Seattle surgeon brags on TikTok about removing breasts of 15-year-old trans-identified patient

Dr. Tony Mangubat of La Belle Vie Cosmetic Surgery Center and Med Spa in Seattle goes by the name TikDocTony and has more than 220,000 followers on the popular social media platform.

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In an advertising style reminiscent of Dr. Sidhbh Gallagher, the Miami-based gender surgeon who refers to bilateral mastectomies as “yeet the teets” as a way to engage with her mostly adolescent followers, TikDocTony posts endless videos dishing out information about “top surgery,” the irreversible effects of testosterone, and how to wear a binder.

“What is the perfect age to have top surgery?” asks the popular gender surgeon in one video. The answer, according to Mangubat, is “when it’s right for you.” Mangubat informs his legions of young followers that the youngest patient he has performed a mastectomy on was 15-years-old and was referred to him by a Children’s Hospital.

The gender surgeon felt this was the ideal age for this patient who had apparently been identifying as a member of the opposite sex since age 5 or 6.

The oldest was a 74-year-old who had been binding for “many, many, many years,” and wanted a double mastectomy in order to be able to go topless on the beach during an upcoming holiday in Hawaii.

In another video, Mangubat talks about nipples and three separate requests he recently had from patients. One found nipples to be a source of dysphoria so had them removed entirely. Another patient, who was non-binary, wanted slightly larger nipples which were for some reason necessary to feel more feminine. The last was just a straightforward “reconstruction masculine surgery.”

The TikTok gender doctor also offers information about what he calls “bottom growth,” which is a less-frequently discussed side effect of taking testosterone. This refers to the clitoral growth women on large doses of cross-sex hormones experience that is colloquially referred to as “T d*ck.”

Mangubat informs his followers that “bottom growth” is irreversible, as is the growth of facial and body hair, and the deepening of the voice.

On his website, Mangubat says he has been in private practice since 1987 and has proudly served over 10,000 patients. The “transgender affirming surgeries” offered at his clinic include the usual “chest reconstruction,” aka bilateral mastectomies, and “breast augmentation,” aka breast implants for men who identify as women.

Also on offer is facial masculinization for young women who identify as men, which includes forehead lengthening/augmentation, cheek augmentation, rhinoplasty, chin recontouring, jaw contouring, and thyroid cartilage enhancement (Adam’s Apple surgery). Then there’s facial feminization for men who identify as women, involving sculpting the bones of the face to appear more feminine, as well as cheek implants and tracheal shaves.

Mangubat even offers body masculinization that involves using liposuction to remove fat from the hips and thighs to create a more masculine physique, as well as body feminization where fat is taken from another part of the body and injected into a trans-identified male’s buttocks to give the illusion of a shapely female figure.