RECONTOUR (Top Surgery)
Reshape the chest, affirm the identity
RECONTOUR (also called Top Surgery) aims to transform a feminine chest into a masculine-appearing torso. It is one of the central steps in the FtM affirmation journey, creating a masculine silhouette that is both affirmed and aligned with gender identity.
Several techniques exist depending on body type:
Double-incision mastectomy: suited for larger chests or cases with excess skin.
Periareolar mastectomy: best for smaller chests, with a more discreet scar.
Pectoral implants: to enhance muscular contour or complement surgery.
Double-incision mastectomy
Procedure: removal of breast tissue through two horizontal incisions under the pectoral, with repositioning and reduction of the areola.
Indications: larger chests, excess skin after weight loss (including Ozempic® / Wegovy®).
Results: flat chest, visible scars that fade over time.
Periareolar mastectomy
Procedure: circular incision around the areola, removal of breast tissue, skin redraping.
Indications: small breasts, firm skin, good elasticity.
Results: nearly invisible scars, natural masculine chest.
Pectoral implants
Procedure: placement of cohesive silicone implants under the pectoral muscle.
Indications: patients with little muscle volume or wishing to enhance chest contour.
Results: more defined, muscular masculine chest.
Mastectomie double incision:
Deux incisions horizontales sont pratiquées sous le muscle pectoral.
Retrait complet du tissu mammaire et de l’excès cutané.
Réduction et repositionnement de l’aréole (greffe libre).
Mastectomie périaréolaire:
Incision circulaire autour de l’aréole.
Retrait du tissu mammaire par voie périaréolaire.
Retrait modéré de peau et redrapage cutané.
Aréole conservée et ajustée pour correspondre à un aspect masculin.
Implants pectoraux:
Incision discrète le long de l’aisselle ou au bord du muscle.
Création d’une loge sous le muscle pectoral.
Mise en place d’implants en silicone cohésif, spécialement conçus pour imiter le galbe musculaire.
General anesthesia.
1-2h30 hours.
Day surgery, without hospitalization.
Compression dressing, chest bandage, or postoperative vest worn for 4–6 weeks.
Drain removal after a few days (in the case of mastectomy).
Swelling and bruising for 1–3 weeks.
Return to work in 1–3 weeks.
Sports after 6–8 weeks.
Flat, masculine chest, or a fuller, more defined masculine chest (with implants).
Stable, long-lasting result with a positive impact on body image.
FAQ
No, technique depends on anatomy and your preferences: double incision for larger chests, peri-areolar for small ones, implants to enhance contour.
Yes, but they fade over time and can be concealed with hair or tattoos.
Areolar sensitivity may decrease, especially with double incision, but often returns partially.
