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What is Top Surgery?
Top surgery, also known as a mastectomy, is a procedure performed to remove breast tissue. Transgender and non-binary individuals most commonly choose this surgery as part of gender-affirming care to achieve a flatter, more masculine chest. It can also be performed for individuals with a high risk of breast cancer or those who have been diagnosed with breast cancer. Depending on the individual’s goals, the procedure may involve removing varying amounts of breast tissue and may include nipple grafts or chest contouring for more natural-looking results. This surgery is a crucial step for many in aligning their physical appearance with their gender identity or addressing medical concerns.
Who is a Candidate for Top Surgery / Mastectomy?
Ideal candidates for top surgery are transgender and non-binary individuals seeking to affirm their gender identity through chest masculinization or individuals with medical conditions like breast cancer or a high risk of developing it. Candidates should be in overall good health and clearly understand the procedure, recovery process, and desired outcomes. Those who wish to undergo gender-affirming top surgery should have realistic expectations and be emotionally and mentally prepared for the transformation. Our team, led by Dr. Tehrani, will provide thorough consultation and guidance to ensure this surgery fits your unique needs.
The top surgery procedure varies depending on the individual’s body type, goals, and surgical plan. The surgery involves the removal of breast tissue, with or without nipple grafts, to create a more masculine chest. Surgeons may use different techniques, such as double incision or keyhole surgery, based on the amount of tissue being removed and the desired result. The surgery is performed under general anesthesia and usually takes two to three hours to complete. After surgery, the chest is bandaged, and drains may be placed to help with fluid buildup during the initial stages of healing. Top surgery is tailored to each patient’s unique body and goals to achieve the most natural and satisfying results.
Top Surgery/Mastectomy Results and Recovery
Following top surgery, patients can expect to see a more masculine or flat chest, significantly improving comfort and body confidence. Initial swelling, bruising, and discomfort are normal and can be managed with prescribed medications and proper aftercare. Recovery typically takes a few weeks, during which patients should avoid strenuous activities and follow all post-operative care instructions. Full results become visible over the course of several months as the body heals and swelling subsides. Scarring from the surgery is common, but it often fades over time and can be minimized with proper care.
Schedule a Consultation
If you’re considering top surgery for gender-affirming purposes or medical reasons, we invite you to schedule a consultation at The Gallery of Cosmetic Surgery. Contact us today by filling out our online form to take the next step in your journey.
Schedule a Consultation