The answer to this question generally depends on the amount of breast tissue present. For individuals who have only a small amount of breast tissue, the current position of the nipples can often be maintained through a combination of liposuction and open breast tissue removal. With this technique, liposuction is employed to extract targeted fat tissues from the chest region, leaving behind a limited quantity of tissue around the areola. Since this remaining tissue can’t be removed via liposuction, it is carefully excised through a semicircular incision made below the areola. Aside from this small incision – which tends to fade with time – the nipple remains unaltered.
In contrast, for individuals with a moderate to significant amount of breast tissue, the nipple will generally need to be relocated using a tissue excision and free nipple graft approach. With this technique, breast and fat tissue are removed, and the patient’s nipple is transferred to a higher position on the chest. If needed and/or desired, the nipple can also be reshaped for a more natural and masculine appearance.
Ultimately, the exact effect female to male (FTM) breast surgery will have on the nipples is going to depend on each individual’s unique needs and goals. If you are considering this procedure, my advice is to seek the expertise of a board certified plastic surgeon who has experience in performing this specialized form of breast surgery. Following a physical examination and thorough review of your desires, he or she can provide an accurate idea of what to expect based on a customized treatment plan. In addition, you can take a look at before-and-after photos to view the type of results other FTM patients have been able to achieve.