It also discusses factors that affect these costs. Transmasculine top surgery costs may include: Surgeon's fee Hospital or surgical facility costs Anesthesia fees Get all the answers here! For several years now, patients have had great results with this approach and have not had to endure the discomfort that drains often cause. Due to the uniqueness of the surgery, the methods used and procedure duration may affect the cost. Medicare and some state Medicaid plans also cover Top Surgery but finding Surgeons who accept Medicare and Medicaid can be a bit challenging. Double Incision involves two horizontal incisions, at the top and bottom of the pectoral muscle. Performing top surgery since 1996, Dr. Medalie is one of the most sought-after top surgeons in the United States. Potential complications include: bleeding, infection, hematoma, seroma, loss of nipple graft, poor healing of incisions, reaction to anesthesia, changes in pigmentation of the nipple and areola, permanent loss of nipple sensation and contour irregularities. Meres vision and voice bring a deeper understanding of gender to our world. It would take 6 to 8 weeks to recover from your transgender surgery. There are a number of different procedures that can be used to achieve a more flat, masculine, or male looking chest. The female to male surgery is a transition surgery that people assigned female at birth (AMAB) undergo. Whether it's a virtual or in-person consultation, be sure to have prepared all of your questions in advance. More about Dr. Hanna , Dr. Curtis Crane, MD Read along to find detailed cost information regarding various MTF surgeries and cost comparisons between different countries. The International Center for Transgender Care is located inside and part of The American Institute for Plastic Surgery in Plano, TX. No matter their gender identity, all top surgery patients should perform regular breast and chest self-exams before and after surgery. What Side Effects or Risks Are Common After Breast Reduction Surgery? Key information includes: There are a number of things you should do to prepare for top surgery. Right? Read this first. Often, surgeons will require a down payment to reserve your operation date. Search by U.S. State, Procedure and Insurance Search by Country and Procedure Browse the Global Surgeon Maps. Of course, you should speak with a financial advisor to make sure you don't wind up in a financially unstable position. Preparing a week's worth of meals in advance is also recommended. We avoid using tertiary references. Phalloplasty is a set of surgical procedures in which male genitals are constructed utilizing tissue from the forearm and genitals, and from . Call Today - (214) 645-5560 For example, the Keyhole and Peri-areolar methods tend to be less expensive than Double Incision. This may or may not include consultation fees, hidden fees and medical supplies. For chest feminization procedures, the scars will be located underneath the breasts. After Top Surgery, you'll wake up in a recovery room where you'll be monitored for any complications. Wait List Dr. Reids wait list for a surgery date is a few weeks. Dr. Reid is one of three physicians named a Top Plastic Surgeons in Austin by Castle Connolly, US News and World Report. Healing will continue for several weeks, with a reduction in swelling and improvements in mobility. Phalloplasty involves the formation of a penis and urinary tract (to stand while urinating). Dr. Your Surgeon will explain in detail the risks associated with Top Surgery and you'll be asked to sign a consent form to confirm that you fully understand the potential for complications. DOI: Olson-Kennedy, et al. The cost varies depending on the technique required to achieve the desired result. Some studies indicate that progesterone may help to suppress androgen production, reduce masculinization, and promote feminization in transgender women. Youll typically have a choice between saline implants (filled with saltwater) or silicone implants (filled with silicone gel). . United Health Care. We have recently opened our brand new, state-of-the-art ambulatory surgery center. Gynecomastia surgery removes unwanted, excess breast tissue, chest fat, and skin in people assigned male at birth. Some surgeons can require up to 50 percent of the surgery cost up front. Top Surgery Midwest. Orchiectomy may be a first step in gender confirmation surgery for transgender women. Female to Male (FTM) Top Surgery. Some Surgeons run a nicotine test prior to surgery and will cancel your surgery date if you haven't quit. Hes a Fellow of the American College of Surgeons and belongs to numerous professional societies, including the American Society of Plastic Surgeons, American Society of Aesthetic Plastic Surgery, Texas Society of Plastic Surgeons, Texas Medical Association, and the Rhinoplasty Society. med.uth.edu/surgery/faculty/daniel-j-freet-md-facs/. All rights reserved. Your Surgeon may have recommendations for scar treatment options. Social media is driving some of the demand. General anesthesia is used but patients are rarely catheterized. Identify Top Surgery Surgeons who are located near you. It's also called feminizing breast surgery, breast augmentation, chest construction or