การผ่าตัดเต้านม คำตอบเพื่อผู้หญิงที่อยากเป็นชาย

Open a new world for answers that truly meet the desires of women who want to be men both physically and mentally. How to change the appearance to have a flat chest like a man? Join the discussion with Professor Emeritus Dr. Supakorn Rojaninin, Breast Surgeon, Breast Center, Phyathai 3 Hospital, and gain a deeper understanding of the key points of breast surgery for transgender men (Female to Male Gender identity disorder).
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Removing breast tissue surgery, first of all, means losing an organ. Therefore, before undergoing surgery, one must go through a thorough confirmation process, including:
<ol>
<li style="font-weight: 400;">Confirmation of truly feeling male, through analysis and certification by a psychiatrist (only for necessary cases)</li>
<li style="font-weight: 400;">Consent to surgery by the patient. If the patient is a minor, the guardian must give consent on their behalf</li>
<li style="font-weight: 400;">Undergoing breast examinations to confirm no abnormalities, including:
<ul>
<li style="font-weight: 400;">Breast palpation by a doctor</li>
<li style="font-weight: 400;">Breast examination using digital mammogram and ultrasound machines</li>
</ul>
</li>
<li style="font-weight: 400;">Understanding the details of the surgery, possible risks, post-operative self-care, and physical readiness checks to ensure preparedness before surgery</li>
</ol>
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<h2>Small or large breast size, surgical methods and risks vary</h2>
In surgical planning, the doctor will consider the surgical approach based mainly on breast size and sagging.
<ol>
<li style="font-weight: 400;">Breast tissue removal alone is performed when the breasts are not large, allowing removal of breast tissue only. After surgery, especially in young women, the skin is elastic and contracts to a normal flat chest without loose surrounding skin.</li>
<li style="font-weight: 400;">Breast tissue removal combined with partial skin excision is performed when the breasts are very large and sagging. The reason for removing some skin is to prevent loose skin after surgery.</li>
</ol>
Another important aspect of breast surgery in cases of very large breasts is preserving the nipple to remain intact without necrosis or damage from lack of blood supply.
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<h2>Breast removal surgery for women to become men VS breast cancer surgery: similarities and differences</h2>
Breast cancer surgery is considered radical surgery to remove all cancer cells and breast tissue completely. However, breast removal surgery for women who do not want breasts is a surgery that removes only the breast tissue while preserving other parts. This surgery is called Subcutaneous Nipple Sparing Mastectomy.
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<h2>Step by Step after surgery</h2>
<ul>
<li style="font-weight: 400;">After surgery, the doctor will send tissue samples to the laboratory to check for any abnormalities.</li>
<li style="font-weight: 400;">After breast tissue removal surgery, patients usually stay in the hospital for only 1 day before being discharged.</li>
<li style="font-weight: 400;">After discharge, the doctor will schedule follow-up appointments as appropriate, considered on a case-by-case basis.</li>
</ul>
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<h2>Experience and expertise are the core of breast surgery</h2>
Breast removal surgery to change the external appearance of women who want to be men must be performed by surgeons with expertise and experience. It is not just about removing breast tissue and skin but also about preserving the nipple so it does not necrotize or get damaged from lack of blood supply, while maintaining sensation. These depend on the surgeon’s experience and detailed surgical planning. The surgeon must understand the anatomy and physiology of veins, arteries, and nerves around the breast, as these are crucial factors to keep the nipple intact and sensitive.
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Preserving the nipple in a normal condition without necrosis or loss of sensation is a surgical risk that the doctor will explain to the patient before surgery.
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Additionally, after breast removal surgery, patients can undergo further surgery to reduce the size of the nipple and areola to fit the male body appearance better. Since men usually have smaller nipple and areola sizes than women, adjusting these sizes enhances the completeness of the transgender male appearance.
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Changing the image from female to male by breast removal surgery answers the desire to feel more male on another level. Certainly, reaching the surgery stage means the patient’s mind is truly male. What I want to leave for all transgender men to always remember before deciding on surgery is to fully understand the surgical approach and possible risks, and to carefully choose a surgeon with expertise and experience in breast surgery. This ensures that your next step in transitioning to a male physical appearance will be well cared for and truly meet your intended goals.
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Professor Emeritus Dr. Supakorn Rojaninin, Breast Surgeon 
Breast Center, 18th Floor, Phyathai 3 Hospital 
Tel. 0-2-467-1111 ext. 1821

For women who want to become men both physically and mentally, breast tissue removal surgery first means the loss of an organ. Therefore, before undergoing the surgery, one must go through a thorough confirmation process.

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Breast surgery: The answer for women who want to become men

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