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Female to Male Surgery / FTM Surgery in Dallas TX
FTM Top Surgery & Facial Masculinization Surgery
What is involved in female to male (ftm) top surgery.
Female-to-male (FTM) or female-to-nonbinary (FTN) top surgery is a gender-affirming procedure performed for transgender men and non-binary individuals, in order to form a masculine chest. This surgery, paired together with hormonal therapy, maybe the only surgical step that one takes for their transition.
Female-to-male top surgery generally involves the removal of breast tissue, resulting in a procedure that may not be reversible. For this reason, it is imperative that the WPATH guidelines are followed. The goal of female-to-male top surgery is to provide the best outcome for gender affirmation surgery. The standard is not only to achieve a flat chest but also to achieve a masculine chest, where the pectoralis area and nipple are proportionate together.
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There are several options for FTM top surgery:
Double Incision Top Surgery with Nipple Grafts
Double incision top surgery with free nipple and areola grafts provides the best outcome for a flat and masculine chest. Adjunct high-definition 3-dimensional liposuction is very important, especially in the areas of the lateral chest to define the pectoralis border, as well as to avoid extra bunching of tissue after surgery (dog ears), and provides the best outcome for a masculine-looking chest. Generally, nipple sensation will be decreased or will be completely absent following this surgery.
In surgery, the nipple and areola are separated and grafted back on independently. This provides the most aesthetically pleasing nipple-areola complex that is similar to a male nipple-areola. The areola is also reduced in diameter to match the standard male areola size, which typically ranges from 22 mm to 28 mm in diameter.
This FTM top surgery procedure is typically recommended for people with larger chest tissue and extra skin.
In certain skin types, such as African American patients, the areola may have long-term discoloration. In such cases, we recommend 3-dimensional tattoos to create the nipple-areola complex. Although not routine, we offer this option, which creates a relatively natural-looking nipple-areola complex.
This female-to-male top surgery procedure is usually an outpatient surgery that takes between 2-3 hours for the surgeon to perform. We use a special tape with glue closure of the skin which provides the best long-term outcomes for the scars.
To see an example of a before and after the result of a double incision FTM surgery, as well as a video of intraoperative details of the surgery please visit www.amirlakplasticsurgery.com or our before and after gallery .
Please click here to see an example of a double-incision mastectomy with free nipple grafting.
Double Incision Top Surgery with Pedicle Nipple Areola Complex
This FTM top surgery procedure is very similar to the double incision top surgery with nipple-areola grafts, with the exception that the nipple and areola are not placed back as free grafts, but kept on a pedicle of tissue which can potentially preserve the sensation. This also may result in a more natural nipple-areola complex. Regardless of these advantages, most patients prefer the previous option as it provides a more flattering masculine chest and avoids potential blood flow issues to the nipple.
Transareolar or Periareolar Incision
If the patient has a small amount of chest tissue with minimal redundant skin, then the entire tissue can be removed through a small incision in the areola. We also use an endoscopic minimally invasive approach to make this operation easier on the patient’s recovery and improve the overall outcomes. With patients that present with large nipples, a staged nipple reduction is done in the office following the initial procedure.
To see an example of a before and after case following transgender areolar minimally invasive female-to-male surgery please click here .
What are the Risks of FTM Transgender Top Surgery?
Infection or bleeding under the nipple could result in full or partial necrosis, as well as nipple-areola loss. This is avoided by using a compression garment and special topical compression foam for one week following FTM surgery.
Hematoma or bleeding under the mastectomy breast tissue is a potential risk following female-to-male surgery. This can be prevented by avoiding heavy lifting and increased physical activity after surgery, as well as avoiding all daily activities that increase blood pressure. Avoiding medications such as aspirin, ibuprofen (Motrin), fish oil, glucosamine, chondroitin, vitamin E, and Omega 3 for two weeks before FTM top surgery can decrease the incidence of unwanted bleeding during or after surgery. Please see the complete list of medications that are to be avoided at least two weeks before surgery.
Additional revisionary surgery may be desired by a patient in order to address any extra tissue. This is done by excision at either end of the incision (dog ears), which may not be covered by insurance.
