Boston Gynecomastia Specialists adds new FTM top surgery techniques

Boston Gynecomastia Specialists says it is expanding gender-affirming chest surgery options in Greater Boston with two new approaches for trans masculine patients. The practice says the techniques are designed to improve chest contour while reducing complications and preserving nipple tissue when possible.

Why it matters: - Chest masculinization surgery can reduce chest dysphoria, which prior studies have described as a major source of distress for transgender youth. - The practice says the new techniques are designed to improve cosmetic and functional outcomes for patients seeking gender-affirming surgery. - For many trans men, top surgery remains a pivotal step in aligning physical appearance with gender identity and body image.

What happened: - Boston Gynecomastia Specialists in Greater Boston announced an expanded focus on FTM top surgery, also called chest masculinization surgery. - Dr. Edwin Ishoo, MD, FACS, founder and director of Boston Gynecomastia Specialists, is offering two new approaches for chest masculinization. - The announcement was dated June 9, 2026. - The practice said the new techniques are intended for transgender individuals seeking safer, more customized surgical options.

The details: - FTM top surgery removes breast tissue and reshapes the chest to create a flatter, more masculine contour. - Some procedures also include nipple and areola resizing or repositioning. - The practice says surgical planning depends on breast size, skin and fat excess, skin elasticity, chest contour and the patient’s desired outcome. - Double Incision surgery is described as the main option for larger breast volume with significant skin excess, skin laxity and nipple drooping. - Peri-Areolar surgery is described as a better fit for smaller breasts with minimal skin excess or laxity and a nipple position above the inframammary fold. - Dr. Ishoo offers both procedures and multiple variations, including fishmouth, buttonhole, inverted-T, Nipple-Preserving Inferior Ellipse, Hockey Stick DI, lollipop, and Keyhole incisions. - The practice says Double Incision can leave longer horizontal scars and carries risks including loss of sensitivity, areolar necrosis, hypopigmentation, longer healing time and a patchy appearance. - The practice says Peri surgery may preserve nipple sensation, but can lead to puckering, looseness or revision if the skin does not contract well. - The first new approach is a staged Double Incision, Nipple Preservation procedure that uses liposuction, a lateral pull-through peri-areolar incision, healing with compression and massaging, then removal of residual skin with a DI approach. - The practice says this staged method is meant to preserve revascularized and reinnervated pathways and avoid complications tied to free nipple grafts. - The second new approach is a High-Low Double Incision Nipple-Sparing Mastectomy using inframammary and infraclavicular elliptical incisions to perform a subcutaneous mastectomy and reposition the nipple-bearing chest skin. - The practice says the High-Low method is intended to improve contour while avoiding circumferential periareolar incision and possible devascularization, denervation and deformation of the nipple-areola complex.

Between the lines: - The announcement positions Boston Gynecomastia Specialists in a competitive niche where surgical technique, aesthetics and sensation preservation all matter to patients. - The focus on individualized technique reflects a broader trend in gender-affirming care toward tailoring procedures to body type and transition goals. - Dr. Ishoo framed the launch as part of Pride Month and National Men’s Mental Health Month, linking surgery access to mental health and visibility.

What’s next: - Boston Gynecomastia Specialists says patients can schedule consultations to review options and determine the safest and most affirming procedure. - The consultation process may include a Surgical Readiness Letter from a qualified mental health professional, plus review of medical history and a directed examination. - The practice says it serves patients in Greater Boston, across the United States and abroad. - For more information, visit the company’s Instagram page.