Surgical Breast Enlargement
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Mastectomy is the surgical removal of breast tissue. It is performed for several reasons, including gender-affirming chest masculinisation, reduction of elevated cancer risk in selected patients, and treatment of disease. This page provides general educational information; the appropriate procedure, eligibility and timing are determined through individual medical assessment.
When the goal is chest contouring rather than treatment of disease, the technique is tailored to the amount of breast tissue, skin laxity and the desired chest shape. Approaches may include a double-incision technique with nipple grafting, or a periareolar (keyhole) approach in suitable anatomy. The surgeon also considers scar placement, chest-wall contour and future revision options.
What to discuss
Questions for your consultation
Which technique suits you
The approach depends on tissue volume, skin elasticity and the contour you want.
Scars and nipple position
Where incisions fall and how nipple–areola position and sensation are planned.
Risks
Bleeding, infection, contour irregularity, sensation changes and the possibility of revision.
Recovery
Drain use, compression garments, activity restrictions and follow-up schedule.
Eligibility assessment
Medical and psychological assessment where required, and any eligibility criteria that apply.
Future procedures
Whether staged or additional surgery may be needed to refine the result.
Assessment comes first
Chest surgery is elective and requires assessment by an appropriately qualified surgeon, including a discussion of risks, alternatives, realistic outcomes and — where required — eligibility criteria. No outcome can be guaranteed.
Questions
Mastectomy & chest surgery FAQs
Breast reduction removes a portion of tissue to make the breasts smaller while preserving a feminine breast shape. Mastectomy for chest contouring removes breast tissue to create a flatter, more masculine chest wall, with a different approach to nipple position and scars.
Most people are satisfied with a single procedure, but refinement or revision surgery is sometimes desired for contour or scar reasons. This is discussed in advance.
Recovery varies with the technique and individual healing. Compression garments, limited arm activity and drain care are commonly required for a period after surgery, with a gradual return to full activity as advised by your surgeon.
Continue reading
Related education
Safety and warning signs
Candidacy, risks and when to seek medical help.
External research and sources
Study findings, limitations and original publications.