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  1. Home /
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  3. Top Surgery Without Testosterone: Your Transition Options

Top Surgery Without Testosterone: Your Transition Options

Explore top surgery sans testosterone. Tailored procedures for authentic transformations. Embrace your journey confidently.

  • Transgender Surgery

By Ipshita Ghoshal

28th Feb '23

Overview

Top surgery without testosterone involves chest masculinization surgery for individuals regardless of their testosterone use or gender identity. It allows people to align their chest with their desired appearance and address chest dysphoria, without committing to hormone therapy. 

A 2022 study shows high satisfaction, but larger, long-term research is crucial for a comprehensive understanding. Surveys suggest a 15-20% preference for TSWT, but may not capture the entire population seeking this procedure.

The administration of testosterone gives a more manly chest and improved manly appearance.

Top surgery has a high percentage of patient happiness and raises standard of living. Trans men reported 94% happiness with their Top Surgery in a 2017 survey.

Most of the respondents said that they had improved their quality of life. They are also supported by medical transition institutions to reduce gender confusion.

top surgery without testosterone

Wondering if top surgery can be performed without testosterone? 

Read below to get all your answers!

Is Top Surgery Without Testosterone Possible?

Question

Absolutely! Top surgery without testosterone is not only possible but becoming increasingly common. Individuals choose this path for various reasons, including:

Gender Exploration without Hormonal Commitment:

  • Top surgery allows chest alignment independent of testosterone therapy.
  • Provides autonomy to explore gender identity separately from hormonal changes.

Preserving Fertility:

  • Top surgery does not pose fertility risks, unlike testosterone.

Avoiding Testosterone Side Effects:

  • Independent choice of top surgery helps manage aspects like acne or mood changes separately from potential testosterone side effects.

Want to inquire about personalized treatment expenses? Don't hesitate. Talk to us today.

Are There Any Risks or Complications When Doing Top Surgery Without Testosterone?

Worried about what risks come with top surgery without testosterone? Let's find out!

Risks

Top surgery for transgender males and nonbinary individuals carries the same risks as any other significant procedure. 

The risks include the potential for bleeding, infection, and anesthesia-related complications.

There may be additional issues, such as:

Risks of top surgery without testosterone

Confused how the top surgeries are different with or without testosterone?

Continue reading to find out!!

Is it different from top surgery with testosterone?

Top surgery without testosterone and top surgery with testosterone can be different in terms of the final aesthetic outcome, recovery time, and potential complications.

Differences between top surgery with and without testosterone

Basis of differenceTop surgery without testosteroneTop surgery with testosterone
Final aesthetic outcomeMore prominent and defined chest and muscles.Chests and muscles are less prominent
ComplicationsRisk of complications such as skin necrosis, seroma, or hematoma.Affects skin elasticity and thickness
Recover TimeSlow recoveryFaster recovery

Results & Recovery of Top Surgery Without Testosterone

before/after top surgery without testosterone

Although this can change based on the person's body type, health, and the medical method used, top surgery without testosterone can produce different outcomes and require a slower recuperation than top surgery with testosterone.

Results:

  • Reduced chest dysphoria: The primary benefit for many individuals is decreased chest dysphoria, the distress some feel about their breasts.
  • Masculinized chest appearance: Various techniques like double mastectomy or nipple-sparing mastectomy can achieve a more masculine chest contour.

Positive Impacts:

Enhanced Body Image and Confidence:

  • Reduced dysphoria and a chest appearance in line with one's identity can significantly boost self-confidence and overall well-being.

Fertility Preservation:

  • Top surgery, unlike testosterone, doesn't pose risks to fertility.

Recovery:

Similar to Traditional Top Surgery:

  • Recovery process resembles that of top surgery with testosterone.
  • Includes pain management, wound care, and a gradual return to regular activities.

Potential Nipple Changes:

  • Sensation and appearance may vary based on chosen technique.
  • Discuss desired outcomes with your surgeon.

Ongoing Research on Long-term Effects:

  • Full spectrum of long-term effects like scar tissue development or nipple sensitivity changes is still under investigation.
  • Research ongoing to understand the complete picture.

Take the first step to recoveryGet in touch with us for your treatment.

Are you wondering what is the relapse rate of top surgery without testosterone?

