{"id":20277,"date":"2026-03-24T18:10:00","date_gmt":"2026-03-24T11:10:00","guid":{"rendered":"https:\/\/www.rattinan.com\/en\/?p=20277"},"modified":"2026-04-22T14:08:16","modified_gmt":"2026-04-22T07:08:16","slug":"top-surgery-in-thailand","status":"publish","type":"post","link":"https:\/\/www.rattinan.com\/en\/top-surgery-in-thailand\/","title":{"rendered":"Top Surgery in Thailand: Chest Flattening by Board-Certified Plastic Surgeons"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_85 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title ez-toc-toggle\" style=\"cursor:pointer\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.rattinan.com\/en\/top-surgery-in-thailand\/#How_Is_Top_Surgery_Different_From_Breast_Reduction_Surgery\" >How Is Top Surgery Different From Breast Reduction Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.rattinan.com\/en\/top-surgery-in-thailand\/#Who_Is_Top_Surgery_for\" >Who Is Top Surgery for?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.rattinan.com\/en\/top-surgery-in-thailand\/#The_Benefits_of_Top_Surgery\" >The Benefits of Top Surgery<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.rattinan.com\/en\/top-surgery-in-thailand\/#The_Disadvantages_of_Top_Surgery\" >The Disadvantages of Top Surgery<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.rattinan.com\/en\/top-surgery-in-thailand\/#Types_of_Top_Surgery\" >Types of Top Surgery<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.rattinan.com\/en\/top-surgery-in-thailand\/#Small-Incision_Top_Surgery_Minimal_Scar\" >Small-Incision Top Surgery (Minimal Scar)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.rattinan.com\/en\/top-surgery-in-thailand\/#Medium-Incision_Top_Surgery\" >Medium-Incision Top Surgery<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.rattinan.com\/en\/top-surgery-in-thailand\/#Double_Incision_DI_Top_Surgery\" >Double Incision (DI) Top Surgery<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.rattinan.com\/en\/top-surgery-in-thailand\/#Comparing_Top_Surgery_Techniques_What_Are_the_Differences\" >Comparing Top Surgery Techniques: What Are the Differences?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.rattinan.com\/en\/top-surgery-in-thailand\/#Endoscopic_Transaxillary_Top_Surgery_Technique_at_Rattinan_Clinic\" >Endoscopic Transaxillary Top Surgery Technique at Rattinan Clinic<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/www.rattinan.com\/en\/top-surgery-in-thailand\/#Why_Choose_Top_Surgery_at_Rattinan_Clinic\" >Why Choose Top Surgery at Rattinan Clinic<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/www.rattinan.com\/en\/top-surgery-in-thailand\/#What_to_Prepare_Before_Top_Surgery\" >What to Prepare Before Top Surgery<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/www.rattinan.com\/en\/top-surgery-in-thailand\/#How_Long_Is_Recovery_After_Top_Surgery\" >How Long Is Recovery After Top Surgery<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/www.rattinan.com\/en\/top-surgery-in-thailand\/#How_to_Care_for_Yourself_After_Top_Surgery\" >How to Care for Yourself After Top Surgery<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/www.rattinan.com\/en\/top-surgery-in-thailand\/#How_Much_Does_Top_Surgery_Cost\" >How Much Does Top Surgery Cost?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/www.rattinan.com\/en\/top-surgery-in-thailand\/#Frequently_Asked_Questions_about_Top_Surgery\" >Frequently Asked Questions about Top Surgery<\/a><\/li><\/ul><\/nav><\/div>\n<p>Medically Reviewed by <span data-sheets-root=\"1\"><a href=\"https:\/\/www.rattinan.com\/en\/dr-profile\/dr-ditsayanin-thaweethantsit\/\">DITSAYANIN THAWEETHANATSIT, M.D.<\/a>\u00a0<\/span><\/p>\n\t<div id=\"gap-519908668\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-519908668 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<div><\/div>\n<p><span style=\"font-weight: 400;\">The decision to undergo <\/span><b>\u201cTop Surgery\u201d <\/b><span style=\"font-weight: 400;\">is a significant step in the journey of Gender Affirmation for Transgender Men and Non-Binary individuals. At <\/span><b>Rattinan Clinic<\/b><span style=\"font-weight: 400;\">, we understand deeply that this is not just about aesthetics, but about unlocking physical and mental discomfort, allowing you to live with confidence as your true self.<\/span><\/p>\n\t<div id=\"gap-1784008736\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1784008736 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<p><span style=\"font-weight: 400;\">Top Surgery is a surgical procedure to reduce or remove breast tissue so that the chest shape aligns with the patient&#8217;s identified gender, specifically for those assigned female at birth but who identify as male (Transgender Men) or gender-diverse individuals (Non-Binary).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In medical terms, we call this procedure <\/span><b>Masculinizing Chest Surgery <\/b><span style=\"font-weight: 400;\">or <\/span><b>Mastectomy<\/b><span style=\"font-weight: 400;\">, which not only means the removal of breast tissue. The key is <\/span><b>&#8220;Chest Wall Contouring&#8221;<\/b><span style=\"font-weight: 400;\"> to achieve a flat, proportionate shape, and the repositioning of the Nipple-Areola Complex (NAC) to best align with a masculine physique. This allows you to wear clothing without relying on chest binders ever again.<\/span><\/p>\n\t<div id=\"gap-1992061292\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1992061292 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n\t<div id=\"stack-2417270759\" class=\"stack stack-row justify-start items-stretch\">\n\t\t\n\t<div class=\"img has-hover x md-x lg-x y md-y lg-y\" id=\"image_504585587\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"1831\" height=\"2289\" src=\"https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/03\/Top-Surgery-Thailand-Rattinan-Clinic-1.jpg\" class=\"attachment-original size-original\" alt=\"\" srcset=\"https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/03\/Top-Surgery-Thailand-Rattinan-Clinic-1.jpg 1831w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/03\/Top-Surgery-Thailand-Rattinan-Clinic-1-360x450.jpg 360w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/03\/Top-Surgery-Thailand-Rattinan-Clinic-1-819x1024.jpg 819w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/03\/Top-Surgery-Thailand-Rattinan-Clinic-1-768x960.jpg 768w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/03\/Top-Surgery-Thailand-Rattinan-Clinic-1-1229x1536.jpg 1229w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/03\/Top-Surgery-Thailand-Rattinan-Clinic-1-1638x2048.jpg 1638w\" sizes=\"(max-width: 1831px) 100vw, 1831px\" \/>\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n<style>\n#image_504585587 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\n\t<div class=\"img has-hover x md-x lg-x y md-y lg-y\" id=\"image_1084339442\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"1831\" height=\"2289\" src=\"https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/03\/Top-Surgery-Thailand-Rattinan-Clinic-2.jpg\" class=\"attachment-original size-original\" alt=\"\" srcset=\"https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/03\/Top-Surgery-Thailand-Rattinan-Clinic-2.jpg 1831w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/03\/Top-Surgery-Thailand-Rattinan-Clinic-2-360x450.jpg 360w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/03\/Top-Surgery-Thailand-Rattinan-Clinic-2-819x1024.jpg 819w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/03\/Top-Surgery-Thailand-Rattinan-Clinic-2-768x960.jpg 768w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/03\/Top-Surgery-Thailand-Rattinan-Clinic-2-1229x1536.jpg 1229w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/03\/Top-Surgery-Thailand-Rattinan-Clinic-2-1638x2048.jpg 1638w\" sizes=\"(max-width: 1831px) 100vw, 1831px\" \/>\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n<style>\n#image_1084339442 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\n\t\t\n<style>\n#stack-2417270759 > * {\n  --stack-gap: 0rem;\n}\n<\/style>\n\t<\/div>\n\t\n\t<div id=\"gap-410825127\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-410825127 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<h2><span class=\"ez-toc-section\" id=\"How_Is_Top_Surgery_Different_From_Breast_Reduction_Surgery\"><\/span>How Is Top Surgery Different From Breast Reduction Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\t<div id=\"gap-666511588\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-666511588 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<p><span style=\"font-weight: 400;\">Top Surgery is often referred to as Gender-Affirming Mastectomy or Masculinizing Chest Surgery, focusing on creating a more masculine chest shape for those seeking to align their appearance with their gender identity. This may include repositioning the areola, reducing areola size, and adjusting chest muscle proportions appropriately.