Transgender Surgery Baltimore, Maryland


Dr. Del Corral is a proud member of the WPATH

Male to Female (MTF) Breast Augmentation:
Male to female (MTF) breast augmentation is a surgical procedure designed to increase the size and shape of breasts by the insertion of an implant beneath the existing breast tissue. A transitioning woman may have sufficient breast tissue naturally or through the use of hormones to allow for immediate insertion of the implants and augmentation. In some cases if there is not sufficient breast tissue (and breast skin) we may need to insert a tissue expander first. A tissue expander is an inflatable breast prosthesis that is slowly filled with saline during visits to the doctor after surgery. In the second stage, after the chest tissue has relaxed and healed enough, the expander is removed and replaced with an implant. The chest tissue is usually ready for the implant six weeks to twelve weeks after the expander is placed.
The permanent breast implants rely on an outer shell and a filling which is usually silicone gel. Dr. Del Corral only uses “cohesive silicone gel” filled implants which do not leak because the silicone is actually a solid material (like jelly) rather than a liquid. The decision regarding size will be carefully considered when you visit Dr. Del Corral for a consultation, and you will get the opportunity to wear trial implants in a special bra to simulate the result of your surgery.

You will experience some pain, swelling and bruising immediately after breast implant surgery. Your chest may feel tight and your breathing may be restricted. This is normal and your symptoms will start to improve over the next few weeks. You will usually rest at the hospital or clinic in a semi-upright position. This will help keep you comfortable and minimize swelling. You will be given painkillers if you need them. After returning home, you can continue to take over-the-counter painkillers, such as Tylenol or ibuprofen.

MTF Surgery Baltimore Maryland:

Male to Female (MTF) Body Contouring:
MTF body contouring is comprised of multiple procedures and/or surgeries to help accentuate the hips and buttock areas. Consisting of liposuction and fat grafting, body contouring procedures may help augment the buttocks and hips to give a more “hourglass” body type. The procedure is performed by harvesting fat from areas where excess fat is of concern, commonly the love handles, abdomen and thighs. In addition to these typical areas for liposuction we focus on the lower back and thigh areas to accentuate the buttocks and hips as much as possible. The removed fat is then carefully treated to protect the fat cells before being injected into the buttocks and hips through one or two very small incisions using a thin cannula. Since the fat cells are your own, there is no risk of rejection or adverse reactions. The fat grafted areas will feel and behave naturally and there is no risk of implant failure or damage, as with buttock augmentation using an implant. Although, one or two treatments with fat grafting may be required to achieve the optimum shape or fullness, the results of fat grafting are permanent.

Minimal discomfort is expected following the treatment and no bruising should occur with the careful techniques used. Any mild bruising will usually resolve after one to two weeks. The treated area(s) may feel tender – moderate discomfort for the first three to five days. Mild discomfort is expected for two weeks. Restricted activities are advised for two weeks following fat grafting treatment. Wearing a support garment is recommended for the first three weeks day and night, then during the day for a further three weeks.

FTM TOP SURGERY Baltimore, Maryland

Female to Male (FTM) Chest Masculinization (Top Surgery):
FTM chest masculinization, otherwise known as ‘top surgery’, is a process of reducing the breast tissue surgically and with liposuction to give a more masculine and contoured chest appearance. There are various techniques that can be used to perform the surgery based on your chest mass and particular anatomy. The procedure is performed in the operating room under general anesthesia. First, a small incision is made under each breast. The excess breast tissue is removed and the existing breast skin reduced to give a defining contour to the chest. The nipple areolar complexes are surgically removed and then grafted onto the chest. This double incision top surgery is typically an outpatient surgery that lasts 3-4 hours.

Full recovery from chest masculinization varies between individuals, so it’s important to follow Dr. Del Corral’s advice, but usually you will be back to normal within six weeks. If you need pain relief, you can take over-the-counter painkillers such as Tylenol or ibuprofen.  Likely you will wear a compression binder for 4-6 weeks post operatively.

FTM TOP SURGERY Baltimore, Maryland

Female to Male (FTM) Body Contouring:
Female to Male body contouring typically consists of liposuction, abdominoplasty (tummy tuck) and brachioplasty (arm lift) to achieve a more masculine appearance. In some cases we will add a butt lift fat grafting procedure for firm, rounded buttocks if desired. The overall idea is to remove excess skin and subcutaneous fat tissue for a more muscular, masculine appearance in the arms, chest, abdomen and hips.

