MTF Breast Augmentation

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MTF Breast Augmentation in Jupiter & Palm Beach, FL with Dr. Jason Cooper

Breasts have been an enduring symbol of femininity. MTF breast augmentation may allow you to have the breast size, shape, and overall appearance that you have always desired. The operation is also known as MTF TOP surgery, designed to transform a male chest into feminine breasts when hormone replacement therapy proves insufficient for complete breast enhancement.  

While hormone replacement therapy may increase breast volume to a degree, many MTF patients seek to enhance their breasts’ feminine contours to alleviate gender dysphoria, match their gender identity to their appearance, and improve self-esteem.

To learn how MTF breast augmentation in Jupiter and Palm Beach, FL, can deliver the feminine shape you desire, contact Harvard-trained plastic surgeon Dr. Jason Cooper today

MTF Breast Augmentation Candidates

The best candidates for MTF TOP Surgery in Palm Beach include individuals in good physical and mental health. They should have no major medical concerns like hypertension, diabetes, cancer, or bleeding disorders.  They also:

  • Have realistic expectations about their results
  • Don’t smoke or are willing to quit before surgery
  • Are at a healthy weight and are not planning to gain or lose weight
  • Have begun hormone replacement therapy, or have seen a therapist for counseling

Patients should also be at least 18 years old and have the emotional maturity to undergo this cosmetic enhancement.

MTF Breast Augmentation Consultation

You and Dr. Cooper will discuss available options to plan your customized breast augmentation operation. Most male-to-female candidates have undergone hormone therapy. By taking these hormones, your breast should have begun to develop. Dr. Cooper can then enhance these breasts with implants when enough tissue is present to conceal and encapsulate the implant.

The MTF Breast Augmentation Procedure

Our Jupiter, FL MTF surgery for breast enhancement happens under general anesthesia in our AAAASF accredited surgical center and takes about two hours. It offers multiple options to customize the result of each patient. These include the type of implant—the volume, shape, and projection—and the implant placement. 

Implant Type

Breast implants have a silicone polymer exterior shell with either a saline or silicone gel filler. Silicone implants provide a natural appearance, are firmer, and have a smoother surface. Saline implants are rounder, have a fluid-feeling when touched, and are less expensive.

The latest in implant technology is the cohesive gel implants. Also known as the gummy bear implants, these silicone-gel devices are designed for more stability once inserted. They require a larger incision and are the most expensive.

Implant Placement

The breast implants can be placed above the pectoral muscles but below the breast tissue (prepectoral). Or they can be placed above the chest wall but below the pectoral muscles (subpectoral)

Incision Placement

Your breast augmentation incisions are most commonly at the inframammary folds.

You and Dr. Cooper will cover each of these options when you meet with him in person or virtually for a consultation.

MTF TOP Surgery Recovery

After the operation, you will awaken in a surgical center recovery area with bandages and a surgical compression bra. We ask you to wear the compression garment for two weeks 24/7, then during the daylight hours for another four weeks.

Dr. Cooper will prescribe medications to be taken orally to prevent infection and help with any post-surgery discomfort.

MTF Breast Augmentation Benefits

Although hormone replacement therapy may create the appearance of female breasts, MTF breast augmentation can further improve your breast feminization by:

  • Increasing breast size
  • Improving breast symmetry
  • Enhancing breast projection and cleavage
  • Improving nipple shape
  • Improving overall breast appearance
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Why Dr. Jason Cooper?

Dr. Jason S. Cooper is a Harvard trained, board-certified plastic and reconstructive surgeon in practice in Jupiter, Fl. Dr. Cooper graduated from medical school at the University of Miami in 2004 with AOA honors and went on to the Harvard six-year combined plastic surgery residency program. After completing his residency at Harvard in 2010, Dr. Cooper held an academic appointment at Harvard Medical School and was on staff as a plastic and reconstructive surgeon at Massachusetts General Hospital for more than 4 years.

In 2014 Dr. Cooper relocated to Jupiter, FL where he established his cosmetic & reconstructive private practice. Dr. Cooper specializes in cosmetic surgery of the face, body, and breasts. Dr. Cooper has a state of the art, nationally accredited, AAAASF in-office surgery center where he performs the latest techniques to rejuvenate the face, breast, and body.

Dr. Cooper consistently achieves outstanding patient satisfaction for both his surgical results and the personalized, patient-focused experience that his practice has carefully developed. Dr. Cooper has office locations in Jupiter, FL, and in Palm Beach, Fl. Dr. Cooper is also on staff at Jupiter Medical Center.

To learn more about Dr. Jason Cooper and how he can help you pursue your cosmetic goals, request a consultation or call our office at 561-406-6574.

MTF Breast Augmentation FAQs with Dr. Jason Cooper

Every woman’s chest and breast are unique. It’s important to understand the desired size and shape of the breast relative to the current chest and breast anatomy. I want to know if I can accomplish the patient’s goals in one operation (single stage) or if a skin expansion stage is necessary. I am looking at the shoulder width, breast projection, areola size, sternal width relative to shoulder width, breast cleavage, skin quality (stretch marks), areola diameter, nipple projection and the location of the breast fold relative to the areola position. It’s also important to evaluate the pectoralis muscle, how defined is it, how much does it animate with contraction, because I am trying to determine if the implant should be in-front or behind the muscle.