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Do I Have to Stop Hormonal Treatment Before Female to Male Surgery?
We generally recommend stopping the last dose of testosterone injection before FTM top surgery. Although some recent studies may suggest that the injection does not have to be stopped, we still recommend this until more conclusive data is available.
Facial Masculinization Surgery (FMS)
Facial masculinization includes several surgical options including rhinoplasty, chin augmentation with implants and widening the angles of the jaw, which can be done with fillers and fat injections.
Please click this link to see an example of filler injections for jawline masculinization.
Schedule an FTM Consultation
Dr. Amirlak proudly provides transgender patients from Dallas, TX and surrounding areas with Female to Male Top Surgery and Facial Masculinization Surgery . Contact Amirlak Plastic Surgery at (214) 974-4948 or fill out a Contact Form here.
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Dallas, TX 972-972-4708
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Experts in Gender-Affirming Surgery
Gender surgery.
We offer the full spectrum of Gender Reassignment Surgery procedures for transgender and non-binary individuals.
Top Gender Surgeons
We are one of the highest volume Gender Surgery centers in the U.S, and as a team, our surgeons have unmatched experience.
Highest Quality Care
We strive to provide the highest level of gender-affirming surgical care that is available in the country.
Masculinizing Surgery
Our surgeons have extensive experience with masculinizing top and bottom procedures, and have completed more than 1000 Phalloplasties since 2012.
Top Surgery
Our surgeons perform more than 200 Top Surgery procedures every year. You can choose to have your Top Surgery in San Francisco or in Austin, Texas.
Non-Binary Surgery
Everyone’s journey is unique. Our surgeons are experienced with Non-Binary Surgery and will work with you to create a plan that is specific to your needs.
Feminizing Surgery
We are experienced providers of Facial Feminization and Breast Augmentation , and perform more than 150 Vaginoplasty surgeries per year.
Facial Feminization
With fellowship training in transgender surgery and craniofacial surgery, our surgeons have the training and experience to provide superior FFS results .
Transgender Surgery in Austin, Texas
Ashley n. deleon, md, facs, board certified general/trauma surgery, curtis n. crane, md, board certified plastic surgery, reconstructive urology, richard a. santucci, md, facs, board certified reconstructive urology, gerhard s. mundinger, md, board certified plastic, crainofacial surgery, transgender surgery in san francisco, california, min jun, do, reconstructive urology, charles lee, md, board certified plastic surgery, alex friedman, pa-c, board-certified physician assistant.
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The program consists of
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Dr.transman, we are located inside the american institute for plastic surgery.
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Our experience, our technologically-advanced facilities and our compassionate staff are the best in the business for transgender confirmation procedures, holistic therapy and the overall patient experience.
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Hanna Gender Center
- 255 Lebanon Rd, Suite 112 Frisco, TX 75036
- Breast Augmentation
- Phalloplasty
- Non Binary Chest Surgery
About Dr. Dany Hanna
Dedicated to excellence as a transgender surgeon.
As one of the few surgeons in the United States who performs gender affirming surgeries, it’s important to Dr. Hanna to set a model standard for others following in his footsteps. He realizes that gender affirming surgery can have life-changing effects on his patients, and he dedicates his entire practice to the needs of the Transgender and Non-Binary (TGNB) community. Supporting these communities is the sole focus of his work, as these groups have been underserved by transgender surgeons for decades. His dedication to excellence and his commitment to perfection ensures a comprehensive, patient-centric approach for everyone who comes to our clinic.
Our Commitment to the TGNB Community
Dr. Hanna’s journey to becoming a premier gender reassignment surgeon involved years of study, internships, residencies, and fellowships. After his doctorate work with the University of New England, he was hand-picked for a fellowship in Gender Affirming Surgery in Philadelphia. Here, he discovered a program that was specifically designed to address the medical needs of patients with gender dysphoria. It fully examined all elements of the perioperative period in intimate detail, a critical window for successful affirmation procedures.
With his fellowship in Philadelphia complete, Dr. Hanna chose to expand his expertise with additional training in Europe. Under Dr. Miroslav Djordjevic, a highly respected leader in urogenital reconstructive surgery, Dr. Hanna learned advanced surgery techniques at the Medical School of Belgrade University . Using this specialized training, he accepts patients interested in complex reconstruction of their existing anatomy to reflect their preferred gender identity.
