Body Feminization Surgery

Breast augmentation

Breasts have always been a symbol of femininity. Women naturally have larger breasts than men due to the presence of higher levels of estrogen in their bodies. Having larger breasts can boost your self-confidence and bring you closer to your true identity. It is therefore not surprising that breast augmentation can be an important aspect of feminizing the body and transitioning from male to female (MtF).

What are the differences between the breasts of a transgender woman and a cisgender woman?

The chest structure of a transgender woman is naturally broader. Therefore, a larger cup size may be recommended to create a well-proportioned body.

A transgender woman typically has thicker chest muscles and tighter skin around the breasts. This can make it more challenging (but not impossible) to place larger implants.

For who?

Breast augmentation may not be suitable if:

You smoke, as smoking impairs the healing of scars. There is a greater risk of your body forming a layer of scar tissue around the implants (capsular contracture), which can cause changes in the shape or feel of the breasts. It is important to quit smoking at least 3 weeks before the surgery and 3 weeks after the surgery.

You have a medical condition such as:

• Obesity
• COPD (Chronic Obstructive Pulmonary Disease)
• Diabetes
• Heart problems
• Mental illness
• Autoimmune diseases where your body's immune system attacks something in your body. 

These conditions may increase the risk of complications during or after the surgery. In such cases, we will assess your individual situation and discuss the best options for you.

Recovery

The first few days after breast augmentation: what to do and what not to do?

You will be able to go home on the same day of the surgery. We will ensure that everything is going well, and once approved by our plastic surgeon, you will be allowed to leave. It is normal for the breasts to feel tight. This sensation may vary depending on whether the implants are placed in front of or behind the muscle, but it will subside after a few days. For the best possible results and to expedite your recovery, we recommend the following (unless your plastic surgeon has instructed otherwise):

Do: Rest a lot

During the first 10 to 14 days after your breast augmentation with implants, take it easy. It is helpful to have someone who can assist you. Note: Resting for too long is also not good for the body. Regularly stretch your legs during short walks to reduce the risk of thrombosis or embolism.

Don't: Engage in physical strain

Take it easy and avoid exerting your body as much as possible during the first four weeks after the surgery. This means:

• No lifting heavy objects
• Avoid reaching over your shoulders with your arms
• Do not push yourself up with your hands
• Avoid running, cycling, or engaging in other sports activities
• Walking and gentle hand movements are allowed

Don't: Sleep on your stomach or side

You may not think of it immediately after the surgery, but for the first six weeks following the breast operation, you must not sleep on your stomach. Sleeping on your side is also not allowed. Stomach sleepers will need to adjust. It is best to sleep on your back with an extra pillow under your back to maintain a slightly elevated position.

Don’t: Consume alcohol or smoke cigarettes

Avoid consuming alcohol during the first week after the procedure due to the risk of bleeding. Furthermore, it is recommended to quit smoking from three weeks before the surgery for better results. Nicotine narrows blood vessels and impairs wound healing. This also applies to the use of nicotine patches and gum.