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Breast Reduction Surgery, or Reduction Mammoplasty, is a procedure that removes excess breast tissue, fat, and skin to make the breasts smaller, flatter, and suited to the desired body shape.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This surgery is not only for aesthetic purposes; it also helps resolve several significant health issues, such as reducing back, neck, and shoulder pain caused by excessive breast weight, improving posture, increasing ease of exercise and various activities, as well as building confidence and improving overall quality of life.<\/span><\/p>\n\t<div id=\"gap-602104655\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-602104655 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<h2><span class=\"ez-toc-section\" id=\"Who_Is_Top_Surgery_for\"><\/span>Who Is Top Surgery for?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\t<div id=\"gap-447709186\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-447709186 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<p><span style=\"font-weight: 400;\">To ensure that top surgery is truly the right decision, surgeons will evaluate readiness in 3 main areas prior to the procedure to ensure maximum safety according to medical standards, as follows:<\/span><\/p>\n<ol>\n<li aria-level=\"1\"><strong>Gender Dysphoria:<\/strong> Experiencing persistent feelings of distress or discomfort with one\u2019s primary sex characteristics.<\/li>\n<li aria-level=\"1\"><strong>Physical Health:<\/strong> Being in good health with no high-risk underlying medical conditions; if present, these conditions must be controlled within normal limits.<\/li>\n<li aria-level=\"1\"><strong>Mental Readiness:<\/strong> Having passed an evaluation and received certification from a psychiatrist based on the required criteria (1 or 2 specialists, depending on the case and the current regulations.<\/li>\n<\/ol>\n\t<div id=\"gap-1097940647\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1097940647 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<h2><span class=\"ez-toc-section\" id=\"The_Benefits_of_Top_Surgery\"><\/span>The Benefits of Top Surgery<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\t<div id=\"gap-613760168\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-613760168 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<div class=\"row\"  id=\"row-853451544\">\n\n\t<div id=\"col-298032369\" class=\"col medium-6 small-12 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p><span style=\"font-weight: 400;\">Top Surgery is not only a physical change, but an elevation of quality of life in several dimensions, both physical and mental, as follows:<\/span><\/p>\n<ul>\n<li aria-level=\"1\"><strong>Unlocking Confidence in One&#8217;s Identity (Gender Affirmation):<\/strong> Helps the external physique align with internal gender identity, reducing gender dysphoria and allowing one to feel like their complete self.<\/li>\n<li aria-level=\"1\"><strong>Freedom from Chest Binding:<\/strong> Eliminates health issues caused by long-term use of binders or chest tape, such as back pain, difficulty breathing, rashes, or pressure bruises.<\/li>\n<li aria-level=\"1\"><strong>Agility in Daily Life:<\/strong> Ability to perform various activities with confidence, whether exercising, swimming, or choosing from a wide variety of clothing styles without worrying about body shape.<\/li>\n<li aria-level=\"1\"><strong>Long-Term Results:<\/strong> Once the mammary glands are surgically removed, the chest will remain permanently flat (subject to maintaining an appropriate body weight).<\/li>\n<\/ul>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-202345562\" class=\"col medium-6 small-12 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\t<div class=\"img has-hover x md-x lg-x y md-y lg-y\" id=\"image_941661915\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"1831\" height=\"2289\" src=\"https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/03\/Top-Surgery-Thailand-Rattinan-Clinic-3.jpg\" class=\"attachment-original size-original\" alt=\"\" srcset=\"https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/03\/Top-Surgery-Thailand-Rattinan-Clinic-3.jpg 1831w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/03\/Top-Surgery-Thailand-Rattinan-Clinic-3-360x450.jpg 360w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/03\/Top-Surgery-Thailand-Rattinan-Clinic-3-819x1024.jpg 819w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/03\/Top-Surgery-Thailand-Rattinan-Clinic-3-768x960.jpg 768w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/03\/Top-Surgery-Thailand-Rattinan-Clinic-3-1229x1536.jpg 1229w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/03\/Top-Surgery-Thailand-Rattinan-Clinic-3-1638x2048.jpg 1638w\" sizes=\"(max-width: 1831px) 100vw, 1831px\" \/>\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n<style>\n#image_941661915 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n<\/div>\n\t<div id=\"gap-69320770\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-69320770 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<h2><span class=\"ez-toc-section\" id=\"The_Disadvantages_of_Top_Surgery\"><\/span>The Disadvantages of Top Surgery<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\t<div id=\"gap-16860296\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-16860296 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<p><span style=\"font-weight: 400;\">Rattinan Clinic wants you to have complete and in-depth information for the best possible preparation.<\/span><\/p>\n<ol>\n<li><span style=\"font-weight: 400;\"> Will Nipple Sensation be Gone?\u00a0<\/span><\/li>\n<\/ol>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>In the Case of Small Incision\/Endoscopic Surgery: <\/b><span style=\"font-weight: 400;\">The nerves supplying the nipple are usually not severed; so, sensation remains or is only temporarily reduced during the initial period.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>In the Case of Double Incision Surgery (Nipple Repositioning)<\/b><span style=\"font-weight: 400;\">: Because the nipple must be removed and replanted (Free Nipple Graft), the original nerves are severed. This causes sexual sensation in the nipple to decrease or disappear, although the nipple may still retain some response to temperature.<\/span><\/li>\n<\/ul>\n<ol start=\"2\">\n<li><span style=\"font-weight: 400;\"> What Is the &#8220;Dog Ear&#8221; Condition (Excess Skin at the Armpit)?<br \/>\n<\/span>This is commonly found in those with significant chest tissue on the sides. When the incision is sutured closed, tissue may occur at the ends of the incision, resembling a dog&#8217;s ear.<br \/>\n<b style=\"color: #555555;\">Rattinan\u2019s Prevention Approach: <\/b><span style=\"font-weight: 400;\">Our surgeons utilize liposuction techniques alongside the surgery to refine the details along the sides of the torso and under the armpits. This reduces the chance of Dog Ear from the very first step.<\/span><\/li>\n<\/ol>\n\t<div id=\"gap-1234164363\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1234164363 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<h2><span class=\"ez-toc-section\" id=\"Types_of_Top_Surgery\"><\/span>Types of Top Surgery<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\t<div id=\"gap-94235222\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-94235222 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<p><span style=\"font-weight: 400;\">Masculinizing Top Surgery can be performed using various techniques to meet the needs of diverse body types. The choice depends on several factors, including <\/span><b>original chest anatomy, skin elasticity, nipple placement<\/b><span style=\"font-weight: 400;\">, and scar appearances.