Overview
No Nip Top Surgery, also known as aesthetic flat closure, is a type of gender-affirming surgery where the breasts are removed without reconstructing the nipples. This procedure is often chosen by individuals who prefer a completely flat chest appearance without the presence of nipples or areolas. The surgery involves creating a smooth, flat chest contour and can significantly enhance the individual’s comfort and body confidence. Recovery from No Nip Top Surgery typically involves managing swelling and ensuring proper healing of the incisions.
Chest reconstruction top surgery comes under “FTM top surgery”, “chest masculinization surgery” or “top surgery to remove chest tissue and flatten the chest. We use the term “chest reconstruction top surgery” because it is acceptable to a broad audience, such as non-binary patients.
During the procedure, the surgeon makes incisions around the areola and removes the breast tissue. The chest is then contoured to create a flatter and more masculine appearance. It is a process of top surgery without nipple grafts. The incisions are closed, and a compression garment is worn to support healing.
This type of surgery can be a good option for individuals who want to achieve a more masculine chest appearance but do not want or need nipple reconstruction. It can also reduce the risk of complications with nipple grafting, such as loss of sensation or poor healing.
It's important to note that this surgery is performed on individuals who have been on hormone therapy for at least a year and who have stable gender identities.
Interested in No Nip Top Surgery? Book a consultation with the best Plastic surgeons for professional guidance and answers to your concerns.
Is no nip top surgery possible? Does it work?
Yes, no nipple top surgery is possible and can be an effective option for binary or trans men people. The procedure involves removing breast tissue and reshaping the chest to create a flatter and more masculine look without creating new nipples.
It's important to note that no nipple top surgery is not suitable for everyone. It is performed on individuals who have been on hormone therapy for at least a year and who have stable gender identities. It's also important to have realistic expectations about the outcome of the surgery.
Now you might be wondering: "How does No Nip Top Surgery work? We'll explain the surgical process and what makes it unique."
How does no nipple top surgery work?
It involves removing breast tissue and reshaping the chest to create a flatter and more androgynous appearance.
The surgery is performed under general anesthesia. The specific technique used may vary depending on the individual's anatomy and desired outcome. The basic steps of the procedure include the following:
- Incision: The surgeon will make one or more incisions around the areola. Through it, they will remove breast tissue and excess skin.
- Breast tissue removal: Using surgical instruments, the surgeon will remove breast tissue from the chest.
- Chest contouring: Once the breast tissue has been removed, the surgeon will contour the chest to create a flatter, more masculine or androgynous look. This may involve removing extra tissue or reshaping the chest using surgical techniques.
- Closure: The incisions will be closed using sutures or surgical staples. After that, a compression garment will be applied to the chest to aid in healing and support the chest during recovery.
Following the surgery, individuals will need to rest and recover for several weeks, during which time they may experience some discomfort, swelling, and bruising. It's important to follow all post-operative instructions provided by the surgeon and attend all follow-up.
If you're interested in no nipple top surgery, Understanding the pros and cons can help you make an informed decision.
Benefits and Risks
Benefits | Risks |
| Reduced risk of complications: By avoiding nipple grafting, the risk of complications, such as loss of sensation, poor healing, and scarring can be reduced. | Infection: Infection can occur at the incision site and may need extra treatment. Dissatisfaction with cosmetic result: As with any cosmetic surgery, there is a risk of not achieving the desired cosmetic result. |
| Improved self-esteem: For many individuals, having a more masculine chest can improve self-esteem and body confidence. | Scarring: While efforts are made to minimize scarring, scarring is a common outcome of surgery. |
Don't let the fear of complications prevent you from getting the top surgery you want. Know here if you are a good fit for the surgery.
Eligibility criteria for the surgery
The eligibility criteria for this surgery may vary depending on the surgeon and their practice.
- Age: Must be at least 18 years old.
- Gender dysphoria diagnosis: If a person is diagnosed with gender dysphoria by a mental health professional who follows DSM-5 criteria, they are eligible for the surgery.
- Hormone therapy: Some surgeons may need individuals to undergo hormone therapy before surgery.
- Body mass index (BMI): Surgeons may consider an individual's BMI when determining their eligibility for surgery.
- Good health: Individuals must be in good health to undergo surgery. These include a physical exam, medical history review, and lab tests. It is to ensure no underlying health conditions that could complicate the surgery.
