infusion and facial surgery are two of the more popular procedures. What can I do to prevent them? Of course, you should speak with a financial advisor to make sure you don't wind up in a financially unstable position. The female to male surgery is a transition surgery that people assigned female at birth (AMAB) undergo. The surgeons also remove the vagina and close the vaginal opening. About 6 or 7 days after surgery, you will likely have your postoperative appointment. More about Dr. Dulin Understand the risks, recovery, and cost. Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and . Let's know more about them in detail and their cost. Persistent, well-documented gender dysphoria, Capacity to make a fully informed decision and to consent for treatment, Be of the age of majority in the country of surgery*, Significant medical or mental health concerns, if present, must be reasonably well controlled at the time of surgery. Testosterone Cypionate: This popular injectable form of testosterone costs between $40 and $90 per 10 ml bottle of 200 mg/ml solution without insurance. Transgender surgery or Gender-affirming surgery is an important part of allowing transgenders to feel comfortable with their identities. Step 4 Skin suture. More about Dr. DeLeon It may be the only surgical step that one takes in transitioning. This article gives a detailed description of what FTM top surgery and FTM bottom surgery costs are. Movements such as reaching and lifting can increase scarring. The average cost for MTF Top Surgery can fluctuate significantly based on your body size, body shape, and desired breast size. Peri-Areolar is ideal for those who are small chested or those who have a B-sized chest and good skin elasticity.