The T-MALE - Top Surgery

Dr. Beverly Fischer
Advanced Center for Plastic Surgery
12205-12207 Tullamore Rd. Timonium, MD 21093
(410) 308-4700 (410) 308-4704 (fax) 0r 
2 Colgate Dr. Suite 101
Forest Hills, MD 21050
(410) 803-9515 (410) 803-9516 (fax)
FtM top surgery, breast augmentation for MtF's

10-11-04 - NEW! Vital Information sent by request (Thank you Nurse Bettye and Dr. Fischer!) Click to read!


Patient 3 Added June 2002

Surgery Date: 05-2001 Surgery Type:  Double Incision w/nipple grafts  Picture Dates:  Top: Before & 8 Months Post-Op Bottom Row: Year Post-Op Testosterone Start Date:  04-1999 Surgeon:  Fischer Had Revision:  No Want Revision:  No Prior Size: 34 D  Bound Prior:  Yes  Had Drains:  Yes for 25 days due to Complications (no details given) Lipo:  Yes  Cost:  5,400 Comments: None

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Patient 2

Surgery Date: 04-18-00  Surgery Type:  Double Incision w/nipple grafts  Picture Date:  July 00- 3 Months Post-Op  Testosterone Start Date:  01-07-00  Surgeon:  Fischer  Had Revision:  No  Want Revision: Yes  Prior Size: 38 DD  Bound Prior:  Yes  Had Drains:  Yes  Lipo: Yes  Cost: 5,200  Comments: I have excess fatty tissue under my armpits, left over from the first surgery. I also want to fix that "dimple" in the middle of my chest. That dimple is there because I was so large and my surgeon didn't know any other way to cut without totally marring the look of my chest. It has flattened out quite a bit and should go down more when I work out. Anesthesia was included in the cost. Fischer has her own surgical facilities and staff so there are no additional costs. FYI, her surgery price has gone up slightly, but not by very much.

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Patient 1 First photo ever shown on the T-MALE around 1998

Surgery Date Unknown Surgery Type Double Incision w/nipple grafts Picture Date Left Photo Row 2 Weeks Post-Op - Right Photo 7 Months Post-Op Revision Testosterone Start Date Pending Surgeon Fischer Had Revision Yes Want Revision N/A Prior Size: 38 D Bound Prior Yes Had Drains Yes Lipo Yes Cost 5,200 Comment Revision $800

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Cam's Detailed Comments: patient #5: These are pictures from my chest surgery done 11 months ago. It was done by Brownstein.  I was on low doses of T in all of these photos, 100mg/2wks for 4 years.  I didn't bind, but wore the Frog Bra. I am just starting my transition, in all of these pictures  I was still living as female, wearing larger shirts so my flat chest wasn't really noticeable  (the opposite of what most guys do!). I had chest surgery with 2 possible roads ahead: happy that my body looks more like a guys, and continue living as a lesbian or realize that I want to transition fully and would start on a higher T dose when it would be a appropriate time. I did have drains which gave me considerable pain. I used the surgery binder for 20 days after surgery  I was VERY careful not to lift anything remotely heavy or stretch the area for about 5 weeks, and was still pretty careful about it for a month or so later. I'm a high school teacher so I had the summer off and could baby myself a lot. I taped the incision using Mastisol for 5 months (now my incision is flat and the line is very thin)  I'm a nonsmoker (My doctor told me that is very good because smokers take about 50% longer to heal and often don't heal as well.)  I used Retin-A liquid (Rx from my dermatologist) on the scars after I stopped taping, it is supposed to help the scar to continue to heal and not form as much scar tissue. I used it every other day, for about 6 weeks and then stopped because my skin was getting dry from it. Since the area was numb, I decided that if I could feel it, it would probably be pretty irritated and that's why I stopped.  I just started using Mederma last week, for scar fading. I worked out before surgery so that my pec definition would be evident for surgery. I was told by a guy that this helps put the incision line in a place where it is hidden better, but Brownstein said it didn't matter to him. I work out some now, only about 2-3 times a week for an hour. The largest breast size I've ever been was a 38C, but with weight loss and being on the low dose T, I was a small 36B by the time I had surgery. They hung a lot lower than they used to, because I still had the skin from being 38C. I was 35 when I had my surgery. I am going to have a revision with a surgeon in my city. I have "dog ears" on the ends of 3 of the incisions and I wanted them to be fixed. "Dog ears" are on the ends where the skin kind of puffs out some. Mine aren't too noticeable unless I have my arms down on my sides. You can kind of see one on my left side in the pictures. This is common to all surgeons and just really happens some times (I've asked about 3 doctors that!). The revision will cost me $1000, if I went back to San Francisco it would be $850 (Brownstein doesn't charge you for his fee, but you do have to pay fees associated with the surgery center).

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Hi!
     My name is Bettye and I am Dr. Fischer's nurse. I am relatively new to Dr. Fischer's practice, but during the time that I have been here, I can say that the FTM chest surgery is one her favorite surgeries. It has been a very rewarding experience for everyone at the Advanced Center working with the FTM community.

Surgery Types/Procedures, Costs and other great information!
     Dr. Fischer uses one of two approaches regarding the mastectomy.
It is dependent on how much breast tissue you have.  If you are a B cup or smaller, you would be eligible for the periareolar approach.  This means making the incision around the areola and it is virtually a scarless procedure.  The other technique, which is the most popular, is the double incision.  Dr. Fischer makes her incision following the border of the pectoralis muscle, and when it heals, the incision looks like a shadow under the pec.  She gets beautiful contour in the chest and the nipples are replaced as grafts.  They loose erotic sensation, but maintain protective sensation.  Either surgery takes about 4 hours and you will be in recovery for about one hour.
     You will wear a compression vest for about 2-3 weeks and have drains in for about 7-10 days, depending on how much drainage you have after surgery.  We like for you to stay in the area until the drains are removed, if possible.  Or you could have the doctor that does your pre-surgical clearance, or physical, remove the drains.  You should arrange that with him/her prior to surgery, however.
     If you decide to schedule surgery with us, I will send you a list of hotels in the area which charge about $79/night. 
     We also would like for you to have a doctor in your area, preferably a surgeon, who can follow you post-operatively, should the need arise.
     The total cost of the surgery is $6800.00 and that covers everything. 10% is paid on the day that you book your surgery and the balance is due 3 weeks prior to the surgery date. 

Surgery Requirements: You will also need medical clearance from your family doctor.  A history and physical and a blood test, called a CBC is required.  It has no bearing on the surgery if you take testosterone or not.  You will also need a letter from your therapist regarding the gender issue.
     If you have any further questions, please do not hesitate to call me at (410) 308-4700.  We are currently booking about 2-3 months in advance.  All scheduling can be done via phone.  You can put the 10% on a credit card or mail it to us prior to scheduling.  Unfortunately, we do not offer any financing.
     Looking forward to talking with you.

 Sincerely,
Bettye

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