When thinking about top surgery for non-binary folks, it is important to remember that there are many ways in which gender-affirming 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, and non-binary chest aesthetics. We also cover varying options for chest fullness and breast reduction surgery. If you have questions about what non-binary gender identities are, we encourage you to explore our resources page.
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 undergo hormone replacement therapy (HRT) to be eligible for top surgery. If you would like to read more about testosterone HRT and top surgery, click here.
We believe that top surgery should be an option for anyone who experiences gender dysphoria or discomfort associated with their chest, regardless of gender identity. 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.
The following is a list of components that are often associated with binary male chest aesthetics. While the person in Image 2 has considerable muscularity and low body fat, we know that bodies come in a variety of shapes and sizes. Image 2 is used to highlight male chest aesthetics: areolas are smaller and wider-set (around 22mm, the size of a nickel).
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 flat, but not distinctly adult or muscular. The image below shows a non-binary patient’s 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. The following aesthetic variables come up frequently, but not always, with non-binary patients interested in top surgery:
If a patient desires a more traditional chest reconstruction top surgery outcome, there are certain shapes of incisions that could achieve this listed below:
Below are a few incisions requests we’ve received from patients who are interested in having less common types of incisions:
It’s important to note that the fish mouth procedure results in an incision across the very center of the chest horizontally.
Areolar excision top surgery results in two horizontal scars about three times the length of the previous areola in the center of the chest. This procedure is ideal for patients who would also qualify for keyhole or periareolar incisions but do not want their nipples or areolas on their chest after surgery.
The virtual consultation will be billed to your insurance company. We will accept the insurance reimbursement as payment in full.