Decided to go for the surgery? Let's get prepared! Talk to the top plastic surgeons and Follow their comprehensive guide to ensure you're ready for the procedure.
How to prepare for no nip top surgery?
No nip top surgery involves several steps. This includes medical tests, pre-operative instructions, and lifestyle changes.
Here are some general guidelines for preparing for no nip top surgery:
| Steps | Details |
Consultation with a surgeon
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Medical tests
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Medication and supplement adjustments
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Pre-operative instructions:
The surgeon will provide specific pre-operative instructions, which may include:
- Fasting for a certain period before surgery
- Showering with an antiseptic solution the night before or morning of surgery
- Avoiding smoking, alcohol, and drugs before surgery
- Arranging transportation to and from the surgical facility
- Wearing comfortable and loose clothing on the day of surgery.
It is important to follow the surgeon's instructions carefully. To ensure the best possible outcome. Preparing for no nip top surgery can be a big step, and individuals may benefit from seeking support from friends, family, or a therapist during the process.
What to expect after no nip top surgery?
Pain management: Pain medication may be prescribed to manage discomfort after the surgery. It is important to take the medication as directed and not to exceed the recommended dosage.
Activity Restrictions: Avoid heavy lifting, strenuous activities, and raising your arms above your head for several weeks.
Rest and recovery: Initial recovery takes about 2-4 weeks, but complete healing can take several months.
Drainage Tubes: You may have drainage tubes in place for a few days to prevent fluid buildup.
Compression Garments: Wearing a compression garment as recommended to help reduce swelling and support the chest.
Incision Care: Follow your surgeon's instructions for caring for the incisions to prevent infection and promote healing.
Scarring: Scars will be present where the incisions were made; these will fade over time but won't disappear completely.
Follow-up appointments: Patients should attend follow-up appointments with the surgeon. It is to track the healing process and ensure that there are no complications.
According to Dr. Vinod Vij, a renowned Plastic Surgeon, “Patients will need to avoid strenuous activities and also lifting anything heavy, essentially anything that may put stress on the incisions or use the chest muscles. Patients can usually return to all normal activities within four to six weeks.”
When will the results be seen?
Results are visible immediately after the surgery. For individuals who have struggled with body dysmorphia or discomfort with their chest. No nip top surgery or body contour surgeries can provide a boost in self-confidence. However, it is important to note that there will be swelling and bruising in the chest area that can take several weeks to fully subside. The final results of the surgery can typically be seen several months after the surgery when the body has healed.
How long do they stay?
The results of no nip top surgery are generally long-lasting. It is also important to maintain a healthy lifestyle to ensure that the results remain optimal. The surgery does not prevent future changes in the chest, such as weight gain or hormonal changes that can cause breast tissue to grow. While the results are long-lasting, they are not considered permanent. More surgery may be required in the future to maintain the desired appearance.
Success rates of no nip top surgery
Top surgery without nipple reconstruction has a high success rate. Most individuals reported satisfaction with their chest appearance and a reduction in chest dysphoria.
- Top Surgery has a high percentage of patient happiness and raises the standard of living. Trans men reported 94% happiness with their Top Surgery in a 2017 survey.
- Of respondents who underwent at least one form of gender-affirming surgery, 88% reported being “a lot more satisfied,” and 9% said they were “a little more satisfied” after surgery.
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Cost of No Nip Top Surgery
The cost of chest reconstruction surgery which involves the removal of the nipples, can vary depending on different factors. Such as the surgeon's experience, geographic location, and other medical services required before or after the procedure.
The cost generally can range from $8,000 to $20,000 or more.
Wondering whether insurance can help you save on the costs?
- Does insurance cover it?
Some insurance does cover the surgery cost. Whether your insurance covers the cost of this surgery depends on the specifics of your insurance plan. Some insurance plans may cover it, while others may not cover it at all. Insurance coverage for transgender-related medical care, including chest reconstruction surgery, can vary widely by state and by insurance provider.
FAQs
Is nipple removal surgery reversible?
In most cases, nipple removal surgery is not reversible. Once the nipple and areola have been removed, it is typically not possible to restore them.
Can you get your nipple back after no nipple surgery?
No, but there are procedures such as nipple reconstruction that can create the appearance of a nipple and areola.
What is the duration of nipple removal surgery?
The duration of the procedure can vary depending on the extent of the surgery and the individual's anatomy. Mostly it takes around 2-4 hours.
Reference links - https://www.genderconfirmation.com/