Education & Training
Dr. Hanna completed his undergraduate studies at Worcester State University in Massachusetts and earned his Master in Biomedical Sciences at the University of Medicine and Dentistry of New Jersey, currently known as Rutgers Biomedical and Health Sciences . He chose this field because it combines biology and medicine along with laboratory and discovery research to provide more comprehensive basic education for gender reassignment surgeons.
Determined to become a transgender surgeon, Dr. Hanna then completed his doctorate at the University of New England’s College of Osteopathic Medicine in Maine. With a robust LGBTQ curriculum for medical students, this school fostered compassion and empathy for those in the transgender and non-binary community. Dr. Hanna graduated summa cum laude with a Doctor of Osteopathic Medicine degree, a distinct branch of medicine that takes a whole-person approach to hands-on care.
Dr. Hanna completed an internship in general surgery at Hahnemann University Hospital, the first academic medical center in the Philadelphia region to offer a transgender surgical program. He then completed a residency in urology at Bryn Mawr Hospital in Pennsylvania, where he served as chief resident.
He later founded the Hanna Gender Center as a transgender surgeon in 2021. Here, we exclusively serve trans men , trans women , and non-binary individuals on their path to becoming who they were always meant to be.
Service to Country
In addition to his work as a transgender surgeon, Dr. Hanna also enlisted in the Army National Guard in 2005. He served as an infantryman, and later, as a tactical intelligence officer with the 223rd Military Intelligence Company. He more recently served as the Battalion Surgeon for 1-181st Infantry in the Massachusetts Army National Guard and is currently still posted within the Army National Guard.
Today, Dr. Hanna maintains his connections with the military community through his work as a medical advisor with SPARTA . This organization allows him to advocate on behalf of transgender and non-binary individuals within the military.
If you have any questions about Dr. Hanna’s practice, please read our FAQs for more information.
Highly Experienced & Dedicated To Our Patients
Transgender procedures, conveniently located to serve dallas-ft. worth and denton county.
Transgender procedures in Plano are important surgeries used to make changes that help patients’ bodies better match their gender identity. There is no set program for gender-affirming medical care—it varies for every person depending on what feels right and what they are comfortable with.
What Are Transgender Procedures?
Transgender procedures, or gender-affirmation procedures, are surgeries for patients with gender dysphoria. They help patients transition physically into their gender identity. There is a wide range of available surgeries that can change facial, body, and genital features. Patients can undergo one or more gender-affirming surgeries to match their gender identity.
Ideal Candidates for Transgender Procedures
Patients suffering from feelings of gender dysphoria are ideal candidates for these procedures. Patients are required to have lived successfully for a year in their gender identity after transitioning socially. They are also required to have undergone 12 months of hormone therapy.
Ideal patients are in good overall health with no underlying medical conditions that could hinder healing. The best candidates for surgery are non-smokers and are not obese.
Initial Consultation
Transgender surgery is performed as part of the treatment process for patients with “gender dysphoria” or “gender identity disorder”. From the time they were very young, transgender patients have felt that they were born with the wrong external genitalia. They view gender-altering surgery more as “gender confirmation surgery” rather as “sex re-assignment surgery”. In other words, they simply want their outward appearance to mirror the person they are inside.
All transgender-related surgical procedures are performed on patients only after appropriate psychological evaluation is in place, and it has been determined that the planned procedures are in the patient’s best interest and welfare. The Institute has an international reputation for for the quality and innovative surgical techniques provided to transitioning patients. Our transgender surgery techniques have been featured on several Discovery Health Channel and Showtime medical documentaries.
Learn more about our Transgender Procedures at The International Center for Transgender Care .
Recovery and Healing
Recovery after transgender surgery can take several weeks or more depending on the complexity of the procedures. Swelling, soreness, and bruising are commonly experienced. Pain can be alleviated by prescription medications.
For extensive surgeries, you must avoid strenuous activities for several weeks to ensure proper wound healing. Follow-up check-ups may be required after a few weeks.
