Breast implants for male to female

Dear Dr. Reed,  Please comment on breast implants for transgender surgery patients.  When and how much?


Dear Sybil,

A well contoured chest is the defining anatomical feature of women seen in everyday life.  Femine gender is established yards away.  We believe with hormones properly dosed, your breast size will become 1 cup size smaller than your mother or sister.  For this reason we occasionally see very attractive trans-females who are not rushing to have breast implants.  Your home grown breast size should cover the implant to avoid a “double bubble” effect.  We also believe sub-pectoral placement (under the muscle) provides additional mass and coverage.  My bias is that saline under the muscle feels the same as silicone and has the advantage of requiring a smaller incision as the implants are inserted deflated rolled up like a cigarette and when expanded, can be filled to provide near perfect symmetry.

Please visit our web-site for before and after photos  Hope you like what you see.  Before we close, all patients are sat up and everyone in the operating room comes to the foot of the table and critiques appearance.

Overly large implants, 1/2 way under your arm will eventually sag as do oversized breasts on any lady, so you’ll be back on the operating table in a few years for a lift. Don’t go that route.  We want you to be oh so happy with your lovelies.


Harold M. Reed, M.D.
The Reed Centre for Transgender Surgery – Miami

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