Some trans people have breast construction as a gender-affirmation treatment. Breast construction creates larger breasts when breast growth from hormone therapy is insufficient or is medically contraindicated and may result in reduced gender dysphoria.
This procedure involves insertion of a temporary breast tissue expander through an incision made under the breast or around the areola. After a few months, the tissue expander is replaced with permanent, usually saline-filled, implants. The nipple and areola are then reconstructed. Other techniques such as fat transfer may be recommended by the plastic surgeon instead.
Additional information about breast construction can be found on the Transgender Health Information Program website: www.transhealth.phsa.ca