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FTM Top Surgery In NYC

FTM Top Surgery In NYC

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By Marc Everett MD

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Breast Reduction NYC

Breast Reduction in NYC

When it comes to breast reduction, NYC-based Dr. Marc Everett offers exceptional results that can improve posture, eliminate pain, and provide the look - and confidence -- that you deserve. To learn more, contact our office to schedule an in-person or virtual consultation.

Breast Augmentation NYC

When it comes to breast augmentation, NYC plastic surgeon Dr. Marc Everett offers the expertise, experience, and passion that you need to achieve beautiful and natural-looking breasts. Get more confidence in your body and get the breasts you've always wanted. To learn more, contact our office to schedule an in-person or virtual consultation.

Abdominoplasty NYC

If you are interested in abdominoplasty, NYC-based Dr. Marc Everett offers exceptional results that can provide you with the look and confidence you deserve. To learn more, contact our office to schedule an in-person or virtual consultation.

When it comes to FTM top surgery, NYC-based Dr. Marc Everett offers exceptional results that can finally provide you with a body that feels like home. To learn more, contact our office to schedule an in-person or virtual consultation.

New York Top Surgery: Our Approach

Living with a physical body that does not match your true gender is an uncomfortable way to exist and interact. Masculinizing chest surgery or “top surgery” provides transgender men the opportunity to present as their most authentic self by removing unwanted breast tissue. Along with hormone therapy, NYC female to male chest surgery is often one of the first steps trans men choose to make in their transition journey.

A number of surgical techniques may be utilized to accomplish breast tissue removal and masculine chest contouring. Dr. Everett, the best top surgeon NYC has to offer, develops a customized treatment plan for each patient to ensure the results are natural and satisfying.

Double Incision Technique

The double incision technique provides ideal masculine contouring for patients with a larger chest, excess skin or breast tissue laxity. In this procedure, a sizable ellipse of skin is excised at or near the lower breast crease and the underlying tissue is removed. The incision is placed so that it accentuates the pectoralis muscle fold, and when it has healed, the scar resembles a natural shadow under the muscle. Another incision is made to remove the nipple and areola, which are resized if necessary and then replaced as a free nipple graft into a more anatomically masculine position. The nipple typically does not retain sensation.

The double incision technique is the most powerful and reliable approach to chest masculinization. Although it involves sensation loss and the most extensive scarring, it is preferred by many patients because of the personalization of areola size and position it allows, and its effectiveness in achieving a flat and tight chest. In our practice, we have found that most insurance plans cover double incision top surgery.

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The Procedure

The Procedure


Periareolar Technique

The periareolar technique involves two concentric circular incisions. One is made around the edge of the areola to remove breast tissue. The second, slightly larger incision is made to remove the “donut” ring of tissue between the two incisions. The nipple and areola may be resized. The skin is then pulled taut toward the center (similar to the effect of pulling a drawstring bag closed) and reattached to the areola. A periareolar incision typically retains some nipple and areola sensation and can achieve good results for patients without a significant amount of excess skin or breast tissue laxity.

Recovery & Results

Keyhole Technique

In the keyhole technique, breast tissue removal is accomplished through a small, semicircular incision around the lower border of the areola. The keyhole incision offers significantly reduced scarring and nipple and areola sensations are largely retained. However, a relatively limited number of patients are good candidates for this approach. A typical candidate for this type of masculinizing chest surgery has a small chest, good skin elasticity and a nipple position that does not require adjustment. The keyhole technique is not recommended for patients with excess skin or a larger amount of breast tissue.

Inverted T Technique

The inverted T or anchor incision is similar to the standard technique used in most breast reduction surgeries. The incision circles around the areola, continues vertically down to the bottom of the breast, then extends horizontally around the inframammary fold where the breast meets the chest wall. The inverted T technique is an option for patients with larger chests and low skin elasticity, who are hoping to retain at least some areola and nipple sensation. Because some tissue must be left behind to supply blood to the nipple-areolar complex, it cannot achieve the same level of flatness as the double incision.

Liposuction

Liposuction may be combined with any of the above techniques to obtain a more thorough transformation. It is rarely used alone for chest masculinization. However, for patients who have a very small amount of breast tissue and naturally small areolas, liposuction by itself may be able to provide a satisfactory male chest contour. The primary advantage of this method is that scarring is minimal. Liposuction to masculinize the chest only requires a small incision through which a cannula can be inserted to remove the fat and breast tissue. In most cases, liposuction is more effective as a complementary procedure than the sole approach.

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Q&A with Dr. Marc Everett

Am I a candidate for Double Incision Top Surgery?