breast mammoplasty. The large majority of the complications and risks associated with all top surgeries are the same as those associated with any surgery, such as reactions to anesthesia, blood clots, and infection. I am going to have top surgery in December. Smoking shrinks small blood vessels (vasoconstriction), which reduces the amount of red blood cells (hemoglobin) available to your body and interferes with the release of oxygen (fuel your cells need) to your cells. When you're looking at paying for something as expensive as top surgery, it's important to know what you're paying for. Oral testosterone is available; however, some experts believe it can have negative effects on the liver and opt for alternative methods. . But as with any medical procedure, top surgery can be expensive. The demand for such surgeries is gaining traction among transgender people around the world. Known for his surgical expertise, Dr. Reid is committed to giving back to the LGBT community. To ensure theres no added pressure or weight on the surgery site, you will have to sleep on your back for at least the first week after surgery. Persistent, well-documented gender dysphoria, Capacity to make a fully informed decision and to consent for treatment, Be of the age of majority in the country of surgery*, Significant medical or mental health concerns, if present, must be reasonably well controlled at the time of surgery. You can learn more about how we ensure our content is accurate and current by reading our. The use of nicotine gum and patches interferes with healing in the same way as nicotine in cigarettes. Strenuous exercise or lifting more than 10 pounds can usually be resumed after 8 weeks, but ask your Surgeon before doing any chest-focused weight lifting. It's a major operation, and unfortunately, it won't always be covered by insurance. 255 Lebanon Rd, Suite 112 Address: The International Center for Transgender Care, 6020 W. Plano Pkwy, Plano, TX, 75093, US. Drains are removed at the first or second post-op appointment. Some have been more receptive than others. (Exact pricing can only be determined following an in-person consultation.). More about Dr. Reid Dr. Daniel J. Freet, MD, FACS Be clear with your surgeon about your needs, and you'll find the right operation for you. His results are natural-looking and consistent. A good Top Surgery Surgeons will answer questions until you're satisfied. That said, Top Surgery is a specialized procedure with relatively few Surgeons who frequently practice it and you may need to travel to find the best Surgeon for you. (415) 625-3230 California FtM Hormone Therapy How Much Does Testosterone Cost? Of course, two of the biggest things you'll be paying for is the actual surgeon's fee and the anesthesiologist's fee. If you are traveling for surgery, be sure to ask Dr. Dulins staff for information about ways to make your trip more comfortable and convenient. Plano, Texas 75093 Surgery scars are notorious for being prominent and very visible. It also includes the removal of the ovaries and the female genitalia. FTM Top Surgery San Antonio TX FTM double incision mastectomy (breast reconstruction/removal) is performed on female-to-male patients who present for reduction/removal of the breasts. The impact of male chest reconstruction on chest dysphoria in transmasculine adolescents and young men; A preliminary study. If you're planning on using insurance, a grant, or a loan to cover your surgery, you'll need to make sure the payout comes before you need to reserve your surgery date. Hormone therapy with Testosterone is not required for having Top Surgery. Dr. Sherie is a board-certified surgeon who has extensive training in FTM surgery procedures. The Food and Drug Administration (FDA) issued a new warning for breast implants that requires healthcare providers to thoroughly communicate the risks, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Around 0.005% to 0.014%, i.e. My surgery went amazing and I couldnt be happier with my results! Tasteful, Address: Restora Austin Plastic Surgery Centre, 901 W. 38th St., Suite 401, Austin, TX 78705. Surgeons say fat infusion and facial surgery are two of the more popular procedures. Poor healing and less favorable scars are more common in smokers. This only requires one surgery. Dr. Reid has experience performing Keyhole, Peri-Areolar, and Double Incision Top Surgery procedures for trans men living in Texas and nearby southern states. You must stop hormone treatment 3 to 6 weeks before your transgender surgery. Cost: The overall surgery cost can burden people financially, from the doctors fee to surgery fees. If you're over 40, your Surgeon may also require you to have a mammogram before surgery. Vaginectomy is the procedure of removal of the vaginal canal and vaginal openings. Surgeon location isn't the most important factor in choosing a Surgeon but there are many benefits to working with a Surgeon who's closer to home, especially during recovery. Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and . Transgender Top Surgery, Austin | Dr. Reid - Restora Austin Plastic Surgery Call us to schedule a consultation 512-371-8817 Schedule a Consultation Home Transgender Top Surgery Transgender Top Surgery Getting the right care can be difficult for the transgender or non-binary community. Ideal for medium to large chested men who prioritize nipple-areola size, positioning, sensation and pigmentation. 