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The procedure is categorized into 3 main techniques:<\/span><\/p>\n<ol>\n<li><b> Small-incision Top Surgery\u00a0<\/b><\/li>\n<li><b> Medium-incision Top Surgery<\/b><\/li>\n<li><b> Double incision Top Surgery<\/b><\/li>\n<\/ol>\n\t<div id=\"gap-633321720\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-633321720 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<h3><span class=\"ez-toc-section\" id=\"Small-Incision_Top_Surgery_Minimal_Scar\"><\/span>Small-Incision Top Surgery (Minimal Scar)<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t<div id=\"gap-1880657116\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1880657116 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<p><span style=\"font-weight: 400;\">This is the surgical removal of breast tissue through incisions made strictly within <\/span><b>the areola area. <\/b><span style=\"font-weight: 400;\">There are no long incisions extending beyond the borders of the areola. Once fully healed, the scars blend seamlessly into the natural edges of the areola, making them invisible.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The incisions are categorized as follows:<\/span><\/p>\n<ol>\n<li><span style=\"font-weight: 400;\"><strong> Keyhole (Semicircular Shape):<\/strong> A small, curved incision is made along the lower edge of the areola. The surgeon then inserts instruments through this opening to excise and suction out the tissue.<\/span><\/li>\n<li><strong>Periareola<\/strong><span style=\"font-weight: 400;\"><strong>r (Circular Shape Around the Areola):<\/strong> A circular incision is made around the entire perimeter of the areola (like a donut) to remove a small amount of excess skin, then the skin is pulled in and sutured to the new areolar border.<\/span><\/li>\n<\/ol>\n\t<div id=\"gap-1944286939\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1944286939 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<div class=\"row\"  id=\"row-1690454505\">\n\n\t<div id=\"col-761706850\" class=\"col medium-6 small-12 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p><strong>Who Is Small-Incision Top Surgery for?\u00a0<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Small Breast Size: Mostly not exceeding an A cup or a small B cup.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Highly Elastic Skin: The skin must be firm; once the tissue inside is removed, the skin must be able to shrink back and flatten on its own (like an elastic pillowcase).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Well-Positioned Nipples: The original nipples must not be placed too low, as this method cannot reposition the nipples.<\/span><\/li>\n<\/ul>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-2017830795\" class=\"col medium-6 small-12 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p><strong>Who Is Small-Incision Top Surgery Not Suitable for?\u00a0<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Large Breasts (Cup C and up): There is too much excess tissue and skin to be pulled smooth through small incisions.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sagging Breasts with Loose Skin or Loss of Elasticity (e.g., from years of chest binding or aging): If a small-incision technique is forced, the remaining skin will look wrinkled like an empty coffee bag.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Those Who Want to Reposition Their Nipples: If the original nipples are positioned too low or too far apart, this technique cannot help.<\/span><\/li>\n<\/ul>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n<\/div>\n\t<div id=\"gap-957501527\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-957501527 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<div class=\"row\"  id=\"row-920839098\">\n\n\t<div id=\"col-1168041854\" class=\"col medium-6 small-12 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p><strong>Benefits of Small-Incision Top Surgery<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Minimal Scarring: <\/b><span style=\"font-weight: 400;\">Scars are hidden seamlessly along the edge of the areola, making it ideal for those who prefer being shirtless.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Preserved Sensation: <\/b><span style=\"font-weight: 400;\">There is a very high chance that the nipples will retain their original sensation (because the neurovascular pedicles are not cut).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b style=\"color: #555555;\">Fast Recovery: <\/b><span style=\"font-weight: 400;\">The small incision size results in less pain.<\/span><\/li>\n<\/ul>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-618578484\" class=\"col medium-6 small-12 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p><strong>Limitations of Small-Incision Top Surgery<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Uneven Skin:<\/b><span style=\"font-weight: 400;\"> If the skin is not elastic enough, it may wrinkle or sag after the procedure.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Cannot Reposition Nipples: <\/b><span style=\"font-weight: 400;\">Must accept the original natural nipple placement.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Possible Residual Tissue:<\/b><span style=\"font-weight: 400;\"> Due to the narrow surgical opening, the surgeon may not have as clear a view of the interior as with larger incisions (though liposuction may help).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b style=\"color: #555555;\">Puckered Areola:<\/b><span style=\"font-weight: 400;\"> In the Periareolar technique, if the skin is pulled too much, the incision around the areola may appear pleated or &#8220;cinched&#8221; during the initial stage.<\/span><\/li>\n<\/ul>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n<\/div>\n\t<div id=\"gap-1322010748\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1322010748 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<h3><span class=\"ez-toc-section\" id=\"Medium-Incision_Top_Surgery\"><\/span>Medium-Incision Top Surgery<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t<div id=\"gap-1640047237\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1640047237 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<p><span style=\"font-weight: 400;\">This is a technique that serves as a middle ground between small-incision and double incision methods. It involves an incision around the areola combined with a short vertical or horizontal incision. This allows for more excess tissue and skin removal than small-incision methods without requiring long incisions that extend to the sides of the torso.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The incisions are categorized as:\u00a0<\/span><\/p>\n<p><b>Lollipop:<\/b><span style=\"font-weight: 400;\"> An incision around the areola with a vertical cut extending down to the chest base.<\/span><\/p>\n<p><b>Inverted-T:<\/b><span style=\"font-weight: 400;\"> Adds a short horizontal incision at the base. The breast tissue is removed while preserving the &#8220;neurovascular pedicles and blood vessels&#8221; that supply the nipple, after which the skin is sutured tightly.<\/span><\/p>\n\t<div id=\"gap-1762938933\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1762938933 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<div class=\"row\"  id=\"row-1373088531\">\n\n\t<div id=\"col-682296806\" class=\"col medium-6 small-12 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p><strong>Who Is Medium-Incision Top Surgery for?<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Those with medium-sized breasts (Cup B to C) or mild sagging who do not want to lose nipple sensation, as this technique typically utilizes a method that preserves the neurovascular pedicles.<\/span><\/p>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-399814936\" class=\"col medium-6 small-12 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p><strong>Who Is Medium-Incision Top Surgery Not Suitable for?<\/strong><\/p>\n<p><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">Those with breasts that are too large or severely sagging, as it may not be possible to remove all excess skin, leading to wrinkles. It is also not suitable for those who want the most seamless scars (since this method leaves a visible scar in the center of the chest).