Each option for chest masculinization surgery has its benefits and it’s shortcomings. Each option also has certain indications but there is definitely some overlap where some patients may have the option to choose.

Skin laxity is important but even more important is the native position of your nipple areolar complex. Even if your nipples are positioned above the breast fold, often after the breast tissue is removed, the dissection completed and the inframammary fold elevated, it should be possible to remove the skin above the entire nipple areolar complex without leaving any remnant areolar pigment. Even if this were to be the case, this can be removed down the line. The indications for this procedure has widened to the point where almost all can have this surgery performed due to a successful experience treating younger and younger individuals who have higher native nipple positions, denser tissue and less saggy skin.

In my hands, the double incision top surgery allows for the most uniform removal of breast tissue creating a flat contour to have your skin and fat redistribute beautifully over your pec muscle, enhancing definition. The inframammary fold is also repositioned to sit just beneath the border of the pectoralis muscle. Many studies have been done to analyze the ideal male nipple position, and although there is certainly acceptable variation within the “ideal” it is distinctly different from the ideal female nipple areolar complex position. In addition to achieving a smooth flat contour of the chest, nipple placement is almost equally important in chest masculinization surgery. The double incision procedure allows optimal control over both of these elements. This is why whenever possible, I try and guide my patients towards this procedure.

The periareolar surgery uses the margin of your areola to remove breast tissue and conceal the scars within, and although fewer scars seems appealing to many, the nipple-areolar complex remains in a distinctly feminine position and true flatness of the chest, and repositioning of the inframammary fold is much harder to achieve. Similarly, the keyhole technique will raise the nipple areolar complex and the tissue that has to be left behind to keep the nipple alive will contribute to some chest wall thickness and therefore there will still be some breast mound.



Learn More About Masculinizing Chest Surgery in New York City

At Marc Everett MD, we understand that many trans men see top surgery as a vital component of their transition. We are proud to offer our gender-affirming procedures in a respectful, welcoming environment where all patients are treated with the utmost understanding, attention and professionalism. If you are considering chest masculinization surgery, we invite you to schedule a consultation with board-certified NYC plastic surgeon Dr. Marc Everett at one of our two convenient locations in Manhattan and Queens.


Simply call (212) 774-7715 or request your consultation online. We look forward to helping you achieve the life-changing transformation you deserve.

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Contact New York’s Premier Breast Reduction Surgeon for Amazing Results!

NYSHIP, Aetna, Cigna, UnitedHealthcare and other insurances accepted

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Rapid Recovery Breast Reduction In NYC

It’s time you chose the right doctor to perform your breast reduction in NYC. Achieving your ideal body image is no easy endeavor, but Dr. Marc Everett has helped thousands of women attain this goal by creating and sculpting a more attractive and proportionate breast. Dr. Everett performs the breast reduction operation more than any other, and his techniques and care strategies are designed in such a way to result in spectacular outcomes with almost no care needed after surgery and minimal downtime.

BREAST REDUCTION GALLERY
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Dr. Everett's Signature Breast Reduction with Internal Bra Support

“The breast is the three dimensional body structure that I enjoy building the most. The key to designing the perfect breast operation is to interpret the nuances that make your breasts different from everyone elses’, and then design the blueprint that results in the operation that will create a beautiful, high breast with longevity.”

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Reasons to Consider Breast Reduction Surgery

Breast reduction surgery can help individuals relieve the physical discomfort and emotional distress that many people with large breasts may feel. This procedure can offer many benefits to patients, including:

  • Improved self-image and self-confidence
  • More balanced body proportions
  • Increased ability to exercise and be physically active
  • Expanded clothing options
  • Reduced bra strap indentations and skin irritation
  • Improved posture
  • Alleviated neck, shoulder and back pain

Is Breast Reduction
Right for You?

Dr. Everett will determine if you are a good candidate for this procedure after an in-person evaluation. You may be a good candidate for a breast reduction if:

  • You are in good general health
  • You do not smoke
  • You are suffering from negative physical and mental effects due to overly large breasts
  • Your breasts are finished developing
  • You have realistic expectations of the outcome of the procedure

New York City Breast Reduction In NYC

Breast reduction surgery begins with a comprehensive consultation with Dr. Everett, who has garnered a reputation as one of the best breast reduction surgeons in NYC. As this is the procedure he performs most often, it’s also the consultation he sees the most patients for.