972-327-5524 Blue Cross. Theres typically a hospital or facility fee and anesthesiologist fee added to the total bill. It's important to be honest with your Surgeon about cannabis use because it can negatively interact with anesthetic drugs. These include: Well, before we discuss the cost, let's get some light on what hormone therapy is in female to male surgery. As incisions heal, you might experience some itching and shooting pains. Dr. Reid is also a member of the World Professional Association for Transgender Health (WPATH.). ClinicSpots powered by Digicore Technologies Pvt. These charges are mostly not included in the package and must be planned. Hanna Gender Center I am an FTM transgender man and I am 17 years old. Quality of life improves early after gender reassignment surgery in transgender women. Good credit (A, B, C) and a minimum monthly income of $1500 is required. The most common techniques surgeons use are called double incision, periareolar, and keyhole. Additional Charges: The hospital room rent and the stay until recovery can heavily impact the final bill amount. It may be 6-12 months before your chest settles into its new shape. Use several pillows to elevate your upper body to reduce swelling. Out of Town Patients Dr. Dulin regularly works with patients who travel to Texas from out-of-state and from abroad. For some transgender people, gender confirmation surgery is an important and affirming part of the transition process. The procedure is also called transgender . We look forward to assisting you in achieving the very best possible results for your mastectomy procedure. Hormone replacement therapy (HRT) is a treatment that's helping millions of people worldwide alleviate symptoms caused by hormonal imbalances. Informed consent is a health care model that allows patients to make decisions about their gender identity and health care. Top Surgery revisions are fairly common. Working on developing the muscles in your chest can help improve results by providing the Surgeon with more contour to work with. Two letters: One from licensed therapist and if on HRT, one from physician who monitors hormones. (415) 625-3230 California (512) 446-9486 Texas Identify Top Surgery Surgeons who are located near you. Smoking also reduces the ability of your heart and lungs to recover quickly from the effects of surgery. You are put under general anesthesia for the duration of the surgery. If you have insurance that covers Top Surgery, a good place to start is to call your insurance company, or a benefits rep. where you work, and ask about in-network plastic Surgeons and if your plan has out-of-network benefits. Dulin makes you feel very comfortable and is extremely patient when answering any questions or concerns., Very professional and welcoming staff. Silicone implants have the reputation of being softer and more natural appearing while saline implants are often less costly and can be inserted through a smaller incision. Facial feminization surgery (FFS) is a key surgery for many trans women, and Dr. Dulin has the experience to address facial features with procedures such as a brow lift, cheek and/or chin implants, lip augmentation, and rhinoplasty, among others. Female to male (FTM) Top Surgery involves removing the breast tissue with a mastectomy. Increasingly, insurance companies are paying for Top Surgery because it's considered a medically necessary procedure. Transgender surgery or Gender-affirming surgery is an important part of allowing transgenders to feel comfortable with their identities. When to stop hormone treatment before my transgender surgery? Dr. Reid is double board certified by the American Board of Surgery and American Board of Plastic Surgery. Board-certified; WPATH member; accepts insurance and medical financing; $150 consult; wait list: 1 month for consult, 3 months for surgery date. Keep reading for more information. The skin is left in place but comes to rest flat on the chest muscles, resulting in a masculine form. TransHealthCare.org uses cookies and other tracking technologies to improve your browsing experience on our website, to analyze our website traffic, and to understand where our visitors are coming from. If Top Surgery results need improvement or correction of aesthetic irregularities, a revision surgery can be performed 6-12 months after the original Top Surgery. You won't be able to carry any luggage after surgery and you'll need someone to drive you home and stay with you for at least 24 hours after discharge. Everything You Need to Know About Gynecomastia Surgery, What to Know About Breast Reduction Surgery, Nonsurgical Breast Lifts: 11 Options to Consider, Why the FDA is Ordering Stronger Warnings for Breast Implants. JAMA Pediatr . I am very happy in my decision to have had my surgery done by Dulin and his office., I have many Trans* friends who recommended Dr. Dulin, and after my surgery, I can see why. Here are the 10 most common concerns after breast reduction. You'll need assistance from a friend or loved one to go home from the surgical