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Chest Reconstruction Top Surgery

Chest reconstruction top surgery––formerly referred to as “FTM top surgery”, “chest masculinization surgery” or just “top surgery”––is any gender affirming or gender confirmation surgery designed to remove chest tissue and flatten the chest. We use the term “chest reconstruction top surgery” at the GCC in an effort to use language that is affirming and acceptable to a broad audience, such as non-binary patients. This article gives an overview of the different types of top surgery incision techniques available to patients: keyhole, periareolar or circumareolar, double incision, inverted T, buttonhole, fishmouth, and more. For inquiries about top surgery cost and insurance, click here.

Transgender Chest Reconstruction

Chest reconstruction top surgery, also known simply as “top surgery,” is a solution for people who experience discomfort or gender dysphoria or gender incongruence associated with their chest by reducing the size of or removing their chest tissue.

Choosing to undergo surgery is a complex process shaped by internal feelings and philosophies as well as by external circumstances such as your overall health, your ability to travel for surgery, and your current financial status. To learn more about chest reconstruction top surgery, you may continue exploring this section of the site, visit our FAQ page, or download a printable PDF that walks you through the process.

The Decision-Making Process

As with any major life decision, it is normal to have some doubt and anxiety. At our San Francisco practice, we provide you with in-depth information on chest reconstruction surgical techniques, recovery, safety, and results so that you can make an informed final decision.

We have helped many patients during their transition, and this website is designed to help you become comfortable with the idea of permanent change and answer important questions, such as

If you have additional questions after viewing our site, please don’t hesitate to call our office. A member of our staff would be happy to go through any further details with you over the phone, or set you up with a personal or phone consultation with one of our board-certified surgeons.

Maintaining a Realistic Outlook

Chest reconstruction top surgery can certainly enhance your self-esteem and body confidence. It’s also important to maintain realistic expectations throughout the consultation and surgical process. There are trade-offs and potential complications with nearly every surgical procedure.

Every patient is unique, so it’s not entirely possible to predict your final chest appearance or if you will experience changes in sensation after surgery. It’s also important to remember that additional procedures may be necessary to give you the final results you desire.

Our website includes a gallery with before and after photos of previous patients. During your consultation, your surgeon will discuss with you what you can expect throughout the process. It can also be helpful to talk to other people in the community who have had surgery already. These perspectives can give you a better understanding of what is important to know and consider both before and after surgery.

The best way to ensure you are receiving the highest standard of care is to choose a reputable plastic surgeon. Our surgeons are board certified plastic surgeons with the training and expertise to ensure the safety and success of your surgery as well as a breadth of knowledge and experience working with the transgender community.

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