<\/span><\/p>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n<\/div>\n\t<div id=\"gap-5414869\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-5414869 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<div class=\"row\"  id=\"row-443112423\">\n\n\t<div id=\"col-924086747\" class=\"col medium-6 small-12 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p><strong>Benefits of Medium-Incision Top Surgery<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Nipple sensation can be preserved at a higher rate than with double incision methods, while sagging skin can be managed more effectively than with small-incision methods.<\/span><\/p>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-1109255971\" class=\"col medium-6 small-12 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p><strong>Limitations of Medium-Incision Top Surgery<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Visible scarring (in a lollipop or anchor shape) and a risk that the chest may still retain a slight volume (not as perfectly flat as the long-incision method) because some tissue must be left behind to supply the nipple.<\/span><\/p>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n<\/div>\n\t<div id=\"gap-1635033488\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1635033488 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<h3><span class=\"ez-toc-section\" id=\"Double_Incision_DI_Top_Surgery\"><\/span><b>Double Incision (DI) Top Surgery<\/b><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><span style=\"font-weight: 400;\">This is the most popular standard technique. It involves 2 long horizontal incisions made under the chest base, allowing the surgeon to remove as much tissue and &#8220;excess skin&#8221; as needed to create a flat chest that best fits the muscular contour.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The surgeon makes long horizontal incisions beneath the chest muscle line to remove all excess tissue and skin. Typically, a <\/span><b>Nipple Graft<\/b><span style=\"font-weight: 400;\"> technique is then used. It is when the nipples and areolae are removed, resized, and &#8220;grafted&#8221; onto a new position that is anatomically appropriate for a male physique.<\/span><\/p>\n\t<div id=\"gap-2135358995\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-2135358995 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<div class=\"row\"  id=\"row-201454816\">\n\n\t<div id=\"col-1419169128\" class=\"col medium-6 small-12 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p><b>Who Is Double Incision Top Surgery for?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">This technique is suitable for everyone of all sizes, especially those with large breasts (Cup C and up), significantly sagging skin, or those whose skin has lost its elasticity from long-term chest binding.<\/span><\/p>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-1247912630\" class=\"col medium-6 small-12 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p><b>Who Is Double Incision Top Surgery Not Suitable for?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">There are no physiological contraindications for Double Incision surgery, but it is <\/span><b>&#8220;not recommended<\/b><span style=\"font-weight: 400;\">&#8221; for those who are concerned about long scarring or for individuals who wish to preserve 100% of their nipple sensation.<\/span><\/p>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n<\/div>\n\t<div id=\"gap-1532943026\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1532943026 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<div class=\"row\"  id=\"row-434261318\">\n\n\t<div id=\"col-1369062496\" class=\"col medium-6 small-12 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p><b>Benefits of Double Incision Top Surgery<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Achieves the flattest chest result, allows for the most precise and aesthetically pleasing nipple placement and sizing, and perfectly resolves the issue of sagging or excess skin.<\/span><\/p>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-1813270618\" class=\"col medium-6 small-12 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p><strong>Limitations of Double Incision Top Surgery<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Visible horizontal scarring and <\/span><b>a near-total or permanent loss of nipple sensation<\/b><span style=\"font-weight: 400;\">, as the nerves are severed during the nipple repositioning process.<\/span><\/p>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n<\/div>\n\t<div id=\"gap-1899940415\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1899940415 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<h2><span class=\"ez-toc-section\" id=\"Comparing_Top_Surgery_Techniques_What_Are_the_Differences\"><\/span>Comparing Top Surgery Techniques: What Are the Differences?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\t<div id=\"gap-1539971398\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1539971398 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<p><span style=\"font-weight: 400;\"><div class=\"wptb-container-legacy\" data-table-id=\"20272\">\n    <table class=\"wptb-preview-table wptb-element-main-table_setting-0\" style=\"border-spacing: 3px 3px; border-collapse: collapse !important; min-width: 849px; border: 1px solid #000000; \" data-border-spacing-columns=\"3\" data-border-spacing-rows=\"3\" data-reconstraction=\"1\" data-wptb-table-directives=\"eyJpbm5lckJvcmRlcnMiOnsiYWN0aXZlIjoiYWxsIiwiYm9yZGVyV2lkdGgiOjEsImJvcmRlclJhZGl1c2VzIjp7ImFsbCI6MCwicm93IjowLCJjb2x1bW4iOjB9fX0=\" data-wptb-responsive-directives=\"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\" data-wptb-cells-width-auto-count=\"6\" data-wptb-extra-styles=\"\" data-wptb-pro-pagination-top-row-header=\"false\" data-wptb-rows-per-page=\"10\" data-wptb-pro-search-top-row-header=\"false\" data-wptb-searchbar-position=\"left\" role=\"table\" data-table-columns=\"6\" data-wptb-table-alignment=\"center\" data-wptb-td-width-auto=\"120\" data-wptb-table-tds-sum-max-width=\"849\" data-wptb-even-row-background-color=\"#ffffff\" data-wptb-odd-row-background-color=\"#f0f0f0\" ><tbody data-global-font-size=\"15\" ><tr  class=\"wptb-row \" style=\"background-color: #f0f0f0; \"><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"0\" data-x-index=\"0\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-597\" style=\"\"><div style=\"position: relative;\"><p style=\"text-align:center;\"><strong>Surgery Technique<\/strong><\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"0\" data-x-index=\"1\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-598\" style=\"\"><div style=\"position: relative;\"><p style=\"text-align:center;\"><strong>Ideal Candidate (Size\/Skin)<\/strong><\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"0\" data-x-index=\"2\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-599\" style=\"\"><div style=\"position: relative;\"><p style=\"text-align:center;\"><strong>Scar Appearances<\/strong><\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"0\" data-x-index=\"3\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-600\" style=\"\"><div style=\"position: relative;\"><p style=\"text-align:center;\"><strong>Nipple Sensation<\/strong><\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"0\" data-x-index=\"4\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-601\" style=\"\"><div style=\"position: relative;\"><p style=\"text-align:center;\"><strong>Primary Advantages<\/strong><\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"0\" data-x-index=\"5\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-602\" style=\"\"><div style=\"position: relative;\"><p style=\"text-align:center;\"><strong>Limitations \/ Risks<\/strong><\/p><\/div><\/div><\/td><\/tr><tr  class=\"wptb-row \" style=\"background-color: #ffffff; \"><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"1\" data-x-index=\"0\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-603\" style=\"\"><div style=\"position: relative;\"><p><strong>Keyhole<\/strong><\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"1\" data-x-index=\"1\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-604\" style=\"\"><div style=\"position: relative;\"><p>Very small (Cup A), high skin elasticity<\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"1\" data-x-index=\"2\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-605\" style=\"\"><div