After more than 35 years of perfecting FTM top surgery, Dr. Michael Brownstein trained Dr. Crane in his technique for both dual incision and the keyhole procedures of transforming the female chest into that of a male.
For double incision patients, Dr. Crane does not use drains. He safely accomplishes this by leaving an abundance of lymphatic tissue which allows your own body to reabsorb the fluid that the drains would remove. With the combination of not using drains and performing intercostal nerve blocks with Lidocaine before starting the procedure, Dr. Crane’s patients have a dramatic decrease in their post-operative pain.
There are two types of chest surgeries that are offered: the keyhole procedure and the double incision. The keyhole procedure is best for patients that would wear a size “A” or small “B” cup. The procedure does not remove any extra skin or re-position the nipple/areola complex. If a patient has extra skin that would need to be removed to maximize his aesthetic result or need the nipple/areola complex positioned into a more male appearing location, then the double incision should be considered.
Double incision top surgery requires an incision around the lower border of the pectoralis muscle and around the nipple. For large chested patients desiring a masculinized chest, this is the best top surgery option to remove the breast tissue and reposition and reshape the nipple-areola complex.
Keyhole top surgery is better suited for smaller chested individuals with little to no redundant skin. With the keyhole top surgery procedure, a small incision is made around the nipple-areola complex to remove existing breast tissue.
With either double incision or keyhole top surgery, Dr. Crane pays special attention to masculinizing the chest with the best possible contour results.
View top surgery before and after photos (double incision) »
(IMPORTANT NOTE: You must be 18 years or older to view.)
By email or postal mail: If you are older than 18 and can send pictures of your chest (no images of your face need to be shown) we can decide whether you are a candidate for the keyhole or double incision.
In San Francisco: If you would like to come to San Francisco for a pre-op evaluation before scheduling a surgery, we would be more than happy to meet you. There is no fee for this consultation.
The total cost of top surgery includes the anesthesia, facility fee, pathology and surgeon’s fee, which includes all post-op care and minor revisions that may be needed in the first few years. The fee may vary slightly—this is determined after a consultation (see above.)
Dr. Crane does accept major credit cards, however there is a 3% fee for their use. Care Credit is a financing company that reduces the cost down to around $500 per month if the total is paid within 18 months after surgery. Information about Care Credit can be found at www.carecredit.com.
The office is very accustomed to treating patients less than 18 years old. This requires the consent of both parents and two letters of recommendation from mental health care professionals.