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Inverted T Top Surgery

Inverted T top (anchor mastectomy) in London at Centre for Surgery Baker Street. FTM masculinising chest for larger chests additional skin removal. Nipple-areola without free nipple . by Dr Spiros Vlachos and Mr . From £9,500. CQC-regulated clinic.

Inverted T Top Surgery in London

T top — also known as anchor mastectomy or inverted T mastectomy — is a gender-affirming chest designed for with larger chests, skin laxity, or reduced skin elasticity. It produces a flat, chest while preserving the nipple-areola complex free nipple grafting, maintaining the blood supply and nerve to the nipple .

The uses an anchor-shaped incision: a incision around the areola, a incision running from the areola to the lower chest fold, and a incision along the crease. This three-part incision pattern allows for more tissue and skin removal than the standard , making it the approach for patients who require skin tightening.

T top is by and at our .

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What is Inverted T Top Surgery?

The T is from other FTM top surgery approaches by its and its to preserve the native . Unlike , where the are and re-grafted, the T keeps the nipple-areola complex to an underlying pedicle of tissue throughout the . This preserves nipple blood supply and in most cases retains nipple sensation to a significantly greater degree than free nipple .

The three incisions work together to allow the surgeon to remove the breast tissue, excise the excess skin above and below the areola, and close the chest to a smooth, flat . The scar component is the of this and the for nipple — who inverted T top will have a vertical scar in addition to the lower pectoral scar.

The technique is particularly well suited to patients with larger chests where skin after tissue would otherwise create an unsatisfactory result with double alone. It avoids the risk of nipple loss associated with free nipple grafting, which is a consideration for with circulation or healing capacity.

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Surgeons for Inverted T Top Surgery at Centre for Surgery

Inverted T top at Centre for is performed by and — two plastic with in gender-affirming chest .

Both all five FTM/N top — , , , , and inverted T. At consultation, your surgeon will assess your chest in detail and which will the best result for your specific .

You can verify their GMC directly on the before booking.

Are You a Suitable Candidate for Inverted T Top Surgery?

Inverted T top is most appropriate for patients where the double technique would leave skin or where nipple sensation is a concern. Suitability is at a consultation with your surgeon.

candidates typically:

A mandatory cooling-off period from the date of consent to all surgical procedures at Centre for .

Inverted T Top Surgery Recovery

Inverted T top is under at our Baker Street clinic as a day case. You will need a responsible adult to take you home and stay with you for the first 24 hours.

drains may be following T top surgery to fluid accumulation (seroma) at the surgical site. Drains must be emptied two to three times daily and fluid output logged. They are typically removed once output drops below 25ml per day for three consecutive days — usually around one week .

A compression binder must be worn for six weeks after surgery. It reduces swelling, healing, minimises scarring, and maintains the chest . Wear it as instructed.

Most can return to work within one to two weeks. Avoid heavy and strenuous for six weeks. Light from day three or four is encouraged.

A wound check is at seven to ten days. A surgeon review is included at six weeks. A three-month is as part of your . 24/7 support is available for the first 48 hours after .

Most within three to four weeks. Final results are at three months. The anchor-shaped scars will continue to flatten and fade over 12 to 18 months. Sun protection on healing scars and gel from six weeks improve final scar appearance.

Potential Risks of Inverted T Top Surgery

T top is a more extensive procedure than other FTM techniques due to its three-incision pattern, but produces consistent results in whose chest size or skin laxity makes other techniques unsuitable. All risks are discussed in full at .

Like nipple-sparing double incision, inverted T top surgery the nipple-areola complex on its pedicle. The most serious risk to this technique is pedicle compromise — or complete loss of blood supply to the nipple. This is uncommon when patient selection is appropriate and surgical technique is precise. Risk include smoking, diabetes, and circulatory conditions.

If pedicle compromise occurs, the nipple may heal with pigmentation, partial loss, or in rare cases to free nipple grafting.

Most patients T top surgery retain partial to full nipple sensation due to pedicle — better than free nipple grafting. Some experience in the first weeks that improves as nerve progresses. A minority permanent in .

Reduced sensation across the chest skin is common in the first three to six months. Most patients regain partial chest within 12 months.

T top produces an anchor-shaped scar pattern: a scar around the areola, a vertical scar from the areola to the lower chest fold, and a horizontal scar along the inframammary crease. The vertical scar is the defining feature of this and the necessary trade-off for nipple in patients with larger chests.

All three scar lines initially appear pink and slightly raised. Over 12 to 18 months they progressively and fade. Final scar appearance is not assessable until at least 12 months post-operatively. The T-junction (where the scar meets the horizontal scar) is the area of highest and is most likely to develop scarring.

Patients with a of keloid or hypertrophic have a higher risk of abnormal scar formation and should raise this at consultation. Silicone gel or from six weeks post-operatively, sun on healing scars for three months, and non-smoking throughout all support scar .

A mandatory two-week period applies between and so that all risks can be considered fully before proceeding.

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Why Choose Centre for Surgery for Inverted T Top Surgery?

Our Baker Street clinic is regulated by the . The CQC specifically rated our as "outstanding" — the highest rating available. All surgical are under .

The inverted T technique avoids free nipple grafting entirely — the nipple pedicle, blood supply, and in most cases nipple . For patients where nipple sensation is a priority and chest size or skin laxity rules out techniques, this is the most appropriate surgical option available.

and all five FTM/N top techniques at the same Baker Street clinic. If inverted T is not the most appropriate technique for your anatomy, your will explain why and the correct alternative.

0% APR is available through , to status. The £100 consultation fee is redeemable against your procedure cost. FTM top at Centre for from £9,500.

A cooling-off period from the date is given. No surgery is scheduled before this period has .

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Address: 95–97 Baker Street, London W1U 6RN

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W1U 6RN

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Saturday consultations available