Does no testosterone have any impact on the relapse rate? 

Find the answers below! 

Curious to know how successful is top surgery without testosterone? 

What is the Success Rate of Top Surgery Without Testosterone?

Determining the success of top surgery isn't necessarily tied to testosterone use. It's not a prerequisite, and individuals not taking testosterone can still achieve successful results. 

A 2022 study on 57 participants who had top surgery without testosterone reported high post-operative satisfaction. Impressively, 94.6% expressed moderate to strong satisfaction with their chest appearance, while 84.2% experienced significantly reduced chest dysphoria. 

The study's low 3.5% complication rate further supports that top surgery can be a safe option for individuals not on testosterone.

Relapse Rate of Top Surgery Without Testosterone

Relapse Rate of Top Surgery Without Testosterone

The relapse rate of top surgery without testosterone depends on various factors. These may include surgery type, amount of breast tissue removed, age, weight and overall health.

The relapse occurs when there is residual breast tissue remaining in the body. 

The relapse rates are similar in people having top surgeries with or without testosterone. The overall relapse rate of top surgery without testosterone is 2.6%.

Are you confused and wondering should you go for top surgery with testosterone or without testosterone and which is the most recommended option? 

Conclusion

Top surgery without testosterone can be a trustworthy and effective choice. For those looking for a more masculine breast appearance. Top surgery can still give the chest a flatter, more manly look without testosterone treatment, despite the fact that testosterone therapy can encourage chest muscle development and increase subcutaneous fat in the chest region.

So, what are you thinking? 

Call today and get free Consultation!
Have some more questions related to top surgery without testosterone? 

Then do not miss reading the below FAQs.

You might get an answer to your question!

FAQs

FAQ

  • What is the duration of top surgery without testosterone?

The duration of top surgery without testosterone procedure can vary depending on several factors, including the specific surgical techniques used, the individual's unique anatomy, and the surgeon's experience and skill level.

Generally, top surgery without testosterone can take between 2 to 4 hours to perform. However, this is just an estimate and the actual duration of the surgery may be shorter or longer depending on the individual case.

  • What is the cost of top surgery without testosterone? 

The cost of top surgery without testosterone can vary depending on several factors, including the specific surgical technique used, the surgeon's experience and skill level, and the geographic location of the surgical facility.

In general, top surgery without testosterone can cost anywhere from $5,000 to $15,000 or more. This cost may include the surgical fees, anesthesia fees, and facility fees, but may not include additional expenses such as pre-operative consultations, follow-up appointments, and any necessary medications or medical equipment.

It is important to note that the cost of top surgery without testosterone may not be covered by insurance, as many insurance policies have exclusions for gender affirmation procedures. However, some insurance plans may cover the cost of the surgery if it is deemed medically necessary.

  • Who can undergo top surgery without testosterone?

Top surgery without testosterone is a procedure that can be performed on individuals who are transgender or non-binary and wish to have a more masculine chest appearance, but have not undergone testosterone hormone therapy or choose not to undergo it.

There is no specific requirement for hormone therapy prior to top surgery. Some individuals may not want to or be able to undergo hormone therapy due to medical reasons or personal preferences, while others may not require it to achieve their desired body shape.

  • Does top surgery without testosterone work?

Yes, top surgery without testosterone can be an effective way to achieve a more masculine chest appearance for individuals who are transgender or non-binary and have not undergone or choose not to undergo testosterone hormone therapy.

  • Which types of top surgery can be performed without testosterone?

There are several types of top surgery that can be performed without testosterone. Some common types of top surgery that can be performed without testosterone include Double incision mastectomy, Peri areolar surgery, Keyhole surgery, and Inverted-T surgery. 

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Question and Answers

In ftm hrt, would the physical effects be noticeable? I have family that are very conservative and am just wondering whether they will be able to notice.

Male | 15

Indeed, the physical results of FTM HRT are visible but may differ depending on an individual. It is possible also to identify some physical changes such as a deepening voice, facial and body hair growths, and redistribution of the fatty mass. It is best to consult with a gender-affirming healthcare provider who specializes in trans healthcare

Answered on 29th Jan '24

Dr. Vinod Vij

Dr. Vinod Vij

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