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A Guide To The Right Implants For Your MTF Surgery

| June 6, 2022 August 2, 2023 | |

MTF breast augmentation is a life-changing decision

Breast augmentation surgery is one of the surgical procedures involved in the male-to-female transition of many transgender women who want more prominently feminine breasts. Breast augmentation via implants can be done anytime during the course of the transition.

To achieve the best possible results from the breast surgery, it is ideal for the patient to have taken hormone therapy for at least one year prior to the procedure. If hormone therapy seems insufficient to give you your desired breast size, breast augmentation can also be an option to further enhance breast growth. Aside from your personal preference, you also need to consider your overall physical profile so that your new breasts will appear natural and proportional.

Of course, not all trans women feel that they should go for MTF top surgery. But once you have already made the decision, it is important that you find people who will be with you on this journey.

Breast Implant Considerations

When considering a transfeminine top operation, it is important to ask this question, “Are you prepared emotionally, mentally, and physically to undergo top surgery?” If your answer to this is a resounding yes, you will then have to choose the type, shape, and size of your breast implants:

Saline Implants

Saline implants have an outer silicone case. They are inserted empty only to be filled with sterile salt water once they are in place. This involves smaller incisions that leave less noticeable scarring. However, the ridges of saline implants are more visible in patients with less breast tissue, which is common among transgender women if they have already gone through hormone therapy.

While saline implants are less expensive than silicone, saline implants pose a greater risk of rippling. A few experience water sloshing in their breasts. Some patients also feel that saline implants seem firmer than natural breast tissue.

Silicone implants

Both the case and the gel filling for silicone implants are made of silicone. They are available in a variety of shapes and sizes which patients can choose from. Because of their material, this implant can give a more natural look and feel.

Though they are generally safe and the most known implant type, silicone implants pose a significant risk if they rupture. This is why it is recommended to undergo an MRI every year to check for ruptures.


B-Lite implants are a fairly new innovation in the breast augmentation procedure. These implants have B-Lite microspheres enclosed in a standard silicone case. This implant type is 30% lighter compared to silicone and saline implants.

Though these silicone microspheres were an output of NASA research, they have been safely used in the medical industry for over a decade.

Implant Size & Shape

While it is tempting to look at the breast augmentation results of another transgender woman, please do take the time to discern which implant size and shape conforms to your own body proportion. Research shows that breast implants that are too large for the transwoman patient would indicate a need for breast revision surgery only after six months. Always keep in mind that no two transfeminine bodies are the same, making it too difficult to visualize your desired final results.

Different factors can play a role in the final results of your FTM top surgery such as the amount of breast tissue, the shape of your chest wall, and overall body weight. These are individual physical characteristics that transgender patients should ideally take into consideration.

We Are Happy To Meet You

Breast augmentation via implant is a go-to MTF top surgery for many transgender women who would want to achieve female breasts that hormone therapy alone cannot provide.

Understandably, a lot of transgender women get emotional and doubtful as this is a life-changing decision. It is important to have a surgeon who will understand what you have been going through, and we hope that we can be with you as you navigate your transition.

You are always welcome to schedule a consultation with us, and we are looking forward to meeting you!

About the Author

Dr. Ergun Kocak, MD, is a board-certified plastic surgeon who specializes in plastic and reconstructive surgery of the breast using DIEP, SIEA GAP, TUG, PAP, and direct-to-implant, in Columbus and Cincinnati, OH.
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*Our blog entries are written in order to further educate our patients and raise awareness towards topics related to plastic surgery. Any solutions offered on this blog are intended to help possible patients develop educated decisions before undergoing a consultation with our doctors.

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