Despite our efforts to coordinate with Medicare, we have been unable to communicate with any Medicare representatives who can guarantee approval and reimbursement for transgender surgery. In addition, no one offered contractual agreements with us to provide service. In our test cases with Medicare coverage, there continue to be denials of our claims. Until we receive confirmations of coverage and proof of reimbursement, the language suggests only a lifting of the ban. As a result, we cannot accept Medicare for transgender surgery at this time with such uncertainty still in effect.
Get in Touch
Find out about your options for transgender procedures in Plano so you can change your exterior to fit your gender identity. Contact the American Institute for Plastic Surgery to schedule your consultation.
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Dr. Richard Santucci
Leading Expert in Reconstructive Urology Now Focused on Transgender Surgery
Dr. Richard Santucci, MD, FACS is an expert in Reconstructive Urology who has devoted his career to transgender surgery after spending 18 years as one of the nation’s most distinguished academic Reconstructive Urologists . Dr. Santucci served as the Director of the Center for Urologic Reconstruction and the Specialist-in-Chief for Urology at the 9-hospital Detroit Medical Center, and as a full clinical professor at the Michigan State College of Osteopathic Medicine. Dr. Santucci joined the practice of Dr. Curtis Crane in January 2018, working out of the Austin location of the Crane Center for Transgender Surgery . Dr. Santucci’s deep experience with complex genitourinary surgery uniquely positions him to excel at the most technically challenging gender affirming procedures, such as Phalloplasty and Vaginoplasty.
Dr. Santucci obtained his medical degree from Baylor College of Medicine, Houston, TX and completed his residency at University of Washington Medical Center, Seattle, WA. He’s one of the few fellowship-trained Reconstructive Urologists in the United States. Dr. Santucci is the author of more than 100 scientific articles, abstracts and book chapters, and has served on the editorial boards of more than twelve journals. He is the co-editor of the texts Emergencies in Urology , The Atlas of Urethroplasty , and Penile Reconstructive Surgery . He is also the founding Editor-in-Chief of the online open-access Urology journal, Advances in Urology . Dr. Santucci regularly presents at national and international conferences, and has trained other urologists in complex urethral reconstruction procedures. In fact, he trained both Dr. Curtis Crane and Dr. Mang Chen in the art of Reconstructive Urology . He has a keen interest in surgical education, and has been active in lecturing and demonstrating surgeries at training centers in the United States, Europe, South America and Africa.
“I spent 18 years in the reconstructive urology space, and it could not have been more interesting and surgically fulfilling. Then out of the corner of my eye, I saw a whole “Mount Everest” of reconstructive urology problems—transgender surgery. My wife and I made the hard decision to switch practices, switch cities, and go down to Austin, TX. Most people don’t know that Austin is the home of one of the busiest transgender practices in the world. I was fortunate to fit into their hiring needs, they trained me up, and now I’m a full-time transgender surgeon.” — Dr. Richard Santucci, May 2019
Dr. Santucci is board-certified by the American Board of Urology, and is a member of the American Urological Association and the World Professional Association for Transgender Health (WPATH). He is a Fellow of the American College of Surgeons.
Dr. Santucci is a frequent presenter at transgender conferences in the United States and has co-authored many peer-reviewed academic papers on Gender Surgery .
Dr. Santucci performs the following Gender Affirming Surgery procedures:
- Metoidioplasty: Simple or Full
- Phalloplasty: RFF, ALT and MLDReconstructive
- Urology: Fistula & Stricture Repair
- Orchiectomy
- Vulvoplasty
- Vaginoplasty – Penile Inversion
- Reconstructive Urology: Fistula & Stricture Repair
Dr. Santucci operates at Arise Austin Medical Center and Westlake Hills Surgery Center, both in Austin, Texas.
“It sure was an incredible journey to be a patient at Crane Center (Austin, TX). Every visit was a celebration, pre-op or post-op, Phase I – III. Dr. Santucci – truly an anatomical artist.” – Kinuson S.
Surgery Requirements
Dr. Santucci follows WPATH guidelines for surgery:
- You will need to provide two referrals from qualified mental health professionals.
