MTF Breast Augmentation Las Vegas

Dr. Pancholi is highly experienced in MTF breast augmentation and offers several procedure options for transgender patients. He prides himself on helping patients achieve the aesthetically pleasing breast contours they desire with compassionate care and a commitment to safety and privacy.


The importance of choosing an experienced cosmetic surgeon for your breast surgery

While many aspects of MTF breast augmentation and traditional breast augmentation are similar, there are special considerations a cosmetic surgeon must make for transwomen or non-binary transfeminine patients to ensure a safe surgery and natural-looking results, such as:

  • Your chest width and length before surgery, which is likely wider than a cisgender female chest
  • The amount of natural breast tissue and skin you have, which may limit how large an implant is appropriate
  • Whether or not you are taking hormone therapy, which will affect your natural breast characteristics
Why trust Dr. Samir Pancholi
Las Vegas cosmetic surgeon Dr. Samir Pancholi

Not every cosmetic surgeon has training or experience in the nuances of MTF breast augmentation. As a diplomate of the American Board of Cosmetic Surgery and one of Las Vegas’s most highly sought-after cosmetic breast surgeons, Dr. Samir Pancholi has performed thousands of breast augmentation procedures for patients of all ages, gender identities, and ethnicities.

He will carefully measure your chest dimensions and rib cage contours to help you choose the breast implant shape, size, and profile to achieve as natural an appearance as possible.

Call 702-363-0240 now to schedule your consultation

Video transcript

“When we see a patient that is interested in female-to-male transformation or gender-confirming surgery, it is something where we really want to find out what their goals are. Some people want to have a flat chest with nothing else. Other people are completely concerned with the scars. Some want to look extremely masculine, while others do not want those types of indicators. So, one of the things that we want to do is to make sure that we hear them and we’re doing what they want. All of those are possibilities, but really, what our goal is, is to deliver the right thing for the right person.

Male-to-female gender-confirming surgery is also a very rewarding procedure for both our patients and myself. We use a very similar type of approach as far as finding out what the patient wants, whether it’s implants or fat grafting. We also want to look at size and their overall goals in the procedure. One of the things that we find is every person is different, and every person has something different in what their goals are. Stereotypes are out the window, and this is a very personalized matter that we want to make sure that we achieve the right goal for them.”–Dr. Samir Pancholi

Am I ready for MTF breast augmentation?

The best candidates are individuals who are at least 18 years old, in good overall health, and fully committed to their transformation. It’s also important to have realistic expectations for the procedure, as the amount and condition of your natural chest tissue may limit what size implant is safe for your body.

If you are considering female hormone therapy as part of your transition, it’s best to start at least a year before undergoing a breast augmentation. Taking female hormones often results in some breast tissue development, which will not only affect your implant size, but also will benefit your results by providing more natural tissue coverage for the implant.

You may have to temporarily stop hormone therapy prior to and after surgery to minimize the risk of complications. Tell Dr. Pancholi if you are currently taking hormones or if you would like to; he will advise you how best to time your surgery.

Video transcript

“One of the things that really sets us apart from other practices is the amount of breast surgery that we do, and really, the complexity of it. When we look at fixing breast augmentations, breast lifts, reductions, and everything else, it’s about having the ability and the tools to do it. But the bigger part is, do you have someone with the aesthetic eye to put things back together? And that would be another reason that you want to come here. We’re doing this all with an artistic approach. We’re looking at your body, your frame, and what truly fits you. Our recommendations will hopefully help you get the figure that you want and the confidence that you want back in yourself.”—Dr. Samir Pancholi

Options for MTF breast augmentation in Las Vegas

Dr. Pancholi will discuss your goals at length and answer all of your questions about your top surgery during your personal, private consultation at Cosmetic Surgery of Las Vegas. Options he will discuss with you include:

  • Silicone gel vs. saline breast implants. Many MTF breast augmentation patients choose silicone gel, as this provides the most natural breast feel with minimal chance of visible rippling or wrinkling, especially when there is very little breast tissue to cover the implant.
  • Breast implant size. What size breast implant to get for MTF breast augmentation is determined by what your body can safely accommodate, what will look most natural with your anatomy, and your personal preferences.
  • Incision placement. Dr. Pancholi specializes in transaxillary (armpit) incisions, which avoid any scarring on the breast itself. Other options include an inframammary incision, in which the scar is concealed by the lower breast fold, or around the outer edge of the areola.
  • Areola & nipple resizing. Some patients wish to have their areolas or nipples enlarged to achieve a more naturally female nipple/areola appearance after breast augmentation. Dr. Pancholi can discuss options such as tattooing and nipple reshaping with you.
  • Chest hair removal. If you have unwanted chest hair, Dr. Pancholi can talk to you about laser hair removal before or after breast augmentation to permanently reduce or eliminate the hair.
  • Additional body feminization procedures. Dr. Pancholi is experienced in feminizing body contouring with liposuction to create a more feminine shape to the waist, hips, and buttocks.
Breast augmentation incision options

