If you are looking to transition, you may be researching surgical options to flatten your chest. There are many types of transgender surgeries available that deal with chest reconstruction. One of the them is the keyhole mastectomy. This involves a specific type of incision and can only be performed on certain chest types.
What is a keyhole mastectomy?
A keyhole mastectomy surgery is a chest reconstruction procedure in which a small incision is made along the border of the areola (the small patch of circular pigmented skin around the nipple). Then, the surgeon excises the breast tissue through the incision area. This surgical procedure is named as such because the incision resembles the keyhole of an old-fashioned door. One of the main benefits of this procedure is that it only minimally reduces nipple sensation, or in some cases doesn’t reduce it at all. The surgery creates only slight scarring (a small scar will be left around the areola border), but it is not ideal for everyone.
Who is a good candidate for this type of surgery?
In order to be considered a good candidate for this type of chest reconstruction surgery, you must have minimal breast tissue and the skin on your chest must be tight. A keyhole mastectomy does not remove excess skin, only breast tissue, which is why it is performed on people looking to masculinize a smaller chest. There are other types of chest reconstruction surgeries available for those that require the removal of skin and tissue.
Besides having the right skin and tissue to handle the incision, you must be in general good health and a non-smoker. If you do smoke, you should stop at least two weeks prior to your keyhole mastectomy. You should also remain a non-smoker while you recoup because smoking interrupts the body’s natural healing process.
Can I get keyhole mastectomy surgery?
The best way to determine if this is the right surgery for your chest reconstruction process is to visit a board-certified plastic surgeon who specializes in FTM procedures. Upon your initial consultation, the doctor will examine your chest and decide if your skin is taut enough for a keyhole mastectomy. Furthermore, during your first meeting, the surgeon will be able to outline the procedure and answer any questions you may have regarding chest reconstruction.