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Surgeries for female-to-male transgender patients have similarities to both gynecomastia surgeries for cisgender men, [2] breast reduction surgery for gigantomastia, and the separate mastectomies done for breast cancer. [3] Top surgery involves more than a mastectomy for the treatment of breast cancer. [1]
Chest reconstruction may be performed in cases of gynecomastia and gender dysphoria. People may pursue chest reconstruction, also known as top surgery, as part of transitioning. The removal of breast tissue in chest reconstruction is a type of mastectomy called a subcutaneous (under the skin) mastectomy.
Breast binding, also known as chest binding, is the flattening and hiding of breasts with constrictive materials such as cloth strips or purpose-built undergarments. Binders may also be used as alternatives to bras or for reasons of propriety.
Top surgery refers to the surgical procedures on the breasts: Mammaplasty. Breast augmentation surgery; Breast reduction surgery; Mastectomy; Gender-affirming surgery. Gender-affirming surgery (female-to-male), may include bilateral mastectomy and chest reconstruction; Gender-affirming surgery (male-to-female), may include breast augmentation
Gender-affirming surgery is known by many other names, including gender-affirmation surgery, sex reassignment surgery, gender reassignment surgery, and gender confirmation surgery. [3] It is also sometimes called a sex change , [ 4 ] though this term is usually considered offensive.
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Hormone therapy targets the secondary sex characteristics. Trans women typically use feminizing therapy, the goal of which is to develop female characteristics while suppressing male characteristics. Trans men typically use masculinizing therapy, which has the opposite goal - to develop male characteristics while suppressing female characteristics.
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