During this initial meeting, Dr. Everett will explain the options available to you and educate you about the implications of future pregnancy, ability to breastfeed, changes in nipple sensation, and more so that you may make informed decisions about your procedure. Multiple techniques may be considered, but the method you and Dr. Everett ultimately choose will depend on multiple factors, including: the size of your breasts, the type of excess tissue present, and your individual goals. The objectives of the breast reduction surgery are threefold.

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The Three Goals of Breast Reduction according to Dr. Everett

1

The first objective is to remove anywhere between a third and two-thirds of your breast tissue, reducing the actual weight that neck, upper back and shoulders have to carry.

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The second objective is the redistribution of the remaining breast tissue higher onto your chest wall. This changes the weight bearing dynamic and now your breasts will be seated high and pointed forward, facing your movements, instead of hanging low and away from you and working against your movements, i.e. “the pendulum effect.”

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The third objective is to create two beautiful breast mounds that are nearly identical in size, shape and position. The third objective is never less important than the first two. In fact, Dr. Everett considers every single breast reduction to be a “Cosmetic Breast Reduction.” It doesn’t matter if your operation is covered by your insurance or paid for out of pocket.

Rapid Recovery

rapid recovery

New York breast reduction is easier than you would ever imagine it to be. NYC breast surgery is an outpatient surgery performed under general anesthesia. Dr. Everett also never uses drains in this operation, as he doesn’t feel there is an indication to do so.

Additionally, Dr. Everett utilizes the most cutting edge pain reduction techniques for breast reduction surgery. In fact, most of our patients do not take a single pain pill, and as long as your job doesn’t demand significant physical labor, you can return to work in 4-5 days.

The tensions on your neck and shoulders can disappear immediately and some patients improve their posture in weeks. You will notice results right away and will continue seeing the evolution of your breast surgery results over the next several months. Some subtle changes can continue for up to a year until your breasts are fully settled.

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We have patients who post on social media with the hashtags #IFeelWeightless and #LightAsAKite
—and they mean it!

OUR PROCEDURES

See for yourself what pure transformative success looks like. Dr. Everett’s cosmetic excellence promises a rapid recovery window and minimal complications.

NYC Breast Surgery:
Reductions and Insurance

NYC

The cost of plastic surgery is something that many of our clients wonder about before they visit. Most health insurance plans do not cover elective procedures like cosmetic surgery. This means that no matter what the cost of your surgery is, you will likely need to pay out of pocket. There are some exceptions, however, and New York breast reduction surgery may be one.

In many cases, a breast reduction procedure alleviates unpleasant or painful symptoms that women experience as a result of having disproportionately large breasts. Consider the ways your breast size impacts your daily life and create a list that details how your breasts are problematic for your health and well-being. Women whose breasts are sizable enough to cause problems such as neck and shoulder pain, skin irritation or difficulty exercising may be eligible for breast reduction surgery that is partially or fully covered by their health insurance plan. It’s unlikely that your procedure will be covered if you have no symptoms and are seeking a breast reduction solely for cosmetic purposes.

BREAST REDUCTION INSURANCE VERIFICATION
If you aren’t sure whether your breasts are impacting your health, a visit with a visit to Dr. Everett or your primary care doctor for an exam can help bring any medical concerns to light.
the  procedure

The Procedure

the  procedure

Breast reduction surgery in NYC begins with a consultation. During this initial meeting, Dr. Everett will explain the options available to you so that you may make informed decisions about your procedure. Multiple techniques can be utilized when performing breast reduction surgery. The method used for you will depend on the size of your breasts, the type of excess tissue present and your desired outcome.

To begin the procedure, Dr. Everett will make incisions in the designated areas. The nipple will then be adjusted to place it in a more upright and centered location. If necessary, the areola will be reduced at this point. Dr. Everett will then remove excess skin and tissue and reshape the remaining tissue, ensuring symmetry between both breasts. The incisions will be sutured closed to complete the procedure.

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Traditional or Anchor Incision

The traditional or anchor incision technique requires three incisions: one around the areola within the natural texture of the skin, one extending vertically from the areola to the natural crease beneath the breast and one horizontally underneath the fold of the breast. This method maximizes the amount of tissue removal possible and can treat moderate to severe sagging.

VL

Vertical or Lollipop

The vertical or lollipop incision technique utilizes two of the incisions from the traditional technique but avoids the horizontal incision beneath the breast. This is a newer method that allows for mild to moderate tissue removal, meaning it is not the best option for all patients.

Liposuction

Liposuction

The vertical or lollipop incision technique utilizes two of the incisions from the traditional technique but avoids the horizontal incision beneath the breast. This is a newer method that allows for mild to moderate tissue removal, meaning it is not the best option for all patients.