center. It is a 20,000 square foot, with five spacious operating room suites (OR suites) and two treatment rooms. When reviewing Top Surgery before and after photos, keep in mind that many of these photos are taken just weeks after surgery. Reid and the team at Restora transformed my life performing perfect Top Surgery for me and making me feel so comfortable and cared for throughout the experience. He received his medical degree from Texas Tech University School of Medicine, where he graduated first in his class. Most transgender men begin their gender affirmation path with HRT or hormone therapy and counseling. Let's discuss all the procedures followed in female to male transgender surgery and their respective costs. A down payment is usually required to secure a surgery date, ranging from $500 - $2000, and up to 50% of the total Top Surgery cost. Dr. Dulin does not accept Medicaid or Medicare. ), Keyhole Top Surgery or Peri-areolar mastectomy. Dr. Grunwaldt performs keyhole, periareolar, and double incision FTM TOP surgery. Top Surgery involves breast removal and male chest contouring, and may also include free nipple grafts, or nipple/areola resizing and repositioning. You can have a support person with you during the consult, if you like. All rights reserved. cranects.com Dr. Alan Dulin, MD is a board-certified surgeon with many years of experience performing transgender surgeries in the Dallas area, including Top Surgery and Metoidioplasty for trans men, and Breast Augmentation, Facial Feminization and Orchiectomy for trans women. Finding out whether or not Top Surgery is right for YOU is a journey that only you can take, but if it is, chances are that, like most trans masculine people, you'll be pleased with the results. The average cost range for this surgery is between $5,000 and $10,000. FTM Top Surgery in Texas Dr. Dulin performs a few different types of Top Surgery: Double Incision with free nipple grafts Double Incision with free nipple grafts plus Liposuction (to reduce likelihood of "dogears" in patients with extra lateral chest tissue.) Nipples are removed, re-sized and grafted back on to the chest. The cost of arm lift surgery includes the surgeon's fee, anesthesia fee and operating room fee. Once I walked in the door for my Top Surgery consult, I immediately felt a sense of relief simply from how welcoming the staff were. And while some companies may refuse at first to cover what they consider a cosmetic surgery, you might still be able to get your operation covered by insurance. Yes !! The average range for cost of FTM and FTN top surgery is currently between $3,000 and $10,000. The resulting ring of skin around the areola is removed. With Double Incision, the Surgeon has more control for creating a male contour, nipple size and location. It can help alleviate feelings, Breast reduction surgery is a relatively safe procedure. Dr. Keyhole procedures are best for patients with smaller breasts and more elastic skin. Ideal for small chested men, or those with B-sized chests and good skin elasticity. These surgeries can cost anywhere from $5,000 to $10,000. When budgeting for Top Surgery, keep in mind that even if you have insurance, you may still be responsible for covering fees associated with liposuction and/or nipple grafts. UT Physicians Whether it's for menopausal symptoms, endometriosis, or transgender hormone therapy, HRT is being utilized by many individuals to improve their quality of life. Keep your elbows below shoulder height for at least the first month to avoid stretching your scars. Collaborating with the The San Francisco Department of Public Health and The UCSF Child and Adolescent Gender Center, Mere develops programs and resources for trans and nonbinary youth. Top Surgery is a day surgery that is performed in 2-4 hours. Top surgery, or male chest reconstruction, involves the surgical removal of breast tissue and tailoring of the remaining chest skin, when needed, to generate a masculine chest contour. 512-446-9486 Despair not, we have brought you information on the chances of such a situation and how to deal with it. There's also the potential for Dog Ears if lateral chest wall excision/liposuction isn't performed. This specific procedure often results in decreased nipple sensation and more significant scarring. Find a list of questions to ask at a Top Surgery consultation here. This 20,000 square foot facility is fully accredited with licensure through the Texas Department of Health, and also maintains Federal Medicare Certification, the highest level of certification in the U.S. for an ambulatory surgery center. The WPATH Criteria for FTM Top Surgery are: *Younger individuals may be considered for Top Surgery if they, their legal guardians, and their mental health professional are all in agreement that Top Surgery is medically appropriate. This is done in two stages. Note: Only Medicare Advantage plans are accepted (also known as Part C.), Dr. Dany Hanna, DO Your GCS or GRS surgery will conduct under general anesthesia and involves a 6 to 8 days hospital stay. According to a study, 94 percent of men who underwent FTM surgery for treating gender dysphoria and transgender body dysmorphia, were satisfied with the results, depending on their