Male to female breast surgery basics

Dr. Pancholi performs MTF breast augmentation as an outpatient procedure at accredited surgery centers in Las Vegas. The procedure takes about one to two hours, using general anesthesia. Following surgery, you will go home wearing a surgical bra, which you will be required to wear for several weeks, except when showering.

  • Alignment with gender identity, which is crucial for transgender women in their transition process.
  • Enhanced feminine chest contour and silhouette.
  • Provides personal empowerment, as it symbolizes taking control over one’s body and identity.
  • Areola: The pigmented area surrounding the nipple.
  • Breast Augmentation: A surgical procedure to increase breast size, typically through the insertion of breast implants.
  • Breast Implants: Medical devices placed in the breast to enhance size and shape. Common types include saline and silicone implants.
  • Capsular Contracture: A potential complication of breast augmentation where scar tissue forms around the implant, causing firmness or hardening.
  • Estrogen Therapy: Hormone therapy using estrogen, prescribed to transgender women to develop female secondary sex characteristics.
  • Gender Dysphoria: The psychological distress that results from a discrepancy between a person’s gender identity and their sex assigned at birth.
  • Gender-Affirming Surgery: Surgical procedures that alter a person’s physical appearance to be more congruent with their gender identity. For MTF individuals, this includes breast augmentation.
  • Inframammary Fold Incision: An incision made in the natural crease under the breast, commonly used for inserting breast implants.
  • MTF Breast Augmentation: A gender-affirming surgical procedure for transgender women to enhance breast size and feminine appearance.
  • MTF Top Surgery: A term often used to describe breast augmentation for transgender women as part of their gender transition. It may include various surgical techniques to create a feminine chest contour.
  • Periareolar Incision: An incision made around the edge of the areola, sometimes used in breast augmentation surgeries.
  • Subglandular Placement: Placement of breast implants above the chest muscle but beneath the breast tissue.
  • Submuscular Placement: Placement of breast implants beneath the chest muscle.
  • Transgender: An umbrella term for individuals whose gender identity differs from the sex they were assigned at birth.
  • Transgender Woman: An individual who was assigned male at birth but identifies and lives as a woman.

How long is the recovery for MTF breast surgery?

Most patients can return to desk jobs within 1 to 2 weeks and gradually resume exercise about 3 to 4 weeks after surgery. Dr. Pancholi will provide you with complete instructions for aftercare; it is important to follow these closely to avoid complications and ensure your results heal optimally.

It usually takes about 3 months to for breast implants to finish settling into their final position and for post-operative swelling to fully disappear.

References »

Torres Perez-Iglesias CA, Heyman A, Koh DJ, Medina N, Roh DS, Slama J. Technical and Clinical Differences Between Transgender and Cisgender Females Undergoing Breast Augmentation. Annals of Plastic Surgery. 2023 Nov 1;91(5):534-539. doi: 10.1097/SAP.0000000000003706. 

Bekeny JC, Zolper EG, Manrique OJ, Fan KL, Del Corral G. Breast augmentation in the transgender patient: narrative review of current techniques and complications. Annals of Translational Medicine. 2021 Apr;9(7):611. doi: 10.21037/atm-20-5087. 

Miller TJ, Wilson SC, Massie JP, Morrison SD, Satterwhite T. Breast augmentation in male-to-female transgender patients: Technical considerations and outcomes. JPRAS Open. 2019 Apr 17;21:63-74. doi: 10.1016/j.jpra.2019.03.003.

Lienhoop T, Green L. Breast imaging in transgender women: a review. Clinical Imaging. 2021 Dec;80:283-289. doi: 10.1016/j.clinimag.2021.07.031. 

Bekeny JC, Zolper EG, Fan KL, Del Corral G. Breast augmentation for transfeminine patients: methods, complications, and outcomes. Gland Surgery. 2020 Jun;9(3):788-796. doi: 10.21037/gs.2020.03.18. 

Schedule a consultation with Dr. Samir Pancholi in Las Vegas

Dr. Pancholi and his staff welcome all patients to our practice. If you would like to learn more about MTF procedures, please call 702-363-0240 or contact us online to schedule a private consultation with Dr. Pancholi to discuss your options.