Breast augmentation

Breast augmentation specially for transwomen.

MtF Breast augmentation

Breasts as a symbol of femininity

Breasts have always been the symbol of femininity. Women naturally have larger breasts than men due to the large amount of the hormone oestrogen in their bodies. Bigger breasts give your self-confidence a boost and bring you a step closer to your true identity. So it’s not all that surprising that breast augmentation is an important part of body feminization surgery and your transition from male to female (MtF).

Want to know more about the impact of larger breasts on your body?

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MtF breast augmentation for transgender women vs breast augmentation for genetic women

mtf breast augmentation

More before and after picture of MtF breast augmentation

A MtF breast enlargement is an important step in your transition from male to female. It makes you feel more feminine and more attractive, and your body is in better proportion. Many people choose to undergo MtF breast augmentation because it makes them feel better about themselves, and at home in their own body.

Differences between the breasts of a transwoman and a genetic woman:

  • A transwoman’s chest is naturally broader. To create a beautifully proportioned body, a transwoman often needs a larger cup size.
  • A transwoman has thicker chest muscles and the skin around her breasts is tighter. This makes it more difficult to insert large implants.

The differences mentioned above are actually quite small, and you don’t need to worry too much about them. Our surgeon has many years of experience in body feminization surgery for transgender women. He knows exactly what your body needs. For example, you don’t have to worry that your skin won’t stretch enough for the implants that are to be inserted. Even if your skin is too tight to insert the implants as desired, we have a number of solutions to help you:

  • We could insert smaller implants first so that your skin can adapt and can stretch gradually. At a later date, we would then carry out a second operation to insert larger implants.
  • It is also possible to work with a tissue expander. The tissue expander is inserted into the chest and gradually filled up – using injections – with salt water. That way, your skin gradually stretches out.
  • A third option is to use your own fat tissue. In such cases, Dr Doornaert performs liposuction and injects the fat tissue into your breasts. This procedure takes place in several steps so that your skin has enough time to stretch.


Female breast tissue vs. male breast tissue

In reality, there’s not much of a difference between a boob job for a transwoman and a genetic woman, primarily because a man’s breast tissue isn’t that much different from a woman’s. One of the main differences is that genetic women have more fat tissue in their breasts than transgender women. But if you undergo female hormone therapy, this fat tissue can build up quite well. On average,transgender women can develop an A cup this way. We use our expert knowledge to guide you through this entire process. Although the differences between the surgery for a transwoman and a genetic woman are rather small, we suggest you choose a surgeon who specializes in surgery for transgender women. Personalized advice and professional support are key in this process. Curious to find out what we can do for you?


Implants or fat grafting?

MtF breast implants

For young transgender women, it’s usually easier to create extra fatty tissue in the breasts using female hormone therapy. Some transwomen can even develop an A cup this way. But unfortunately, this type of hormone therapy doesn’t work for everyone. Especially for transgender women over the age of 35, it is more difficult to develop breasts without surgery. In such cases, MtF breast augmentation with implants is a better solution. You are more or less free to choose which implants you want. But we also take into account the amount of breast tissue and skin you have, the size of your chest and the extent to which your breasts hang or sag.

  • Do you want a rough or smooth shell?
  • What size do you want?
  • Do you want saline or silicone implants?
  • What shape do you want? Round or teardrop?
  • What kind of profile do you want? Low – medium – high – full – oval – full height?
  • What volume do you want?

An implant can be placed in front or behind your chest muscle. When assessing where to insert the implant, we take into account your figure and the amount of breast tissue, fat tissue and mammary gland tissue. After your first consultation with Dr Doornaert, we will know which is the best option for you.

More information on MtF Breast implants


Another way to perform MtF breast augmentation is to transplant your own fat tissue. You first undergo liposuction to remove fat from other parts of your body, such as the abdomen, hips or thighs. The fat cells are then injected into your breasts. This method doesn’t leave any scars. However, liposculpture isn’t suitable for all transwoman. In such cases, you will have a personal consultation with Dr Doornaert to discuss which is the best option for you.

