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Elective bilateral mastectomy (FTM), the removal or reduction of the breasts (also called reduction mammoplasty, or "top surgery"), involves making a small incision near the nipple and removing most of the tissue and fat from under the skin. This results in a chest shape that appears more masculine. Some people also choose to have skin grafted from the existing nipple to create a new male-like nipple. The procedure has relatively few complications. The length of the hospital stay is dependent on the patient.