Transgender Surgery

Top surgery is a gender-affirming procedure that alters the chest to better align a patient’s physical appearance with their gender identity. It can involve masculinizing the chest by removing breast tissue or feminizing the chest by increasing breast volume and shaping. The procedure is highly individualized, with surgical planning based on the patient’s anatomy, goals, and any medical considerations, while prioritizing both aesthetic outcome and functional recovery.

Masculinizing Top Surgery

Masculinizing top surgery removes breast tissue and reshapes the chest to create a flatter, more traditionally masculine contour. Techniques vary depending on breast size, skin elasticity, and patient preference, and may include double incision with nipple grafts, periareolar incision, or keyhole approaches. The goal is a natural, proportionate chest shape with appropriately positioned and sized nipples.

Feminizing Top Surgery

Feminizing top surgery, often similar in technique to breast augmentation, increases breast size and enhances contour using implants or fat transfer. This procedure creates a fuller chest consistent with a traditionally feminine appearance, with implant type, placement, and size tailored to the patient’s body frame and desired results.

Both approaches are performed with sensitivity to each patient’s identity, with emphasis on safe healing, minimal scarring, and long-term comfort in physical and social settings.