Mastectomy or masculinization of the torso is a procedure in which the breast tissues and mammary glands are removed.

Subcutaneous or periareolar mastectomy

  • Small incisions following the bottom line of each nipple’s areolas
  • Resection of tissues, glands, and excess skin by these small incisions
  • Closure of the incisions

Double incision bilateral mastectomy with nipple grafts (with nipple areolar complex or NAC graft)

This technique will be recommended by the surgeon when the patient has excess tissue and mammary glands.

  • Incision along the line of each areola in order to completely remove the nipple
  • Sub-pectoral incision on each side of the torso
  • Removal of the skin between the nipple and the sub-pectoral incision and, at the same time, resection of tissues and mammary glands
  • Closure of the sub-pectoral incision
  • Attachment of the nipple to the natural location on the male torso

After Surgery

  • Specific care: you may have Jackson-Pratt drains installed during surgery and may leave the hospital with the drains. Your family doctor or nurse can take care of removing the drains a few days after your surgery, as directed by your surgeon.
  • Healing: During the 9 to 12 months following the surgical procedure, there is normally a natural skin retraction allowing for correction of any residual laxity.


Conjoined Bilateral Pedicled Groin Flap Phalloplasty
Also known as Kim FTM Phalloplasty, this 3-stage procedure is a less expensive alternative to microsurgical phalloplasties that uses conjoined bilateral pedicled groin flaps.

The final penis size depends on the patient but averages just over 4 inches long by 1.75 inches wide. Scars are easily concealed by underwear or a swimsuit.

Patients can stand to urinate, and sexual intercourse with a partner is also possible. Erotic sensation and orgasm continues to be provided by the clitoris preserved at the base of the neophallus. Patients report tactile sensation in the bottom half of the penis.

Implantation of a malleable erectile prothesis is optional, but inflatable devices are not possible.

The procedure is named for its founder, Dr. Kim of Seoul, Korea. Dr. Kim studied extensively with Professor Sava Perovic MD PhD (now deceased), who was a critical figure in the advancement of FTM surgeries. Before Dr. Rados Djinovic joined the Sava Perovic Team, Dr. Kim was the surgeon who accompanied and supported Professor Perovic when he demonstrated FTM genital surgeries in other countries.

Surgery Stages (3 months apart)

  • Stage One – Phalloplasty, Scrotoplasty, including testicular implants
  • Stage Two – Penile Prothesis Implantation
  • Stage Three – Vaginectomy, Urethroplasty

Male Chest Implants

Male Chest Implants are soft, but solid silicone implants placed in between the pectoral muscles to add bulk, size, and definition to the chest region. Male Chest Implants are not the same as Female Breast Implants. The look different, are placed differently, and are made out of different materials. Male Chest implants cannot leak or deflate. Male Chest Implants make the chest look bigger and more developed. Male Chest Implants can be used to correct any existing muscle asymmetries or to help an underdeveloped chest.