When thinking about top surgery for FTN (female to non-binary) folks, it is important to remember that there are many ways in which gender surgery already moves beyond the binary. This page is going to touch on how our top surgeries fit in with our understandings of non-binary gender, binary chest aesthetics, non-binary chest aesthetics, chest fullness, and breast reduction options.
If you’re wondering if you can get top surgery as a non-binary, genderqueer, or gender expansive person, the answer is yes. We do not require our patients to use certain pronouns or identify as a certain gender in order to get top surgery, nor do we ask that our patients live as a certain gender for any period of time before the procedure. We also do not require that folks go on hormones before having top surgery. Read more about testosterone and top surgery here.
In order to get the most out of this page, please read our introduction page on top surgery for non-binary people.
We recommend top surgery for anyone who experiences gender dysphoria or discomfort associated with their chest. We have worked with non-binary and gender expansive people to help reduce or eliminate gender dysphoria and discomfort, regardless of pronoun or hormone use.
Before getting into the aesthetics of a non-binary chest, it is important to discuss the aesthetics of chests that look more like a binary male or female chest. When thinking about breast aesthetics, it is important to note that there are a lot of aesthetic factors that affect people’s opinions on ideals. Aside from body shapes and sizes differing widely, social and cultural norms regarding aesthetic preferences differ across time and geography. Image 1 depicts breasts with a more youthful aesthetic on a slimmer body. Here are some common factors of breast aesthetics as they sometimes appear on the body:
Now knowing what aesthetic qualities affect the appearance of a chest with breasts versus a chest without, there are a few approaches we can take when thinking about non-binary chest aesthetics. One approach is to create a chest that still appears male, but not distinctly adult or muscular. This means that some patients are looking for a chest that is flatter and does not have any adult characteristics. Image 3 is of a non-binary top surgery result that uses this approach.
Non-binary patients often ask about the different variables we can control in terms of the way a chest can look, rather than sticking with a traditionally male aesthetic. This is more of a gender expansive approach, allowing us to incorporate aesthetic components of both binary female chests and binary male chests in order to craft something more neutral or non-gendered. We can use this approach to tailor the surgical result to what someone feels will bring them gender euphoria. We are happy to have consultations with folks to help them get a better understanding of all of the different approaches we can take with this type of surgery.
When thinking about non-binary chest aesthetics, these are some variables to consider:
Please view the following pages to learn more about incision types and for nipple and areola options.
As mentioned above, a component of non-binary top surgery and chest aesthetics is the amount of chest fullness left behind. This refers to the amount of tissue left in the chest after surgery. Often, in a binary-appearing top surgery, very little tissue is left behind. With the use of hormones and a regular fitness routine, this allows for muscle mass to build in the chest, as seen in Image 4.
However, in a non-binary top surgery, the amount of chest fullness left behind varies from patient to patient depending on their levels of dysphoria or discomfort and their gender expression goals. Respectively, Image 5 and Image 6 show a mild and moderate amount of chest fullness left after surgery.
With the mildly full results in Image 5, we see a small amount of tissue with very minimal overhang.
With the moderately full results in Image 6 below, we see slightly more overhang as a result of more tissue left behind.
Again, to a certain degree, the amount of chest fullness is up for discussion based on your individual goals and desires with regard to dysphoria, discomfort, and gender expression.
Reducing the breast size, also called a breast reduction, is another available option for non-binary and gender expansive top surgery. There are people of all genders who choose to get a breast reduction for a variety of reasons, including but not limited to dysphoria or discomfort with breast size and/or aesthetics. This is a different surgical technique than what is described above.
For the purposes of definitions, a breast reduction will result in a smaller breast that maintains the teardrop shape with some amount of overhang, as seen in Image 7.
Breast reductions can be radical, as seen in Image 8. In order to know what type of breast reduction is right for you, please arrange a consultation with Dr. Mosser. Check out this page to learn more about the difference between non-binary top surgery and an aggressive breast reduction.