- A letter from your hormone specialist stating you have been on 12 months of continuous hormones for genital procedures, unless clinically contraindicated.
- 18+ years of age.
Financing & Insurance Dr. Santucci accepts credit/debit cards, cashier’s check, money order, wire transfer and medical financing via CareCredit. He also accepts insurance and is in-network with Cigna PPO, Blue Cross Blue Shield PPO, Commercial United Healthcare PPO and Employer Health Network (Whole Foods). He has also had success billing as an out-of-network provider with Aetna, Group Health, Harvard Pilgrim, HealthPartners and Medica.
Dr. Santucci does not work with the following insurance providers: Medicare, Medicaid, Tri-Care, Kaiser, Ambetter and Oscar Health.
Booking a Consultation Dr. Santucci is available for phone or in-person consultations in Austin. If insurance is out-of-network, then the cost of the consultation is $200. If in-network, the consultation fee is the specialist co-pay. An in-person consultation is not required for booking a surgery date. Contact Dr. Santucci’s office to book your consult and you’ll hear back with more details.
Current wait list: 4-6 weeks for a consultation, 5-6 weeks for a surgery date (after all requirements, such as letters and hair removal, are met.)
Practice Details
Contact info.
Phone: 512-446-9486
Address: Crane Center for Transgender Surgery, 4407 Bee Caves Rd., Suite 612, Austin, Texas, 78746, US
Website: cranects.com
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We welcome patients to visit our clinic and we hope to achieve the best personal and aesthetic outcomes for our transgender patients. Questions? Call 214-645-5560 or email us today to learn more about Transgender Surgery in Dallas, Texas or to schedule a consultation. Contact Us Dallas, TX 972-972-4708 UT Southwest Medical Center
Trusted Transgender Surgery Experts in Dallas, TX The transgender and non-binary community in Dallas has been historically underserved for decades. Our gender-affirming surgeons are here to change that, rectifying generations of failure to support your needs.
We are proud to offer all of our services in a respectful, welcoming environment at our world-class surgical center in Dallas, Texas. We look forward to assisting you in achieving the very best possible results for all of your gender transition procedures. Contact us today to schedule a consultation at (972) 543-2477.
The Crane Center for Transgender Surgery has announced the launch of a gender-affirming hormone clinic at their transgender wellness center in Austin, Texas. The new clinic offers hormone replacement therapy for transgender and non-binary adults through an informed consent model. Both in-office and telemedicine appointments are available.
Female to Male Surgery / FTM Surgery in Dallas TX FTM Top Surgery & Facial Masculinization Surgery What is Involved in Female to Male (FTM) Top Surgery? Female-to-male (FTM) or female-to-nonbinary (FTN) top surgery is a gender-affirming procedure performed for transgender men and non-binary individuals, in order to form a masculine chest.
Gender Surgery We offer the full spectrum of Gender Reassignment Surgery procedures for transgender and non-binary individuals. Top Gender Surgeons We are one of the highest volume Gender Surgery centers in the U.S, and as a team, our surgeons have unmatched experience. Highest Quality Care
The International Center for Transgender Care is located inside and part of The American Institute for Plastic Surgery in Plano, TX. We have recently opened our brand new, state-of-the-art ambulatory surgery center. It is a 20,000 square foot, with five spacious operating room suites (OR suites) and two treatment rooms.
Dr. Hanna completed an internship in general surgery at Hahnemann University Hospital, the first academic medical center in the Philadelphia region to offer a transgender surgical program. He then completed a residency in urology at Bryn Mawr Hospital in Pennsylvania, where he served as chief resident. He later founded the Hanna Gender Center ...
Transgender Procedures Plano, Sex Re-Assignment Surgery Dallas, Body Procedures Ft. Worth, TX Transgender Procedures Initial Consultation Transgender surgery is performed as part of the treatment process for patients with “gender dysphoria” or “gender identity disorder”.
Dr. Richard Santucci, MD, FACS is an expert in Reconstructive Urology who has devoted his career to transgender surgery after spending 18 years as one of the nation’s most distinguished academic Reconstructive Urologists. Dr. Santucci served as the Director of the Center for Urologic Reconstruction and the Specialist-in-Chief for Urology at ...