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What Does FTM Top Surgery Involve?

Female to male top surgery involves the removal of breasts and breast tissue as well as reconstruction of the chest so that it appears more masculine or non-binary. The surgery itself can take various approaches depending on your current weight, your body shape, and the end result that you hope to achieve.

What Types of Incisions are Used?

The best way to find out which type of surgery is best for you is to schedule a private consultation with our double board-certified plastic surgeon, Dr. Rashid. There are different approaches to performing an FTM surgery. Some of the approaches are as follows:


The keyhole incision is used when people have very small breasts to begin with. A semi-circular incision is made along the areola and the breast tissue is removed. This allows the nipple and areola to remain in place. An alternative to this procedure is liposuction alone with a lateral pull through technique listed below.

Liposuction with lateral pull through

Several small incisions are made through which liposuction is performed, and the firmer breast parenchyma is removed through a small lateral incision that is not on the breast mound itself. In most cases, Dr. Rashid is able to do the entire operation through just the lateral incision alone. This technique does require that the patient must have small breasts without excessive amounts of skin.

Double line with or without free nipple grafting

Two incisions are made above and below the nipple itself and the breast is removed. The nipple is usually spared and placed back on as a nipple graft. This technique is optimal for patients with larger breasts whose paramount concern is to achieve a very flat chest with removal of excess skin. The drawback is loss of sensation of the nipple itself.

Double line with nipple sparing on a pedicle

An incision is made around the nipple and above it. Tissue around the nipple is spared as is sensation. The chest will have some prominence but in patients that have more weight it will appear to be appropriate to the rest of their body habitus.

Am I a Candidate for FTM Top Surgery?

During your consultation with Dr. Rashid, he will assess your medical history to determine whether FTM top surgery would be appropriate for you. He may make suggestions about your medications if you are taking any, as some may need to be stopped for a period of time before and after surgery. He will be happy to fully explain the entire process in a private consultation.

If you feel that your identity would be affirmed or that your appearance would be enhanced by altering your body shape by creating a masculine chest structure or non-binary chest, then you might be a candidate for FTM top surgery. Candidates should also:

  • Be non-smokers
  • Be in good health and at a relatively stable weight
  • Be mentally and emotionally healthy
  • Not have infections or current health issues
  • Have realistic goals for the procedure

How Long is the Recovery Period?

The recovery period for FTM top surgery is roughly six weeks. You will have to take the first week off of work, and if your work is physically demanding, then you may need to take off the first two weeks. After six weeks and with Dr. Rashid’s approval, you will be able to resume more strenuous physical exercise or activities.

FTM Top Surgery Peoria IL
FTM Top Surgery Peoria IL

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Practice Policy Update Regarding COVID-19 View Update

Practice Policy Update Regarding COVID-19


The health and safety of our patients and staff remain our top priority. As recommendations evolve during the COVID-19 worldwide pandemic, we continue to evolve. We are using CDC recommendations to best serve our patients, protect our staff and families, and do our part to prevent transmission and slow the spread of Novel Coronavirus.


As an essential service, Rashid Putman Plastic Surgery will remain open during normal business hours. In accordance with guidelines from the American College of Surgeons, our surgeons are evaluating the medical need for procedures on a case by case basis daily. They are using data driven assessment for the delivery of clinical care based on the assimilation of the COVID-associated risk and all medical and logistical information available.

The Medspa temporary closure has been extended through April 7, 2020. Appointments for non-essential medical services are being limited from March 23- April 7th. Our office staff will be reaching out to reschedule these appointments. At this time, we will continue to accept new appointments, scheduling non-essential services after April 7th. If you wish to purchase skincare products or gift cards, please call ahead to pay via credit card and we will ship the items to you.


We are actively implementing a secure, HIPAA compliant, platform to allow patients to communicate directly with our staff and providers through two-way text, photo and document sharing, as well as video conferencing. The integration of this platform into our practice begins Tuesday March 24th. Please visit the website frequently for updates on use.


  • If you have the following symptoms or situation PLEASE RESCHEDULE YOUR APPOINTMENT
    • A temperature of 100.4 or greater orally
    • Sore throat or dry cough
    • Shortness of breath
    • You or a family member have been diagnosed with COVID-19 or asked to self-quarantine by a physician
  • If you choose to cancel your appointment, all fees and penalties will be waived.
  • We are reducing visitors to one guest per patient.
  • We have provided an alternative option to our waiting room. Patients can wait in their cars, receive text notifications, bypass the waiting room, and enter a disinfected exam room when it is ready for use. Additional instructions for this procedure are posted on our front door.
  • If you choose to utilize the in-office waiting room, we are disinfecting all areas of our office multiple times a day. You must remain six feet apart from other individuals.
  • Surgeons and staff will not be shaking hands and hallway doors have been propped open.
  • We are screening all staff prior to entry into the office and requesting staff stay home if ill.
  • Some of our amenities in the waiting room will not be operational in order to minimize contact.
  • Hand sanitizer and/or soap and water are readily available.
  • As always, we remain compliant with all federal and state requirements.


Dates of closure could be extended and additional changes implemented as we continue to make safety our first priority. Please call 309-670-0700 with questions and check our social media and website frequently to stay up to date.

Sincerely, Drs Khurram Rashid and Harrison Putman III

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