Recovery & Results

Expect to rest for about 48 hours after your procedure. Common side effects include swelling, bruising, soreness, numbness and discomfort that can last several hours. Some patients can return to work in one week, while others may need to wait two weeks before resuming their daily schedules. Plan to wear a sports bra for at least four weeks after your procedure. Underwire and push-up bras can harm your results and irritate your incisions while they heal. Dr. Everett will provide you with thorough postoperative instructions so you can ensure your body receives the care it needs to heal and deliver beautiful results.

Breast Reduction Results

Results will be noticeable right away and will continue to develop over the coming weeks. Swelling will make your breasts larger at first and they may temporarily appear asymmetrical if they heal at different rates. Final results are typically visible three to six months into recovery, although subtle changes in size can continue for up to one year. The scars will reach full maturity in about 12 to 18 months. Once your breasts have settled into their new size and shape, you can enjoy your size reduction — as well as improved self-confidence, relief from discomfort and a broader range of clothing options — well into the future.

Recovery and back to work in

4 to 5 Days

Back to exercise in

2 Weeks

Final results in

3 to 6 Months

Scars reach full maturity in

12 to 18 Months

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Work with a Leading New York City Plastic Surgeon

What makes Dr. Marc Everett the best breast reduction surgeon in NYC?

It starts with his expertise and experience, as well as his compassion for every patient who walks through the doors of our office. No two women’s bodies are identical — which means breast reduction requires an artistic and detail-oriented approach in order to achieve results that are beautiful and balanced.

Dr. Everett is a thought leader of New York’s surgical community, and is certified by the American Board of Plastic Surgery. He is also a Fellow of the American College of Surgeons, a member of The Aesthetic Society’s Product Development & Market Research Committee and a reviewer for the Aesthetic Surgery Journal.

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Breast Reduction FAQ’s

Why is it called rapid recovery breast reduction?

Dr. Everett utilizes the most cutting-edge pain reduction techniques for breast reduction surgery.  In fact, most of our patients do not take a single pain pill, and as long as your job doesn’t demand significant physical labor, you can return to work in 4-5 days. Dr. Everett also never uses drains in this operation, as he doesn’t feel there is an indication to do so.

Am I a good candidate for breast reduction surgery?

Good candidates for breast reduction surgery are women who are in good health, do not smoke, are suffering from negative physical and mental effects due to overly large breasts, and whose breasts are finished developing. We can better determine if you are a good candidate after an in-person evaluation.

Which incision technique is best for me?

We will discuss this with you in detail after performing an in-person evaluation. Not every option is available to each patient. Sometimes the best method for patients may not correlate with their desires for minimal scarring, but we always emphasize placing a priority on results and improved quality of life, rather than the presence of minor scarring. We will help you make an informed incision during this part of the process so that you can be satisfied with your results.

How long before I can go swimming or take a bath?

Once your surgical bandages have been removed, you are free to shower and get your incisions wet. However, you should refrain from submerging your breasts until your incisions have fully healed. Avoid swimming or taking a bath for at least two days following surgery.

Will I be able to breastfeed after breast reduction surgery?

Breast reduction surgery can make breastfeeding more difficult later in life. Depending on the method used for the surgery, breastfeeding may not be an option for all patients following breast reduction. We will go over this with you more in-depth before your surgery and take every precaution necessary to both provide optimal results and retain your ability to breastfeed if possible.

How long will results last?

You can enjoy your size reduction following surgery well into the future. We only perform breast reduction after the patient’s breasts have stopped developing, so you will not need to worry about returning to your pre-surgery size. Pregnancy and weight gain can affect your results, however, since both can lead to an increase in breast size. We can discuss this in more detail during an initial consultation.

What kind of bra will I need to wear following surgery?

You should plan on wearing a sports bra for at least four weeks after your procedure. Underwire and push-up bras can harm your results and also irritate incisions while they heal. You should refrain from purchasing new and expensive bras until most of your swelling has diminished, around two or three months into your recovery.

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Professional Accolades

Dr. Everett has accrued an impressive collection of personal accolades and awards. Often recognized by industry peers for his exceptional skills and abilities, his reputation as a leading surgical professional is known across the nation.

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Marc Everett MD - Plastic Surgery NYC

Reclaim Your Life and Love Your Body Again

At Marc Everett MD, we know that breast reduction can be a life-changing procedure for women who struggle with the physical and mental weight of macromastia. We believe every woman should be able to feel comfortable and confident in her own body and we are here to assist you in reaching that goal. Contact us today to schedule a consultation with Dr. Marc Everett in Manhattan or Queens — you can reach us at 212-774-7715.

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