style=\"position: relative;\"><p>Tiny semi-circular incision at the lower edge of the areola<\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"1\" data-x-index=\"3\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-606\" style=\"\"><div style=\"position: relative;\"><p><strong>Very high <\/strong>(neurovascular pedicles remain intact)<\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"1\" data-x-index=\"4\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-607\" style=\"\"><div style=\"position: relative;\"><p>Smallest scars, very fast recovery<\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"1\" data-x-index=\"5\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-608\" style=\"\"><div style=\"position: relative;\"><p>Minimal tissue removal; cannot reposition nipples<\/p><\/div><\/div><\/td><\/tr><tr  class=\"wptb-row \" style=\"background-color: #f0f0f0; \"><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"2\" data-x-index=\"0\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-609\" style=\"\"><div style=\"position: relative;\"><p><strong>Periareolar \/ Double O<\/strong><\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"2\" data-x-index=\"1\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-610\" style=\"\"><div style=\"position: relative;\"><p>Small to medium (Cup A-B), good elasticity<\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"2\" data-x-index=\"2\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-611\" style=\"\"><div style=\"position: relative;\"><p>Circular incision around the entire areola edge<\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"2\" data-x-index=\"3\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-612\" style=\"\"><div style=\"position: relative;\"><p><strong>High <\/strong>(neurovascular pedicles preserved)<\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"2\" data-x-index=\"4\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-613\" style=\"\"><div style=\"position: relative;\"><p>Scars blend with areola; can resize the areola<\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"2\" data-x-index=\"5\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-614\" style=\"\"><div style=\"position: relative;\"><p>Potential \"purse-string\" puckering if skin isn't elastic enough<\/p><\/div><\/div><\/td><\/tr><tr  class=\"wptb-row \" style=\"background-color: #ffffff; \"><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"3\" data-x-index=\"0\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-615\" style=\"\"><div style=\"position: relative;\"><p><strong>Omega \/ Extended Peri<\/strong><\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"3\" data-x-index=\"1\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-616\" style=\"\"><div style=\"position: relative;\"><p>Medium (Cup B), slight sagging<\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"3\" data-x-index=\"2\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-617\" style=\"\"><div style=\"position: relative;\"><p>Around the areola with small lateral extensions<\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"3\" data-x-index=\"3\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-618\" style=\"\"><div style=\"position: relative;\"><p><strong>Medium to high<\/strong><\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"3\" data-x-index=\"4\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-619\" style=\"\"><div style=\"position: relative;\"><p>Removes more tissue than a standard circular incision<\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"3\" data-x-index=\"5\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-620\" style=\"\"><div style=\"position: relative;\"><p>Scars extending beyond the areola are more visible<\/p><\/div><\/div><\/td><\/tr><tr  class=\"wptb-row \" style=\"background-color: #f0f0f0; \"><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"4\" data-x-index=\"0\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-621\" style=\"\"><div style=\"position: relative;\"><p><strong>Inverted-T \/ Anchor<\/strong><\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"4\" data-x-index=\"1\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-622\" style=\"\"><div style=\"position: relative;\"><p>Medium to large; desires nipple sensation<\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"4\" data-x-index=\"2\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-623\" style=\"\"><div style=\"position: relative;\"><p>Around areola + horizontal base + vertical connecting line<\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"4\" data-x-index=\"3\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-624\" style=\"\"><div style=\"position: relative;\"><p><strong>High <\/strong>(uses Pedicle technique to save nerves)<\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"4\" data-x-index=\"4\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-625\" style=\"\"><div style=\"position: relative;\"><p>Flat chest result while maintaining nipple sensation<\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"4\" data-x-index=\"5\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-626\" style=\"\"><div style=\"position: relative;\"><p>Significant scarring (anchor-shaped)<\/p><\/div><\/div><\/td><\/tr><tr  class=\"wptb-row \" style=\"background-color: #ffffff; \"><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"5\" data-x-index=\"0\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-627\" style=\"\"><div style=\"position: relative;\"><p><strong>Double Incision(DI)<\/strong><\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"5\" data-x-index=\"1\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-628\" style=\"\"><div style=\"position: relative;\"><p><strong>Large \/ severely sagging <\/strong>(suitable for all sizes)<\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"5\" data-x-index=\"2\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-629\" style=\"\"><div style=\"position: relative;\"><p>2 long horizontal incisions below the chest muscles<\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"5\" data-x-index=\"3\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-630\" style=\"\"><div style=\"position: relative;\"><p><strong>Very Low <\/strong>(usually uses Nipple Grafts)<\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"5\" data-x-index=\"4\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-631\" style=\"\"><div style=\"position: relative;\"><p>Flattest result; perfect removal of all excess skin<\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"5\" data-x-index=\"5\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-632\" style=\"\"><div style=\"position: relative;\"><p>Long, prominent scars and permanent loss of nipple sensation<\/p><p><br \/><\/p><\/div><\/div><\/td><\/tr><tr  class=\"wptb-row \" style=\"background-color: #f0f0f0; \"><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"6\" data-x-index=\"0\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-633\" style=\"\"><div style=\"position: relative;\"><p><strong>Liposuction<\/strong><\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"6\" data-x-index=\"1\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-634\" style=\"\"><div style=\"position: relative;\"><p>Very small breasts composed primarily of fat<\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"6\" data-x-index=\"2\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-635\" style=\"\"><div style=\"position: relative;\"><p>Tiny puncture marks (2-3 mm)<\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"6\" data-x-index=\"3\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-636\" style=\"\"><div style=\"position: relative;\"><p><strong>Very high<\/strong><\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"6\" data-x-index=\"4\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-637\" style=\"\"><div style=\"position: relative;\"><p>No long surgical incisions; almost no downtime<\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: #000000; border-style: solid; \" data-y-index=\"6\" data-x-index=\"5\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-638\" style=\"\"><div style=\"position: relative;\"><p><strong>Cannot<\/strong> remove firm glandular tissue; usually combined with other methods<\/p><\/div><\/div><\/td><\/tr><\/tbody><\/table>\n<\/div>\n<\/span><\/p>\n\t<div id=\"gap-1386311878\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1386311878 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<h2><span class=\"ez-toc-section\" id=\"Endoscopic_Transaxillary_Top_Surgery_Technique_at_Rattinan_Clinic\"><\/span>Endoscopic Transaxillary Top Surgery Technique at Rattinan Clinic<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\t<div id=\"gap-2008589699\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-2008589699 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<p><span style=\"font-weight: 400;\">The Endoscopic Transaxillary Breast Surgery technique is a small-incision (subcutaneous) procedure that utilizes endoscopic technology. It is suitable for small to medium breast sizes (Cup A-B). The surgeon makes a small incision hidden within the armpit and inserts an endoscope to excise the breast tissue. The key highlights are the absence of scars on the chest, reduced internal tissue trauma, and a better recovery compared to standard open surgery.