The Truth about Breast Augmentation for Transgender Women

Transgender women may choose breast augmentation as part of their transition to align their physical appearance with their gender identity. For many, having breasts that are more in line with their gender identity can alleviate dysphoria and is gender affirming for them.

The decision to undergo breast augmentation is highly personal and should be made in consultation with a qualified healthcare provider. Generally, good candidates for breast augmentation are in good overall health, have realistic expectations about the outcome of the procedure, and are emotionally prepared for the physical and emotional changes that come with it.

There are several types of breast implants available, including saline implants, structural saline implants, and silicone implants. Each type has its own advantages and considerations, and the choice of implant type will depend on factors such as personal preference, body type, and desired outcome. The implants come in a variety of profiles to help create the best contours for each patient’s different body type.

The breast augmentation procedure typically involves making incisions under the breasts, in the armpit, or through the belly button. I then create a pocket, or space for the implant, and then insert the implant either behind the breast tissue or beneath the chest pectoralis muscle. The specific details of the procedure will depend on factors such as the type of implant used, the desired size and shape of the breasts, and the surgeon’s technique.

Most generally, I prefer my patients to be asleep for this procedure, which is quite short, usually less than one hour. I will place local anesthesia around the breast at the beginning and end of the case to allow for comfortable healing.

Recovery time after breast augmentation can vary from person to person, but most individuals can expect to take a few days off from work or other activities to recover. During this time, it’s important to follow all the post-operative instructions carefully, which may include wearing lightly compressive sports bra and avoid strenuous activity. Most discomfort can be controlled with ibuprofen or extra strength Tylenol.

Like any surgical procedure, breast augmentation carries some risks and potential complications. These may include infection, bleeding, changes in nipple sensation, implant rupture or leakage, and capsular contracture (the formation of scar tissue around the implant). Capsular contracture occurs in about 5% of my patients. Complications such as bleeding and infection are very rare. The most common reason for additional surgery is the patient’s decision to change the size of the implant.

The cost of breast augmentation will depend in part on the facility where I do the surgery and the type of implants used. The range is usually $15-18,000 dollars complete including all follow-up care indefinitely. We do not take insurance plans in our office.

Finding a qualified board-certified plastic surgeon for breast augmentation is essential for achieving safe and satisfactory results. When selecting a surgeon, be sure to research their credentials, experience, and reputation, and ask for before-and-after photos of previous patients. Additionally, it’s important to schedule a consultation with the surgeon to discuss your goals, concerns, and expectations for the procedure. We are happy to provide initial virtual consultations for patients who are not close to our office.

Additional information about breast augmentation surgery can be found at Breast Augmentation Newport Beach, Breast Implant Procedures Orange County (horowitzmd.com) or Breast Augmentation Options | Newport Beach & Orange County (pacificcenterplasticsurgery.com)