Secondary Gender Surgery
PD Dr. Richard Fakin / Gender Reaffirming Surgery (GRS) /
What Is Secondary Gender Surgery for Trans Men?
Madrid | Zurich
Secondary surgery for FTN (Female to Non-Binary) patients aims to correct and improve the results obtained in previous procedures, especially in mastectomies, when these have not achieved the desired appearance or functionality. Often, it is necessary to combine reconstructive and aesthetic techniques to achieve a more harmonious chest contour that aligns with each person’s identity.
Revision Mastectomy and Chest Contouring Correction
Surgical corrections following a mastectomy in cases of trans men include resection of mammary gland residue and/or subcutaneous fat, symmetry of the two breasts, liposuction to obtain a masculine contour, correction of scars, correction of shape, position and / or the size of the nipples among others.
We are dedicated to correcting and achieving the smallest possible scars and with the most essential post-operative treatments possible.
Learn more about Transgender Secondary Plastic Surgery procedures on our Facebook profile.
Frequently Asked Questions about Secondary Gender-Affirming Surgery for Trans Men (FTM)
What is secondary gender-affirming surgery for trans men (FTM) and why is it performed?
Secondary gender-affirming surgery for trans men refers to corrective procedures following previous interventions such as top surgery, facial masculinization, or genital surgery. These are performed when issues such as asymmetries, scarring, or excess tissue remain. At our clinics in Madrid and Zurich, Dr. Richard Fakin applies advanced reconstructive and aesthetic techniques to achieve a more masculine, functional, and harmonious result.
What types of procedures are included in secondary FTM surgery?
Common interventions include:
- Removal of residual glandular or subcutaneous fat tissue
- Chest symmetry correction using liposuction or nipple-areola complex adjustment
- Fat grafting to define the pectoral area with a muscular look
- Scar revision or correction from previous procedures
Dr. Fakin designs each surgical plan with precision, combining functional outcomes and a masculine aesthetic tailored to every patient.
What is the planning process like with Dr. Richard Fakin?
Planning begins with a detailed consultation in Madrid or Zurich, where past surgeries are reviewed, photos are analyzed, and the current anatomy is evaluated. Based on this assessment, Dr. Fakin develops a custom surgical plan, explaining the necessary procedures, potential outcomes, risks, and post-operative care. The process is fully transparent and patient-centered.
What is recovery like after secondary FTM surgery?
Recovery varies depending on the procedures performed, but usually includes:
- Moderate rest and the use of compression garments
- Regular follow-up appointments to minimize scarring and monitor progress
- A gradual healing process that can take several weeks to months
At Dr. Fakin’s clinics, each patient is supported throughout recovery with individualized medical care and practical, evidence-based guidance.
Why choose Dr. Richard Fakin for secondary FTM surgery in Madrid or Zurich?
Dr. Richard Fakin is an internationally respected surgeon specializing in gender-affirming procedures. He leads complex secondary transmasculine surgeries at his clinics in Madrid and Zurich, combining modern techniques, an artistic eye, and deep respect for each individual’s identity. His approach includes coordination with multidisciplinary teams to ensure outcomes that are both functionally successful and visually coherent.
