Radical Breast Reduction H-cup to a A-cup | /Dr. Tony Mangubat Seattle | Non-Binary Surgery

👋 Welcome! I’m Dr. Tony Mangubat, Seattle cosmetic surgeon.

In this video, I perform a radical breast reduction (H-cup → A-cup) for a non-binary patient who wanted a smaller, natural chest — not masculinized, but balanced and authentic to their identity.

Surgical Highlights:
Radical breast reduction: Removing most glandular tissue while preserving a small central core for natural contour.
Free nipple graft technique: Used when neurovascular preservation isn’t possible in extreme reductions — ensuring nipple safety and symmetry.
Comprehensive liposculpting:
Fat removal from axilla and lateral breast
Refinement between pectoralis major and latissimus dorsi planes
Contouring the sternal fat pad for subtle, natural cleavage

Aesthetic goal: Create a pre-pubescent-appearing chest that can flexibly appear more feminine or masculine, aligning with the patient’s non-binary identity.

CHAPTERS:
Surgical Mark Up /Planning: 00:00:00:00
Entering OR : 00:02:43:10
Tumescent Fluid: 00:02:53:11
Nipple Graft Marker: 00:04:52:29
Preparing Nipple Grafts: 00:05:43:28
Radical Reduction 00:07:13:16
Liposculpture & Cauterization: 00:12:13:07
Putting Incision Together: 00:12:58:25
Figure of 8 Suture: 00:16:25:17
Burrow's Triangle & Dog Ear Removal: 00:18:04:06
Penrose Drains: 00:19:22:23
Measuring for Nipple Graft Placement: 00:19:52:02
Marking Nipple Graft Placement: 00:21:47:14
Preparing Nipple Graft Bed: 00:22:29:07
Nipple Bolsters: 00:24:48:24
Dr. Tony’s closing remarks: 00:28:05:09
Before & After Photos: 00:28:59:06

🦋 Whether you’re a patient exploring your options or a surgeon seeking hands-on mentorship, Dr. Tony’s mission is simple: to teach, to empower, and to elevate the standard of cosmetic surgery worldwide.

📍 Seattle, WA | La Belle Vie Cosmetic Surgery Centers
🌐 www.LaBelleVieCosmetic.com
📞 206-575-0300
Instagram: @DrTonyMangubat
TikTok: @TikDocTony
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Видео Radical Breast Reduction H-cup to a A-cup | /Dr. Tony Mangubat Seattle | Non-Binary Surgery канала Dr. Tony Mangubat