There are several techniques for FTM top surgery, including double incision mastectomy, periareolar mastectomy, and keyhole surgery.

The choice of technique depends on factors such as the size of the breasts, skin elasticity, and the patient’s desired outcome.

Before Mr Fitton will consider performing FTM top surgery, several steps are typically involved:

1. Consultation:
The process usually begins with an initial consultation with Antony Fitton who specialises in transgender surgeries. During this consultation, he will discuss your goals, expectations, and medical history. He will also evaluate your chest anatomy to determine the most appropriate surgical technique.

2. Mental Health Evaluation:
Many surgeons including Mr Fitton require a letter from a mental health professional, such as a therapist or psychologist, confirming that you are mentally prepared for surgery and have a stable gender identity. This evaluation helps ensure that you understand the implications of surgery and are making an informed decision.

3. Hormone Therapy:
Some plastic surgeons including Mr Fitton may require you to undergo hormone therapy (testosterone) before FTM top surgery. Hormone therapy can help redistribute fat and muscle tissue, which may affect the surgical outcome and improve chest contour.

4. Real-Life Experience:
In some cases, surgeons may require patients to live as their identified gender for a certain period (known as the real-life experience) before undergoing FTM top surgery. This requirement varies depending on the surgeon and healthcare provider guidelines.

5. Medical Clearance:
Patients may need to undergo a series of medical tests and evaluations to ensure they are healthy enough to undergo surgery safely. This may include blood tests, electrocardiogram (ECG), and other screenings.

6. Smoking Cessation:
Surgeons often advise patients to quit smoking before surgery to reduce the risk of complications and promote optimal healing. Mr Fitton is no exception. Smoking can impair blood flow and increase the risk of infection and other complications.

7. Pre-operative Instructions:
Before surgery, you will receive specific instructions from Mr Fitton regarding pre-operative care, such as discontinuing certain medications, fasting, and avoiding alcohol and smoking.