procedure type. We'll tell you what to expect from penectomy, including information about the procedure and the recovery period. If your insurance company denies your claim, look into their appeals process; you may still be able to get covered. Dr. If you don't have insurance that covers Top Surgery, you'll need to save up somewhere between $5000-$15,000. Aetna (Student Services for University of California System) Cigna. Find a list of questions to ask at a Top Surgery consultation here. As someone who is trans, I could not be more satisfied with the level of care I received there.. There are several factors that can contribute to this price, including which surgeon you use and which area you're in. The Surgeon will also have questions for you, regarding your transition, surgery goals, current health, drug allergies, and alcohol, tobacco and drug use. Dr. Amirlak works with endocrinologists and psychologists both at UTSW and Children's hospitals, as well as other Dallas communities. There are many factors that Dr. Kim will discuss with you during your consultation. Painful intercourse is a common but serious problem among women. If you can pay off the debt before interest starts accruing, medical financing can be a good way to bridge the gap between your savings and your Top Surgery costs. The exact techniques employed for a patient's FTM top surgery can affect the overall cost of the procedure. While we are told that it is to be expected with any surgery, it certainly makes our self-esteem take a hit. The surgeons perform phalloplasty surgery to lengthen the penis and urethra. One technique, called phalloplasty, uses tissue from either the forearm or the thigh to create a phallus and a urethra for standing urination. You will be admitted to the hospital the day before your GRS for blood tests and bowel preparation. The average cost range for MTF and MTN top surgery varies greatly depending on factors such. For female-to-male, top surgery involving mastectomy ranges from $7,800 to $10,900, depending on the . The average cost of vaginectomy for FTM transition is USD 759 to USD 1266. Metoidioplasty can also include: Vaginectomy, Urethroplasty, Scrotoplasty and placement of Testicular Implants. In general, the cost of FTM Top Surgery ranges from $6000-$10,000 USD. More about Dr. Dulin The patient will have a dressing placed around the chest that will also stay in place until the first visit . You'll also incur post-operative costs for items such as a compression vest (if your Surgeon doesn't provide one), medications, paper tape, gauze, scar care and more. 2023 Dr. Jaime S. Schwartz MD FACS All Rights Reserved | Privacy & Disclaimer, FTM Top Surgery Cost: Breaking Down The Numbers. If you're BRCA positive, all of the breast tissue should be removed to significantly reduce your risk of developing breast cancer. But as much as possible, follow every avenue until it's close to you; it may be more possible for you to get your surgery paid for than you expect. This procedure is usually an outpatient surgery that takes between 3 and 4 hours for the surgeon to perform. Metoidioplasty lengthens your existing genital tissue, transforming it into a defined phallus. Step 1 The procedure preform under anesthesia. There are several different surgical approaches to Top Surgery but the most frequently performed techniques are Double Incision, Buttonhole, Inverted-T, Peri-areolar and Keyhole. FTM Top Surgery is a gender confirmation surgery procedure that creates a masculine chest. Buttonhole procedures work well for people with smaller breasts who want to keep sensation in their nipples. Under informed consent, here's no letter requirement; the patient only needs to possess accurate information and have the cognitive ability to decide about having surgery. Gender Affirming Surgery at the University of Texas. You may be able to take out a loan to pay for the surgery. Insurance: Most insurance companies worldwide do not yet cover female-to-male transitioning costs. What happens in a female to male surgery? People with gender dysphoria may feel trapped in a body that does not match their true identity and struggle with gender expression and presentation. (3 in 100,000) of people assigned female at birth, are diagnosable with gender dysphoria. Texas has a long history of being a go-to state for Top Surgery due in part to the consistent results from the surgeons at the American Institute for Plastic Surgery in Plano, Dr. Alan Dulin, Dr. Scott Harris and Dr. Peter Raphael, as well as Dr. Gary Lawton in San Antonio, all of whom have been performing Top Surgery for more than 15 years. They were completely respectful of my pronouns and name. Based in the Seattle area, Dr. Won now devotes part of her practice to performing gender-affirming procedures, including FTM Top Surgery and Body Masculinization. Dr. Dustin Reid, MD, FACS Restora Austin Plastic Surgery Centre 901 W. 38th St., Suite 401 Austin, Texas 78705 512-371-8817 www.restoraaustin.com Double board certified, WPATH member, accepts medical financing; informed consent; $150 consultation fee; wait list 3-4 weeks; no drains! This article gives a clear and detailed explanation of all the types of affirmation procedures and their detailed costs.