The liposuction technique is performed by marking the skin to indicate the precise area from which the fat will be removed. Next, a large amount of very dilute anesthetic solution is injected into the body site to numb and swell the fatty area (tumescent technique). Then a thin tube-like instrument called an ultrasonic probe is inserted beneath the skin through a small incision. The probe is maneuvered in a crisscross pattern while sound waves generate negative pressure, causing the fat cells to implode, or collapse, and liquefy. The liquefied fat and anesthetic fluid are removed using gentle suction. With the proper technique a specific area of the body can be contoured to obtain the desired shape and muscularity.

An abdominoplasty (or tummy tuck) procedure is used to remove excess abdominal fat tissue as well as tighten potentially loose deep tissue to give a more flat, firm appearance. An incision is made along the lower abdominal area beneath the waistline and excess tissue removed. The abdominal fascia (deep strength layer beneath the skin) is then tightened to give a flatter appearance. The procedure is performed under general anesthesia and usually the patient will go home the same day or a single overnight stay in the hospital.

The arm lift surgery is simply making an elipse incision on the underside of the arms to remove excess tissue. The incisions are placed such that the scars will remain hidden when the arms are at rest and not visible from behind. The excess skin is removed and the arm skin tightened. This is performed under general anesthesia and done as an outpatient procedure. Typically the arms will be wrapped with ACE wraps for 1-2 weeks to prevent post-operative swelling.

FTM TOP SURGERY Baltimore, Maryland

Female to Male (FTM) Chest Masculinization (Top Surgery):
FTM chest masculinization, otherwise known as ‘top surgery’, is a process of reducing the breast tissue surgically and with liposuction to give a more masculine and contoured chest appearance. There are various techniques that can be used to perform the surgery based on your chest mass and particular anatomy. The procedure is performed in the operating room under general anesthesia. First, a small incision is made under each breast. The excess breast tissue is removed and the existing breast skin reduced to give a defining contour to the chest. The nipple areolar complexes are surgically removed and then grafted onto the chest. This double incision top surgery is typically an outpatient surgery that lasts 3-4 hours.

Full recovery from chest masculinization varies between individuals, so it’s important to follow Dr. Del Corral’s advice, but usually you will be back to normal within six weeks. If you need pain relief, you can take over-the-counter painkillers such as Tylenol or ibuprofen.  Likely you will wear a compression binder for 4-6 weeks post operatively.

FTM TOP SURGERY Baltimore, Maryland

Female to Male (FTM) Body Contouring:
Female to Male body contouring typically consists of liposuction, abdominoplasty (tummy tuck) and brachioplasty (arm lift) to achieve a more masculine appearance. In some cases we will add a butt lift fat grafting procedure for firm, rounded buttocks if desired. The overall idea is to remove excess skin and subcutaneous fat tissue for a more muscular, masculine appearance in the arms, chest, abdomen and hips.

The liposuction technique is performed by marking the skin to indicate the precise area from which the fat will be removed. Next, a large amount of very dilute anesthetic solution is injected into the body site to numb and swell the fatty area (tumescent technique). Then a thin tube-like instrument called an ultrasonic probe is inserted beneath the skin through a small incision. The probe is maneuvered in a crisscross pattern while sound waves generate negative pressure, causing the fat cells to implode, or collapse, and liquefy. The liquefied fat and anesthetic fluid are removed using gentle suction. With the proper technique a specific area of the body can be contoured to obtain the desired shape and muscularity.

An abdominoplasty (or tummy tuck) procedure is used to remove excess abdominal fat tissue as well as tighten potentially loose deep tissue to give a more flat, firm appearance. An incision is made along the lower abdominal area beneath the waistline and excess tissue removed. The abdominal fascia (deep strength layer beneath the skin) is then tightened to give a flatter appearance. The procedure is performed under general anesthesia and usually the patient will go home the same day or a single overnight stay in the hospital.

The arm lift surgery is simply making an elipse incision on the underside of the arms to remove excess tissue. The incisions are placed such that the scars will remain hidden when the arms are at rest and not visible from behind. The excess skin is removed and the arm skin tightened. This is performed under general anesthesia and done as an outpatient procedure. Typically the arms will be wrapped with ACE wraps for 1-2 weeks to prevent post-operative swelling.