In terms of candidacy for surgery, South Florida patients who are; informed about the risks and benefits of breast implants, healthy, able to tolerate downtime, in the care of a medical health professional who will support their candidacy for breast augmentation surgery.

My philosophy is no different than treating any other cosmetic patient. I try to understand my patient’s goals and use my experience to discuss if what they desire is possible. I share how their anatomy, skin, prior surgeries, or health may factor into my surgical approach. It’s been my experience that reasonable expectations and great intraoperative attention to detail lead to successful doctor patient outcomes.

Please come to your consult at my Jupiter or Palm Beach, FL office with an idea of what you desire for your breast. Photos of what you desire help me to understand your goals. I will review your prior medical and surgical history. Standard photos will be taken. We will review your anatomy, breast size, breast shape, pectoralis muscle size, muscle definition, breast fold location and areola size so I can recommend if you are a candidate for surgery. The consult is meant to be detailed but not overwhelming. It is helpful to bring a friend or significant other so they can take notes. I will also discuss anesthesia, post-surgical garments, when you can resume daily activities, workouts and answer your specific questions.

I have experience in breast reconstruction prior to becoming a dedicated cosmetic surgeon. I understand the breast and chest anatomy well. I am completely focused on cosmetic surgery and have performed thousands of breast augmentation surgeries in South Florida. I perform surgery in my own cosmetic surgery facility in Jupiter, FL. We have a dedicated team of nurses, surgical technician, anesthesia provider that work together full time. We only focus on cosmetic surgery. This is what we do.

Typically, 18 years old for a saline implant and over 21 years old for a silicone breast implant.

No although many patients I treat have been started on hormones at the time of surgery.
Is a note from a therapist or a certain amount of counseling required? Typically, yes, 3 months of counseling and a note from a licensed health professional is advised.

We do not accept insurance for breast augmentation surgery. This is a cosmetic procedure to improve the appearance of your breasts.

Breast augmentation can occur at any time to improve the size and appearance of your breasts.

Pain varies for every patient. Typically, most South Florida patients experience discomfort for a few days after surgery.

Yes, breast implants need to fit the size of the chest and overlying breast. Minor adjustment at the time of surgery can be made to recruit more skin so that a larger implant can be used. However, if the skin is very tight and large implant is desired you may need a tissue expander to stretch the size for a few months prior to placing the final implant.

Fat grafting can be used in select patients to smooth the transition from the upper edge of the implant to the chest.

I generally use an incision in the breast fold, although I am very comfortable using an incision around the areola when indicated.

It depends. I usually place the implant partially behind the muscle. However, the patient’s anatomy particularly their muscle development, skin thickness, sternal width (pre-existing cleavage), amount of breast tissue and muscle animation determine the best location for implant placement. Each patient’s anatomy, breast, muscle, and cleavage are carefully examined and reviewed in the context of the desired breast size in order to select the ideal implant position.

I listen and understand the patient’s goals first. I review their anatomy during the consult. I differentiate myself in the operating room by obsessively selecting and placing different size implants (known as temporary sizers) to simulate the final result. I spend a considerable amount of time in the operating room evaluating what you will look like with different sizers. There is no computer program or crystal ball that can provide this insight. I use the patient’s wish photo and my experience to select the best implant. I do not allow time or other distractions in the operating to comprise the best outcome for the patient.

I use smooth round implants, silicone or saline. I generally use silicone implants because they feel softer. Transgender breast augmentation patients tend to have less breast tissue, so the majority of breast volume is being made up of the implant. I prefer the implant feel soft and natural. I am open to saline implants and have placed them in patients who are concerned about silicone and willing to accept the tradeoffs in terms of feel.

Different types of soft tissue grafts and cartilage can be used to augment nipples. I have not found these grafts to be predictable after placement. I do not like to augment nipples due to lack of predictably in terms of size, shape and overall appearance because the grafts do not live with 100% certainty.

There are surgical mechanisms to make an areola larger although they are not predictable and often associated with adverse scarring. Therefore, I do not offer this procedure. A medical tattoo pigmentation expert can match the pigment of your areola in order to make the diameter larger. When desired, I refer patients to a medical tattoo pigmentation expert to avoid scarring and achieve their larger areola goals.

In terms of the safety of the surgery, the risks of anesthesia and breast augmentation surgery are the same. Transgender patients with tight skin and a short distance between their areola and breast fold maybe at greater risk of inferior implant malposition when attempting single stage surgery. Patients need to be realistic about the size of the implant they desire and the ability to accomplish the goal in one surgery. Obviously, no one wants to undergo an expansion phase it is not needed but sometimes it’s necessary. I will assess your anatomy in the context of your size goals at the consult.

Nothing really, your nipples may be more sensitive for a few months after the procedure. Your nipple hypersensitivity improves with time (months not weeks). Most patients do not experience any changes in nipple sensation.

Per the FDA, patients with silicone breast implants should have an MRI starting at 3 years after their breast augmentation operation then every two years thereafter. The same is not true for patients with a saline implant. The purpose of the MRI is to assess the integrity of the implant, not detect breast cancer. I recommend MTF patients discuss mammograms with their primary care physician and medical team to advise them on what preventive screening treatments are best for them.

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"Dr. Cooper takes a real personal connection with his patients."

Suzanne K.C
dr. jason cooper, md jupiter fl