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In some cases, patients with medium or larger breasts (Cup B-C) may not be eligible for small-incision surgery via the areola or the armpit. This is because certain areas of breast tissue, such as those along the side of the torso, cannot be reached or fully removed through small openings. Ultimately, a surgeon might need to enlarge the areolar incision or extend it laterally to remove fat and tissue from the sides, resulting in a longer scar.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">However, this can be resolved by combining the Endoscopic Transaxillary technique with an areolar incision. This keeps the areolar scar very small since there is no need for an extended incision. This approach allows for chest contouring that is smooth, proportionate, and looks as natural as a masculine chest.<\/span><\/p>\n\t<div id=\"gap-507354971\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-507354971 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<h2><span class=\"ez-toc-section\" id=\"Why_Choose_Top_Surgery_at_Rattinan_Clinic\"><\/span>Why Choose Top Surgery at Rattinan Clinic<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\t<div id=\"gap-1697739463\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1697739463 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<ol>\n<li aria-level=\"1\">AACI (American Accreditation Commission International) Standard: We are accredited as an Ambulatory Plastic Surgical Center, emphasizing outpatient safety equivalent to leading hospitals for 3 consecutive years with a 98% score.<\/li>\n<li aria-level=\"1\">Anesthesia by Specialized Anesthesiologists: Every major surgical case is managed by a dedicated anesthesiologist on a 1:1 basis throughout the entire procedure.<\/li>\n<li aria-level=\"1\">Chest Wall Contouring Technique: Our surgeons don&#8217;t just &#8220;remove&#8221;, they &#8220;design.&#8221; We use the art of sculpting and liposuction to ensure the chest takes on a natural, masculine shape.<\/li>\n<\/ol>\n\t<div id=\"gap-697974641\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-697974641 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<div class=\"row\"  id=\"row-654679878\">\r\n\r\n\n\t<div id=\"col-354792312\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div class=\"img has-hover x md-x lg-x y md-y lg-y\" id=\"image_1865013911\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"2560\" height=\"1097\" src=\"https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/01\/Website_Brand-Value-EN-AACI-scaled.jpg\" class=\"attachment-original size-original\" alt=\"\" srcset=\"https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/01\/Website_Brand-Value-EN-AACI-scaled.jpg 2560w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/01\/Website_Brand-Value-EN-AACI-450x193.jpg 450w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/01\/Website_Brand-Value-EN-AACI-1024x439.jpg 1024w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/01\/Website_Brand-Value-EN-AACI-768x329.jpg 768w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/01\/Website_Brand-Value-EN-AACI-1536x658.jpg 1536w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/01\/Website_Brand-Value-EN-AACI-2048x878.jpg 2048w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/>\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n<style>\n#image_1865013911 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\n\t<div id=\"col-1592007149\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div class=\"img has-hover x md-x lg-x y md-y lg-y\" id=\"image_2141823550\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"1412\" height=\"1616\" src=\"https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/01\/Website_Brand-Value-EN-04.jpg\" class=\"attachment-original size-original\" alt=\"\" srcset=\"https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/01\/Website_Brand-Value-EN-04.jpg 1412w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/01\/Website_Brand-Value-EN-04-393x450.jpg 393w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/01\/Website_Brand-Value-EN-04-895x1024.jpg 895w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/01\/Website_Brand-Value-EN-04-768x879.jpg 768w, 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https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/01\/Website_Brand-Value-EN-08-393x450.jpg 393w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/01\/Website_Brand-Value-EN-08-895x1024.jpg 895w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/01\/Website_Brand-Value-EN-08-768x879.jpg 768w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/01\/Website_Brand-Value-EN-08-1342x1536.jpg 1342w\" sizes=\"(max-width: 1412px) 100vw, 1412px\" \/>\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n<style>\n#image_869206137 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\n\t<div id=\"col-1367159525\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div class=\"img has-hover x md-x lg-x y md-y lg-y\" id=\"image_857791919\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"1412\" height=\"1616\" src=\"https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/01\/Website_Brand-Value-EN-09.jpg\" class=\"attachment-original size-original\" alt=\"\" srcset=\"https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/01\/Website_Brand-Value-EN-09.jpg 1412w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/01\/Website_Brand-Value-EN-09-393x450.jpg 393w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/01\/Website_Brand-Value-EN-09-895x1024.jpg 895w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/01\/Website_Brand-Value-EN-09-768x879.jpg 768w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/01\/Website_Brand-Value-EN-09-1342x1536.jpg 1342w\" sizes=\"(max-width: 1412px) 100vw, 1412px\" \/>\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n<style>\n#image_857791919 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\n\t<div id=\"col-73448038\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div class=\"img has-hover x md-x lg-x y md-y lg-y\" id=\"image_531939759\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"2560\" height=\"1150\" src=\"https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/01\/Website_Brand-Value-19-scaled.jpg\" class=\"attachment-original size-original\" alt=\"\" srcset=\"https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/01\/Website_Brand-Value-19-scaled.jpg 2560w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/01\/Website_Brand-Value-19-450x202.jpg 450w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/01\/Website_Brand-Value-19-1024x460.jpg 1024w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/01\/Website_Brand-Value-19-768x345.jpg 768w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/01\/Website_Brand-Value-19-1536x690.jpg 1536w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/01\/Website_Brand-Value-19-2048x920.jpg 2048w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/>\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n<style>\n#image_531939759 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\r\n<\/div>\n\t<div id=\"gap-2125772661\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-2125772661 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<h2><span class=\"ez-toc-section\" id=\"What_to_Prepare_Before_Top_Surgery\"><\/span>What to Prepare Before Top Surgery<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\t<div id=\"gap-1977760190\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1977760190 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<p><span style=\"font-weight: 400;\">To ensure the surgery proceeds smoothly and safely according to international standards, patients should prepare as follows:<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Hormone Suspension (<\/b><a href=\"https:\/\/transcare.ucsf.edu\/article\/information-testosterone-hormone-therapy\"><b>Testosterone<\/b><\/a><b>)<\/b>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Those who have been on continuous testosterone therapy may have high hematocrit levels (blood concentration), which increases the risk of blood clots.