Transgender Breast Augmentation Procedures Explained Medically reviewed by Lin-Lin Liu, PA on June 29, 2026. Understanding Transgender Breast Augmentation Transgender breast augmentation, also known as MTF top surgery, is a surgical procedure that helps transgender women and non-binary individuals achieve a more feminine chest contour. This procedure involves the placement of breast implants and/or fat grafting to create or enhance breast volume and shape. In a technical sense, there are some anatomical differences that need to be taken into account in the placement of breast implants for transgender women, as compared to most cisgender patients. Recovery for the surgery varies slightly by technique––for example, whether implants are placed above or …