Top Transgender Surgery

Top gender reassignment surgery is an MSP-approved procedure in British Columbia. Inquire with your general practitioner as to the criteria that must be met for referral to a plastic surgeon. Additional procedures such as suction lipectomy and autologous fat grafting that may improve the cosmetic outcome of the surgery are not benefits of the medical plan. We are not currently offering other gender reassignment procedures.

Mastectomy

Female to male gender reassignment surgery is approached in two different ways. Concentric circular mastectomy is a short-scar technique in which the native nipple and areola, although decreased in size, is left attached to some of its blood and nerve supply, resulting in a scar around the areola only. Candidates for this surgery have less breast tissue and skin. The rate of revision surgery and wound healing problems is elevated with this technique. Mastectomy with free nipple graft involves a longer scar and the nipple-areolar complex is detached and reattached to regain blood supply. Although the scar is longer, revision surgery is less frequent with this approach.

Breast Augmentation

Male to female gender reassignment surgery is generally approached with prosthetic breast implants. There are many variables to discuss surrounding this surgery, including: type of implant (saline vs silicone), placement of incision (inframammary vs periareolar), implant position (pre- or sub-pectoral), and size. A consultation with your plastic surgeon will determine which options are most optimal for you.

Summary