In addition, textured silicone implants are less likely to incur severe capsular contracture, which despite not being as natural or soft to touch, do not cause breast hardening or deformities or other complications due to improper postoperative massage. Textured breast implants do not require active or long-term breast massage, with the breasts being able to rapidly fixate this is suitable for males who are not good at the self-care of breasts. The male chest seldom produces breast implant edges or creases after breast augmentation due to the excessively thin skin, so males have diverse options for breast implant materials and can consider textured silicone implants first, which may be less acceptable to skinny females.
Despite the lack of female mammary tissues, the male breast has adequately thick skin and fats to cover the whole breast implant. Textured silicone implants are considered as priority Other aspects of differences between male and female breast augmentations are as follows: If patients hope for an obvious enlargement in breast size, the transaxillary or inframammary approach is more appropriate. A surgical incision is made at either the armpit or areola, but it seems to be less suitable to emplace a large-volume breast implant through an areolar incision if the male areola is too small. Chuang performs a total endoscopic procedure to conduct male breast augmentation. Nevertheless, distinct differences in skin elasticity, chest shape, and skeletal framework affect the selection of the model and material of the breast implant. Male breast augmentation is almost the same as female breast augmentation in process and procedures. If a patient is able to accept the physical attacks and mental pressure brought about by the surgery, patients may consider undergoing further genital organ surgery in the future.
Moreover, patients with an intention of becoming a transgender must go through a psychological adjustment period after breast augmentation dressing, social behaviors, and relationship with peers and families all change, so some medical viewpoints consider that male breast augmentation helps differentiate or ascertain the patient’s sexual orientation. Because breast implants can be removed at any time and psychological impacts are less strong than those from genital organ surgery, it is frequently considered to be the touchstone of transgender identification by male-to-female populations and is an inevitable threshold toward actual gender transformation in the future. Furthermore, breast augmentation is reversible if patients do not like the results.
Because the breasts are located at sites concealed by clothes, obvious changes are less likely to be noticed. Although not common in Taiwan, male breast augmentation accounts for approximately 3–5% of all breast augmentations and is the most widely conducted plastic surgery in male-to-female transgender populations.