Torsoplasty: a step toward becoming yourself

Published on 11 October 2024 .

News

Gender transition is a deeply personal and often complex journey that involves various physical and emotional stages to align the body with one’s true gender identity. For individuals assigned female at birth who identify as male, masculinizing mastectomy (torsoplasty) is a key surgical procedure in their transition. This operation, which aims to masculinize the chest, plays a crucial role in reclaiming the self and affirming one’s identity.

Torsoplastie à Paris | Dr Brault

What is torsoplasty ?

Torsoplasty is often performed as part of a gender transition for FTM (female-to-male) transgender individuals or non-binary people who wish to harmonize their physical appearance with their gender identity.

This surgical procedure aims to masculinize the chest by removing breast tissue to create a flatter, more masculine torso.

The goal of masculinizing mastectomy is to reduce breast volume, reposition and sometimes resize the nipples to achieve a masculine appearance.There are several techniques used, depending on breast size and patient expectations — such as periareolar scars or the double incision method.

This procedure is often a significant milestone in the transition journey, as it helps reduce gender dysphoria related to the chest and improves both quality of life and self-confidence.

How is the procedure performed ?

Torsoplasty involves multiple phases, beginning well before the operation itself and continuing afterward with careful post-operative care.

Preoperative consultation

Before any surgery, a thorough preoperative consultation is necessary. During this appointment, the surgeon evaluates the patient’s overall health, discusses expectations, and explains the different surgical techniques available. This is also the time to address the psychological aspects of gender transition.

The surgery

The operation is performed under general anaesthesia and lasts between 1.5 to 2 hours. It typically involves:

  • Removal of the mammary glands
  • Elimination of the inframammary fold
  • Final repositioning of the nipples

Postoperative care

After the surgery, patients must wear a compression garment to aid healing and reduce swelling. Some pain and discomfort are common in the first few days, but these are usually well managed with prescribed medications.

Psychological support after surgery is just as important as pre-surgical preparation. Gender transition is an ongoing process, and professional guidance can help patients navigate the complex emotions that may arise after such a significant physical transformation.

What are the benefits of torsoplasty in a gender transition ?

As an integral part of gender transition, torsoplasty offers numerous psychological and emotional benefits. For many transgender individuals, the chest is a major source of intense dysphoria. Removing the feminine features of this area helps reduce that dysphoria and strengthens the alignment between physical appearance and gender identity.

Improved self-confidence and well-being

One of the most significant benefits of torsoplasty is its positive impact on self-confidence. With a chest that better reflects their masculine identity, transgender individuals feel more at ease in their bodies. This can lead to improved quality of life, allowing them to:

  • Dress the way they want
  • Engage in social and physical activities without feeling self-conscious or uncomfortable
  • Fully express their identity

Alignment with gender identity

Torsoplasty is an essential step in the transition process for many individuals. By masculinizing the chest, it allows for a stronger alignment between body and gender identity, a crucial element in feeling fully oneself and living an authentic, fulfilling life.

In conclusion

Torsoplasty is more than just a surgical procedure, it’s a key element of gender transition for those seeking to align their body with their masculine identity. Through this operation, transgender individuals can not only improve their physical appearance but also enhance their self-esteem and live in harmony with their true selves.