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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.
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
Almost all female-to-male individuals revealed an increase in sexual excitement and can achieve orgasm through sexual activity with a partner or via masturbation, [84] [75] whereas only 85% of the male-to-female individuals are able to achieve orgasm after gender-affirming surgery. [85]
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.
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Metoidioplasty, metaoidioplasty, or metaidoioplasty [2] (informally called a meto or meta) is a female-to-male gender-affirming surgery. [3] Testosterone replacement therapy gradually enlarges the clitoris to a mean maximum size of 4.6 cm (1.8 in) [4] (as the clitoris and the penis are developmentally homologous).
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