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Many trans men seek bilateral mastectomy , also called "top surgery", the removal of the breasts and the shaping of a male contoured chest. That advice echoes American Academy of Pediatrics policy that says pediatricians should use gender-neutral terms and encourage teens to feel comfortable talking "about their emerging sexual identities. In addition, there is less denervation damage to the nerves supplying the skin of the chest wall with a peri-areolar mastectomy, and less time is required for sensation to return. Some experts believe rising awareness of transgender issues has led increasing numbers of transgender teens to come out, or to experiment with gender identification. By using this site, you agree to the Terms of Use and Privacy Policy. Articles needing additional references from August All articles needing additional references Articles needing additional references from May Articles lacking reliable references from June All articles lacking reliable references Articles with multiple maintenance issues All articles with unsourced statements Articles with unsourced statements from October Articles with unsourced statements from February Articles that may contain original research from June For trans men with smaller breasts, a peri-areolar or "keyhole" procedure may be done where the mastectomy is performed through an incision made around the areola. Genital reconstructive procedures GRT use either the clitoris, which is enlarged by androgenic hormones metoidioplasty , or rely on free tissue grafts from the arm, the thigh or stomach and an erectile prosthetic phalloplasty.
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