The cost of MtF breast augmentation for transgender women

How much the surgery costs depends on a number of factors. After the initial consultation, Dr Doornaert can give you an indication of how much your MtF breast augmentation surgery will cost. Do you live abroad and it’s difficult to get to an initial consultation? Then we have a solution for you. Request your quotation online >

Your MtF breast augmentation at 2pass Clinic

breast augmentation

You’re in safe hands with 2pass Clinic’s Dr Maarten Doornaert. He is a plastic, cosmetic and reconstructive surgeon. Dr Doornaert obtained his Master’s degree in medicine magna cum laude from Ghent University. He then continued his training with a fellowship in Internal Medicine and General Surgery at the OLV hospital in Aalst. Read the interview with Dr Maarten Doornaert >


Your MtF breast augmentation in three steps

Book your consultation

During a consultation with Dr Doornaert, you will discuss your surgery in detail. Do your expectations match the possibilities? Which is the best cup size in relation to your shoulders? Do you want implants or liposculpture? Dr Doornaert uses his expertise to give you advice and inform you as best as possible.

Book a consultation

Book your surgery

Once you read all the information and you’re ready for your MtF breast augmentation, it’s time to book your surgery. Check out the next available date. Once you have chosen a date, we ask you to fill out a form. This form includes a list of questions, so we have all the information we need to help you as best we can during your stay at 2pass Clinic. Then, the only thing left to do is transfer an advance payment within seven days. Once we have received your payment, we can confirm your body feminization surgery.

What do you need to know about your operation?

  • Genetic women must have recently had a mammogram if they are older than 30.
  • If you smoke, you should stop at least 4 weeks before surgery.

Your MtF breast augmentation surgery

The operation takes 1.5 to 2 hours. In principle, you can go home on the same day. Make sure that someone – family or friends – can pick you up, as you are not allowed to drive on the day of your surgery. We advise foreign patients to stay at our guesthouse for 2 to 3 days. You can combine your MtF breast augmentation with facial feminization surgery. If you chose this option, your MtF breast augmentation surgery will take place on Tuesday, and your facial feminization surgery will take place on Thursday.

Book your surgery

What do you need to take into account after your operation?

  • Wear your breast bandage for two or three weeks.
  • After this period, you can swap the bandage for a sports bra.
  • Six weeks after your surgery, you may wear an underwired bra.
  • If you underwent liposculpture, you should wear the lipo stockings for six weeks.
  • We recommend that you don’t do any heavy lifting or sport for three weeks after your surgery.
  • You may experience pressure on the operated areas, but that’s completely normal.

Possible complications of your MtF breast augmentation

Complications can be split into two categories: short term and long term.

Short-term complications

  • During the first 24 hours after your surgery, bleeding or hematomas may occur.
  • Just like with any other kind of surgery, your wound can become infected. We encourage you to follow our aftercare advice closely.


Long-term complications

  • Capsular contraction: the silicone shell of the implant has a special surface which ensures the surrounding tissue firmly adheres to the implant (encapsulation). This is a normal process that keeps the implant in the correct position. Over time, this capsule may become thick, tight and contracted, like scar tissue (capsular contraction), which can have an impact on the shape of the breast. This can cause discomfort or even pain. The smaller the implant is compared to the current tissue, the lower the risk of capsular contraction.
  • Sliding: when implants are placed behind the muscle, the implant can slide up. Therefore, you should not do any sport or heavy lifting for three weeks after your surgery.
  • Sensitivity: after your surgery, your nipples may be numb for a while.
  • Chronic pain: this is rare.


Curious as to how we can help you?


Book a consultation with Dr Maarten Doornaert


Price list Dr Doornaert


Can I have large (extravagant) breast implants?

It is possible to get large breast implants, even if you don’t have any breast tissue to work with! You can find results right here.

Can I combine facial surgery and breast surgery?

Breast and facial surgery can be combined if the facial surgery takes less then 3 hours, if more then 5 hours it can be arranged the day BEFORE the facial surgery. In that case the operation of Dr van de Ven should take place on Thursday, the breast augmentation on Wednesday. Be ware you should be in Antwerp for the preoperative consultation on Monday around noon in this case.

How long should I wait when I am on HRT before I get a breast augmentation?

Body Feminization surgeon Dr Maarten Doornaert would recommend to wait about 16 months. To know why , read more here.

You still have another question? Feel free to ask! We will answer your question and if generally applicable add it to the FAQ of this page.

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