Masculinizing Mastectomy with Free Nipple Graft

Masculinizing chest surgery for trans men in Madrid

Safe and personalized surgery to achieve a natural and permanent masculine chest.

Mammoplasty with Free Nipple Graft

Masculinizing Mastectomy in Madrid

Safe and personalized surgery to achieve a natural and permanent masculine chest.

Mammoplasty with Free Nipple Graft

Masculinization mastectomy with free areola grafting is the most commonly used technique in trans men seeking complete and harmonious chest masculinization. At the Clínica 3 de Mayo in Madrid, Dr. Jesús Lago, who has extensive experience in gender surgery, performs this procedure with natural, safe results tailored to each patient.

What is masculinization mastectomy with free areola grafting?

Mastectomy with free areola grafting involves removing excess mammary gland and skin to create a flat, masculine chest.

It is performed through an incision in the lower edge of the pectoralis major muscle, which allows the scar to be discreetly hidden.

Subsequently, vibramatic-assisted liposuction is performed, an advanced technique that allows the chest contour to be defined with precision. The goal is to achieve a conical-shaped chest, highlighting the natural relief of the pectoralis major and refining the lower part of the trunk, creating a strong and masculine appearance.

Areola-nipple complex transplant

In the final step of the surgery, a free areola graft is performed.

This involves reducing the size and thickness of the original nipple and transplanting it to an anatomically masculine position, i.e., slightly lateral and oriented downward, where the pectoral muscle changes direction.

Because this is a graft, it is essential that the patient rest for several days to allow the tissue to vascularize properly in its new location.

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Mastectomy for Masculinization

Surgical Time

4 hours

Admission Time

1 night

Type of Anesthesia

General

Type of Surgery

Open

Recovery Time

Approximately 2 weeks

In addition, if necessary:

Advantages of mastectomy with free areola graft

  • Allows for a completely masculine and defined chest
  • Hides scars in the natural line of the pectoral muscle
  • Improves self-image and emotional well-being
  • Ideal technique for patients with large breast volume or excess skin
  • Performed in a safe surgical environment specializing in gender surgery

Explanatory video: Dr. Jesús Lago explains

The Clínica 3 de Mayo has a team specialized in gender affirmation surgery and masculinizing chest surgery for trans men. Dr. Jesús Lago combines surgical experience, technical precision, and a fully personalized approach to achieve natural, harmonious results aligned with each patient’s identity.

If you are considering a masculinization mastectomy with free nipple graft (Top Surgery), schedule a consultation with Dr. Jesús Lago to assess your case, answer all your questions, and design a surgical plan tailored to your needs and goals.

Book your consultation now and start your process with complete confidence.

  • Clínica 3 de Mayo Calle Apodaca number 4 and C. Arturo Soria 17. Madrid
  • Appointment: +34 918513317

Masculinization Mastectomy with Free Nipple Graft, Explanatory Video

Dr. Jesús Lago explains masculinizing chest surgery for trans men

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The ideal candidates are trans men with moderate to large breast volume and skin with little retraction, who are looking for a flat and firm chest. It is also suitable for those who want a complete nipple replacement in a masculine position.

 

As this is a free graft, the sensitivity of the areola-nipple complex may be reduced or partially lost. However, this procedure offers the best aesthetic and anatomical option in cases with excess skin or glandular tissue.

 

Initial results are visible within the first few weeks, although the final appearance of the chest and the integration of the graft are usually fully appreciated after 3-6 months, when the swelling has completely subsided.

Generally, patients can resume light activities after 2 weeks.

Intense physical exercise or weight lifting should be avoided for at least 6 months to protect the graft and healing.

Yes. Once the areola-free graft mammoplasty has been performed and the recovery process is complete, the result is permanent, offering a masculine and proportionate chest.

 

Dr. Jesús Lago and his team have extensive experience in gender surgery and body masculinization procedures.

The Clínica 3 de Mayo in Madrid offers a safe, discreet environment with comprehensive support before, during, and after surgery.

You can contact us by calling +34 918 513 317+34 620 482 200, sending an email to consultas@institutojesuslago.com or filling out the following form.

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In addition to applying our knowledge in the field of aesthetics, which is the result of our training, we strive to always provide the best personal treatment to our patients, achieve the best results in each case, and thus ensure their maximum satisfaction.

IMPORTANT: The information contained on this website is for general guidance only. It is not intended to replace a personal consultation where your particular case will be assessed and an accurate diagnosis will be made. If you wish, you can request a consultation without obligation so that we can assess your case. We take care to ensure that your information is correct, but if you do not understand any word or explanation, please do not hesitate to contact us.

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