Top surgery nipple placement, too high?

[Alex_C]

That's my worry, I don't wanna look weird.

[JonasCarminis]

That's my worry, I don't wanna look weird.

just pick your surgeon wisely to maximize the chance that you'll end up with the chest that you want.

[Alex_C]

Bingo.

[JonasCarminis]

did you look at the pics though?  cause seriously some of them are like 3 inches above the PEC line.  not the scars.

[Lachlann]

Yeah I know, some of them are too high. And a lot are too close together as well. Just pointing out that some look too high at first glance but then turn out to be about right.

There's only one that's too close together and that's chest 10 and it's not too bad.

Here, guys, have some anatomy refs.

[Jay]

Thanks for the link Jay!

I personally never considered the fact that my nipples might have been placed too high. It never crossed my mind. I haven't seen any pictures really either of nipples being placed to high either.

Jay

[Bel979]

It depends on surgeons tecnique as well as I would say the shape of your chest. I'm guessing/hoping guys with smaller frames it would be an easy task to place the nipples in a good position.

[daynejule]

Brownstein wrote "It is important, however, to avoid placing the areolar grafts too central. This gives a very unnatural appearance to the chest and stands out considerably." Well his disciple Dr Crane did exactly that to me. He had a perfectly brand new canvas to work on, he messed it up and I have to wear it. He said he will fix it no charge but I don't have the money for the travel, accommodation and surgery center to do it.  I saved up until I was 60 years old and opened my IRA to do this and now the money is gone. Also, again, it was a beautiful brand new canvas and now it's been tampered with and there will be more scars. I'm screwed.   

[daynejule]

I tried inserting a photo but it didn't work. I also used insertion of a web site with the photo on it and it didn't work. Any help?

[Jamie D]

Follow the format shown here:
https://www.susans.org/forums/index.php/topic,59974.0.html

Quick fix
https://www.facebook.com/photo.php?fbid=208530912637537&set=t.100004418881272&type=3&theater

[timbuck2]

It's always a good thing to remember that peoples bodies come in all shapes and sizes. I've seen many men who have nipples that look very low but thats just the way their chest is shaped.

Pictures of bodybuilders aren't good reference btw. These are men that have spent years toning their physiques to perfection not average looking men with average pecs.

[GnomeKid]

I went to Dr. Christine Mcginn in the Philly area, and I have to say that everything to do with my top surgery is perfect.  My room  mate (bio male) is jealous of my chest because it looks so good.  He says my scars only make me look like I've got bigger muscles.  Nipple placement is on point, and unclockable.  If you were standing 5' or more away you'd never know I even had surgery.  Closer up you'd notice the scars, but definitely wouldn't imagine that the nips hadn't been in their current location since birth. 

I highly recommend her (dr. mcginn).  She's really great, and her results (at least mine) are amazing.  I also love that she, herself, is trans.  Makes the whole thing more comfortable. 

I think it also depends on when you're getting your surgery. I see alot of guys get it as soon as they get on T, but the best results I've seen is when guys have been on T for a year or longer. I think it's very important to be on T for awhile and work out. Contour some muscle so that the surgeon isn't working blindly. It can be difficult to get the placement right if you're not sure how things are gonna line up after more muscle development.

False

100% false.

I had my surgery about 8 months before staring T (I'd rather have been a girl without boobs then a guy with boobs.  no shame to people who do it the other way around... just was my preference), and as I have mentioned I have pretty much perfect results.   

I also should note that I was super skinny at that time.  Perhaps it helped my situation.  I can imagine there may be more adjustment in fat distribution for people who have more fat.  so maybe its just 80% false and not 100% false... but still I don't want people to have the impression that they have to wait around for top surgery until they start T.  Some people are much better served getting surgery first.

[Alexthecat]

(I'd rather have been a girl without boobs then a guy with boobs.

Totally on the same wavelength here.

[randomdude5]

False

100% false.

I had my surgery about 8 months before staring T (I'd rather have been a girl without boobs then a guy with boobs.  no shame to people who do it the other way around... just was my preference), and as I have mentioned I have pretty much perfect results.   

I also should note that I was super skinny at that time.  Perhaps it helped my situation.  I can imagine there may be more adjustment in fat distribution for people who have more fat.  so maybe its just 80% false and not 100% false... but still I don't want people to have the impression that they have to wait around for top surgery until they start T.  Some people are much better served getting surgery first.

Agree, I got my top surgery a bit before starting T, and got great results. (In my opinion ) I'm also pretty skinny though, maybe that has something to do with it hah. But even my family doctor who saw my chest after said, "Wow, that's really good." talking about the nipple placement.

[sweetlittlemisery]

My partner is booked in for top surgery at the end of summer. We seen the surgeon last week to discuss it, and because my partner wants to keep his nipples functional, the surgeon has to keep a good straight blood supply. Because my partners chest is so big (we're talking GGs), that means his nipples are going to end up pretty high since he wants the incision marks under his chest rather than across. My friend who transitioned about 20 years ago has good nipple placement though since he got a graft instead.

[anibioman]

the nipples are placed on downward edge of the pec muscle if you have no pecs it is very high. but thats not where bio guys with no pecs nipples are theirs are below that. my advice is build pecs now because nipple placement is generally very good it you have good pectoral muscles before surgery.

too high and inside. not atomically correct.

[GnomeKid]

the nipples are placed on downward edge of the pec muscle if you have no pecs it is very high. but thats not where bio guys with no pecs nipples are theirs are below that. my advice is build pecs now because nipple placement is generally very good it you have good pectoral muscles before surgery.

too high and inside. not atomically correct.

hmm they could be maybe a bit too high, but I wouldn't say they're too central anything too much wider would look... well odd.  If this dude never goes on to build up pecs I think he's got pretty decent results (and he cold even if he did build up, but I guess its hard to say without seeing it).  If you blur your eyes to erase the scars I can totally see a young boy looking exactly like that.

[AdamMLP]

I'm not so sure we should be criticising people's top surgery results publicly. I'm sure its not what you're trying to do, but I'm fearful of people not wanting to share their top surgery results for a similar reason to people not sharing lower surgery results. Its not entirely the same, because genitals are more private, but its similar because people are fearful of their penises being referred to very unfavourably, even though they're often not fully healed when shared.

I'm tired, probably overreacting and not making much sense, but thought I'd mention it. Perhaps crop the face out next time?

[GnomeKid]

I'm not so sure we should be criticising people's top surgery results publicly. I'm sure its not what you're trying to do, but I'm fearful of people not wanting to share their top surgery results for a similar reason to people not sharing lower surgery results. Its not entirely the same, because genitals are more private, but its similar because people are fearful of their penises being referred to very unfavourably, even though they're often not fully healed when shared.

I'm tired, probably overreacting and not making much sense, but thought I'd mention it. Perhaps crop the face out next time?

I agree with this, especially since the picture in question definitely wasn't an image of the poster's chest.  (and now I kind of feel bad even commenting on it... despite the fact I think the results look good)

Then gain I'm pretty tired too =p

[aleon515]

I'm pretty sure that even though Ryan is a public figure, I think the posting of his picture to "dissect him" is kind of inappropriate. If you want to post your own picture and discuss it that's another thing (or discuss the "ideal"-- though remember it is the ideal, and very few people are actually ideal.)

--Jay