FTM Top Surgery (Keyhole Technique) – 2 Weeks After Surgery

These photos show the results of an FTM top surgery performed using the keyhole technique, taken two weeks after surgery and immediately after suture removal.

Why the keyhole technique suited this patient

This patient had very small breast tissue, which is the ideal condition for performing the surgery with a minimal incision. In cases like this, the keyhole technique allows us to remove the glandular tissue while leaving almost no visible scars on the chest.

What two weeks looks like

In the postoperative photo, you may notice some bruising and small scabs around the suture removal sites. The chest may also appear slightly darker in some areas. This is a normal part of the healing process, and these signs typically improve quickly over the next few weeks as the bruising fades and the skin continues to heal.

Nipple size

Before surgery, the patient was also concerned about the size of the nipples. In most cases, when the breast gland is completely removed, the nipples naturally decrease in size by about 10–20%. In this case, the nipple diameter is approximately 1.2 cm, which is slightly larger than the average male nipple.

We will first observe how much the nipple size reduces naturally during healing. If the patient later wishes to make them smaller, a simple nipple reduction procedure can be performed.

The patient was very happy with the result and returned home with great satisfaction.

Earlier in recovery

What the first week looks like, in a different patient: FTM top surgery (keyhole technique) – 1 week after surgery. At seven days the areolar crusting and bruising are still obvious; by two weeks, as here, they have largely settled.