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><b>Medical Advice: <\/b><span style=\"font-weight: 400;\">You should stop hormone therapy at least <\/span><b>2 weeks &#8211; 1 month<\/b><span style=\"font-weight: 400;\"> before surgery and must undergo a Complete Blood Count (CBC) test to meet safety criteria.<\/span><\/li>\n<\/ul>\n<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Medical Certificate (Psychiatrist Letter)<\/b>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">A psychiatrist\u2019s certificate is required to confirm a diagnosis of Gender Dysphoria, in accordance with Medical Council regulations and current laws. (Please re-verify the number of certificates required with staff, as hospital regulations are subject to updates.)<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\t<div id=\"gap-344230807\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-344230807 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<h3><span class=\"ez-toc-section\" id=\"How_Long_Is_Recovery_After_Top_Surgery\"><\/span>How Long Is Recovery After Top Surgery<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t<div id=\"gap-427767909\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-427767909 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<p><span style=\"font-weight: 400;\">The recovery period for top surgery varies depending on the specific technique used and each individual&#8217;s physical condition. Generally, surgeons recommend planning for at least <\/span><b>1\u20132 weeks<\/b><span style=\"font-weight: 400;\"> of rest before returning to work (for office-based roles). Additionally, strenuous physical activity should be avoided for 1\u20132 months.<\/span><\/p>\n\t<div id=\"gap-1555611156\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1555611156 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<h2><span class=\"ez-toc-section\" id=\"How_to_Care_for_Yourself_After_Top_Surgery\"><\/span>How to Care for Yourself After Top Surgery<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\t<div id=\"gap-196410049\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-196410049 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<p><span style=\"font-weight: 400;\">Post-operative care accounts for up to 50% of the final aesthetic results. Here is a rough timeline you should know:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Day 1-3 (Recovery Period)<\/b><span style=\"font-weight: 400;\">: You may need surgical drains to reduce swelling and prevent hematoma. A chest compression garment must be worn at all times. Pain can be managed with medication.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Day 5-7 (Drain Removal): <\/b><span style=\"font-weight: 400;\">The doctor will schedule a follow-up to remove the drains and sutures (in some cases). You can begin showering according to the doctor\u2019s instructions.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Week 2-4 (Resuming Daily Life):<\/b><span style=\"font-weight: 400;\"> Swelling and bruising will gradually subside. You can return to work that does not require heavy lifting.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Month 1-3 (Scar Care): <\/b><span style=\"font-weight: 400;\">This is the &#8220;Golden Period&#8221; for applying scar reduction gels to prevent keloids. Light exercise can be performed.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b style=\"color: #555555;\">Month 6 (Final Results):<\/b><span style=\"font-weight: 400;\"> Chest muscles and skin will fully settle into shape. Scars will fade and look more natural.<\/span><\/li>\n<\/ul>\n\t<div id=\"gap-734163670\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-734163670 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<h2><span class=\"ez-toc-section\" id=\"How_Much_Does_Top_Surgery_Cost\"><\/span>How Much Does Top Surgery Cost?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\t<div id=\"gap-703275445\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-703275445 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<p><span style=\"font-weight: 400;\">If you are wondering about the cost of Top Surgery, the actual cost will depend on the surgical technique the doctor assesses as appropriate for your physical structure and original chest size; whether it is the small incision, O-incision, or double incision technique, as well as the complexity of each case.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">At Rattinan Clinic, we prioritize safety according to AACI standards and price transparency with no hidden costs. You can check the price table and preliminary package details below.<\/span><\/p>\n\t<div id=\"gap-1354563313\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1354563313 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<div class=\"wptb-container-legacy\" data-table-id=\"20274\">\n    <table class=\"wptb-preview-table wptb-element-main-table_setting-20274\" style=\"border-spacing: 3px 3px; border-collapse: collapse !important; min-width: 100%; border: 1px solid rgb(0, 0, 0); \" data-border-spacing-columns=\"3\" data-border-spacing-rows=\"3\" data-reconstraction=\"1\" data-wptb-table-directives=\"eyJpbm5lckJvcmRlcnMiOnsiYWN0aXZlIjoiYWxsIiwiYm9yZGVyV2lkdGgiOjEsImJvcmRlclJhZGl1c2VzIjp7ImFsbCI6MCwicm93IjowLCJjb2x1bW4iOjB9fX0=\" data-wptb-responsive-directives=\"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\" data-wptb-cells-width-auto-count=\"2\" data-wptb-extra-styles=\"\" data-wptb-pro-pagination-top-row-header=\"false\" data-wptb-rows-per-page=\"10\" data-wptb-pro-search-top-row-header=\"false\" data-wptb-searchbar-position=\"left\" role=\"table\" data-table-columns=\"2\" data-wptb-table-alignment=\"center\" data-wptb-td-width-auto=\"120\" data-wptb-table-tds-sum-max-width=\"285\" data-wptb-header-background-color=\"#ebebeb\" data-wptb-even-row-background-color=\"#ffffff\" data-wptb-odd-row-background-color=\"#ffffff\" data-v2-props=\"eyJ1c2VUaEZvckZpcnN0Um93IjpmYWxzZSwiY29sdW1uc1Byb3BzIjp7fSwicm93c1Byb3BzIjp7fSwic2hvd1Bvd2VyZWRCeUJhZGdlIjpmYWxzZX0=\" ><tbody data-global-font-size=\"15\" ><tr  class=\"wptb-row \" style=\"background-color: #ebebeb; \"><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: rgb(0, 0, 0); border-style: solid; border-radius: 0px; \" data-y-index=\"0\" data-x-index=\"0\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-597\" style=\"color: #00adb3; font-size: 15px; \"><div style=\"position: relative;\"><p style=\"text-align:center;\"><strong>Mastectomy Procedure<\/strong><\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: rgb(0, 0, 0); border-style: solid; border-radius: 0px; \" data-y-index=\"0\" data-x-index=\"1\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-598\" style=\"color: #00adb3; font-size: 15px; \"><div style=\"position: relative;\"><p style=\"text-align:center;\"><strong>Starting Price (THB)<\/strong><\/p><\/div><\/div><\/td><\/tr><tr  class=\"wptb-row \" style=\"background-color: #ffffff; \"><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: rgb(0, 0, 0); border-style: solid; border-radius: 0px; \" data-y-index=\"1\" data-x-index=\"0\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-599\" style=\"font-size: 15px; \"><div style=\"position: relative;\"><p>Top Surgery (Mastectomy)<\/p><\/div><\/div><\/td><td class=\"wptb-cell \" colspan=\"1\" rowspan=\"1\" style=\"padding: 10px; border-width: 1px; border-color: rgb(0, 0, 0); border-style: solid; border-radius: 0px; \" data-y-index=\"1\" data-x-index=\"1\" data-wptb-css-td-auto-width=\"true\" data-wptb-css-td-auto-height=\"true\" data-wptb-cell-vertical-alignment=\"center\" ><div class=\"wptb-text-container wptb-ph-element wptb-element-text-600\" style=\"font-size: 15px; \"><div style=\"position: relative;\"><p style=\"text-align:center;\">200,000 - 330,000<\/p><\/div><\/div><\/td><\/tr><\/tbody><\/table>\n<\/div>\n\n\t<div id=\"gap-1809155248\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1809155248 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<h2><span class=\"ez-toc-section\" id=\"Frequently_Asked_Questions_about_Top_Surgery\"><\/span>Frequently Asked Questions about Top Surgery<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\t<div id=\"gap-416136726\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-416136726 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<div class=\"accordion\">\n\t<div id=\"accordion-2870405523\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2870405523-label\" class=\"accordion-title plain\" href=\"#accordion-item-does-top-surgery-hurt?