What is a Mastectomy?

Mastectomy is a procedure to remove breast tissue. This procedure is a top priority for women who want to become men and have their breasts removed. It is also called masculinizing chest surgery which involves double mastectomy.  Depending on your breast size, your nipple and areola may need to be repositioned. And have smooth skin where not required to wear the bandage any longer before fitting in man outfit.

Beneficial of reducing the breast size:

  • To make the chest flatter, tighter, in shaped like a man’s
  • Gain the confidence
  • More easily to fit in any clothes


How should I prepare for Mastectomy surgery?

  • Consult with a plastic surgeon about the surgery including the steps, techniques, incision, operating hours, results, risks, complications and recovery recommendation. 
  • Evaluate your general health status such as:blood test, Chest x-ray, ECG based on the hospital safety policy.
  • Continue taking any current medications for your underlying disease.
  • Stop smoking at least 2-4 weeks prior surgery.
  • Avoid taking aspirin and anti-inflammatory drugs including the herbal supplements which can easily increase bleeding tendency at least 2 weeks prior surgery or according to the physician advice.


What are the steps of a Mastectomy surgery?

There is 3 types for Mastectomy surgery:

1. In cases where mastectomy is primarily the result with a small breast, normal nipple position, less excess skin and good skin tone, the removal of the breast tissue is enough. The incision will be located at the lower of the areolar.


2. Combination of liposuction & excision techniques are suitable for those who have a moderate breast size and fatty tissue from the breast and sides of the body. The incision will be located at the lower of the areolar same as Type 1.

3. Both breast tissue and excess skin removal combined together with Nipple and Areolar Graft. Suitable for areolar that are lower than normal position, large, or have excess skin or do not have good skin tone. The incision will be located under the breast as long as the excess skin needs to be removed. Another incision will be located around the areolar from the nipple and areolar graft. But this surgery type could reduce the nipple and areolar to a smaller size.


Who is a good candidate for Mastectomy surgery?

  • Ages above 18 years old
  • Healthy
  • For those who are bothered by the feeling that their breasts are too large like women and want to remove it. 
  • Realistic expectations


  • The results are apparent almost immediately following the  procedure. But the final results may take up to several months after surgery.
  • At the beginning period after surgery, the incisions will be swollen until the internal wound is healed. It generally takes up to 1-2 weeks. 
  • The skin appearance and sensation will gradually improve.
  • The scar will be visible after surgery. The scar healing may be good or bad depending on the heredity and after wound care.Normally the scar will be less visible in 1-2 years after surgery.
  • In some situations, it may not be possible to achieve optimal results with a single surgical procedure and another surgery may be necessary.
  • Following your physician’s instructions is essential to the success of your surgery.


  • After a surgery, blood and fluid may collect inside your body in the surgical area. Your surgeon will insert a surgical drain tube and leave it in for 2 days until it can be removed. 
  • Your surgeon will wrap your chest with elastic bandage and cover your nipple and areolar with gauze.  It will be replaced with a garment support after the surgeon removes the surgical drain tube. 
  • Your surgeon will make an appointment for a patient to remove the eternal stitches 7-10 days after surgery. 
  • Patients can return to work within 7-10 days after surgery. 

Post-op care

How to take care of yourself after surgery?

Bruising and Swelling

  • Bruising and swelling will occur within 48-72 hours after surgery. The third day is usually the worst and then it will gradually get better after day 4. 
  • Bruising will be better after 4 days and will fade away within 21 days.
  • Swelling will subside  in the first 2-3 weeks and then gradually subside up to 3-6 months. 
  • Cold compress with a cold pack or a bag of ice is needed in the first 3 days to reduce swelling and bruising.

Pain and Medication:

  • The most painful moment is right after surgery and on the first day. In some patients, it will take some time before all the pain is gone. 
  • Surgeons recommend taking anti-inflammatory medicine only when you are in pain. Do not take it more than 6 times per day. 
  • There may be some side effects such as nausea or dizziness.
  • If a rash or itch occurs after taking medication, the patient needs to inform the surgeon immediately.

Medication Dosage:

  • The antibiotic medication needs to be taken until it is finished. 
  • Inform your surgeon of any underlying condition and medication. The dosages need to be adjusted by your surgeon or medical doctor both before and after surgery. 
  • Do not take Aspirin or any medication in Aspirin group, Vitamin E, Herbs, or any supplements at least 2 weeks before and after surgery. It can cause bleeding and bruising.  

Smoking and Drinking:

  • You must stop smoking 4 weeks prior and 4 weeks post surgery as the Nicotine causes the delayed wound healing. 
  • You must stop drinking 2-4 weeks prior and 2-4 weeks post surgery.


  • Get enough sleep and rest after surgery.
  • Use 2 pillows to lift your head up, it will help reduce swelling.
  • It is a good idea to place 2 pillows on either side of your waist to rest your arms and to keep you from turning onto your side.

Wound Care:

  • Before the surgeon removes surgical drain tubes, patients can take a sponge bath.
  • After the surgical drain tubes are removed, surgeons will place  waterproof dressing so you can take quick showers.
  • Waterproof dressing will be removed within 48 hours after you are discharged from hospital.
  • Check waterproof dressing, make sure it is clean and dry all the time.
  • Do not touch the wound directly after waterproof dressing has been removed.
  • Use wooden cotton buds with normal saline to clean the wound and apply antibiotic cream twice a day. 
  • Surgeon will remove stitches in 7-10 days
  • If there is any sign of infection or complications, please inform surgeons immediately.
  • Scar cream, scar gel, or silicone sheet can be used 5-7 days after removing all stitches or as soon as the wound is recovered.

Support Garment:

  • You must wear a support garment for 24 hours at least 1-2 months after surgery or as long as the surgeon recommended


  • During the first 5 days after surgery, it is important to not engage in any activity which will elevate the blood pressure and possibly cause bruising or hematoma under the skin.
  • Avoid exercise at least 2 months after surgery. 
  • Only light exercise is recommended 4-6 weeks after surgery.
  • No weight lifting or heavy lifting in first 6 weeks
  • Avoid hot tubs or saunas for at least 6 months after surgery. 
  • Do not participate in any contact sports for at least 6 months.


Risks and Complications:

General Risks & Complications:

  • Complications of general anesthesia
  • Infection
  • Bleeding 
  • Blood Collection
  • Deep Vein Thrombosis
  • Keloid scar
  • Poor wound healing
  • Painful

Risks and Complication of Male Breast Reduction:

  • Necrosis and wound separation
  • Seroma
  • Numbness and change of skin sensation
  • Asymmetry of both Breasts and Nipples. (Nipples size and areolar )
  • Chance of revision
  • The nipple and areolar are still in woman’s shape which may need another correction.
  • After surgery, the result can be changed after massive weight loss or gain a lot of weight.



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