\" aria-expanded=\"false\" aria-controls=\"accordion-2870405523-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Does Top Surgery Hurt?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2870405523-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2870405523-label\">\n\t\t\t\n<p>During the procedure, the patient is under general anesthesia, so you will not feel any pain at all. After waking up, you may experience some tightness or a dull ache, similar to the soreness felt after an intense chest workout. This discomfort can be effectively managed with prescribed pain medication and typically improves significantly within 3\u20135 days.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1990844628\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1990844628-label\" class=\"accordion-title plain\" href=\"#accordion-item-will-the-chest-grow-back-after-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-1990844628-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Will the Chest Grow Back After Surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1990844628-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1990844628-label\">\n\t\t\t\n<p>No. Since the surgery removes almost all of the breast gland tissue, the chest cannot grow back or expand like female breasts again. However, if you experience significant weight gain, &#8220;fat&#8221; can still accumulate in the chest area, similar to how cisgender men may develop chest fat when gaining weight.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-153144653\" class=\"accordion-item\">\n\t\t<a id=\"accordion-153144653-label\" class=\"accordion-title plain\" href=\"#accordion-item-does-the-surgery-increase-the-risk-of-breast-cancer?\" aria-expanded=\"false\" aria-controls=\"accordion-153144653-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Does the Surgery Increase the Risk of Breast Cancer?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-153144653-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-153144653-label\">\n\t\t\t\n<p>Actually, Top Surgery greatly reduces the risk of breast cancer because the majority of the breast tissue is removed. However, since a tiny amount of tissue is sometimes left to ensure a natural aesthetic contour, there remains a very small theoretical possibility of cancer. So, regular annual health check-ups are still recommended.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n<\/div>\n\t<div id=\"gap-1571306258\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1571306258 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\n<div class=\"row\"  id=\"row-1517847360\">\r\n\r\n\n\t<div id=\"col-8617971\" class=\"col medium-6 small-12 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div class=\"img has-hover x md-x lg-x y md-y lg-y\" id=\"image_183992395\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"1081\" height=\"1350\" src=\"https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/04\/Case-Review-Top-Surgery-Rattinan-Clinic-2026.jpg\" class=\"attachment-original size-original\" alt=\"\" srcset=\"https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/04\/Case-Review-Top-Surgery-Rattinan-Clinic-2026.jpg 1081w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/04\/Case-Review-Top-Surgery-Rattinan-Clinic-2026-360x450.jpg 360w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/04\/Case-Review-Top-Surgery-Rattinan-Clinic-2026-820x1024.jpg 820w, https:\/\/www.rattinan.com\/en\/wp-content\/uploads\/2026\/04\/Case-Review-Top-Surgery-Rattinan-Clinic-2026-768x959.jpg 768w\" sizes=\"(max-width: 1081px) 100vw, 1081px\" \/>\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n<style>\n#image_183992395 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\n\t<div id=\"col-1800441477\" class=\"col medium-6 small-12 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"gap-1123380526\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1123380526 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n<b>Terms and conditions<\/b>\r\n<ul>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">No prior history of breast or chest surgery<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">No prior history of fillers, silicone, or any foreign substances injected into the chest area<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">No presence of fibrosis, palpable masses, or underlying tissue abnormalities<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">No previous reviews or media appearances associated with other surgical clinics in Thailand<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Willingness to grant permission for the use of identifiable photos (including full facial visibility) for ongoing clinical and marketing purposes<\/span><\/li>\r\n<\/ul>\r\n<b>Disclaimer<\/b>\r\n\r\n<span style=\"font-weight: 400;\">Due to the high level of interest and the limited number of review case placements available, not all applicants may be selected. Final candidate selection will be thoughtfully determined by the attending surgeon, based on clinical suitability and overall alignment.<\/span>\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\n\t<div id=\"col-643644915\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-3932441998\" class=\"text\">\n\t\t\r\n\r\n<b>Book Free Consultation<\/b>\r\n\t\t\n<style>\n#text-3932441998 {\n  font-size: 1.5rem;\n}\n<\/style>\n\t<\/div>\n\t\r\n\t<div id=\"gap-1746305640\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1746305640 {\n  padding-top: 60px;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\r\n\r\n<style id=\"wpforms-css-vars-12144\">\n\t\t\t\t#wpforms-12144 {\n\t\t\t\t--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 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aria-live=\"assertive\" value=\"wpforms-submit\">Book My Consultation<\/button><img decoding=\"async\" src=\"https:\/\/www.rattinan.com\/en\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\r\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Medically Reviewed by DITSAYANIN THAWEETHANATSIT, M.D.\u00a0 The decision to undergo \u201cTop Surgery\u201d is a significant step in the journey of Gender Affirmation for Transgender Men and Non-Binary individuals. At Rattinan Clinic, we understand deeply that this is not just about aesthetics, but about unlocking physical and mental discomfort, allowing you to live with confidence as<\/p>\n","protected":false},"author":6,"featured_media":20436,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[117],"tags":[],"class_list":["post-20277","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-body-contouring"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.3 (Yoast SEO v27.9) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Top Surgery in Thailand: Embracing Your True Self<\/title>\n<meta name=\"description\" content=\"In-depth look at Top Surgery in Thailand for a flat chest. Achieve your true self with hidden scars using endoscopic surgery by specialists. Free consultations available.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.rattinan.com\/en\/top-surgery-in-thailand\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Top Surgery in Thailand: Chest Flattening by Board-Certified Plastic Surgeons\" \/>\n<meta property=\"og:description\" content=\"In-depth look at Top Surgery in Thailand for a flat chest. Achieve your true self with hidden scars using endoscopic surgery by specialists. 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