Skip to main content

    Chest Reconstruction Surgery

    Chest Reconstruction Surgery (Female to Male “Top Surgery”)

    Female to male chest reconstruction surgery is a gender-affirming surgical procedure that modifies the chest to create a more masculine appearance for transgender men and non- binary individuals.

    Masculinizing chest reconstruction involves:

    • Mastectomy: removal of all female breast tissue
    • Liposuction: removal of fat associated with female breast tissue
    • Nipple adjustment: removal and reposition to a lower, more masculine location; includes reduction of the size of each areola
    • Chest contouring: reshaping of the pectoral muscles to create a more defined male chest

    Who performs masculinizing chest reconstruction?

    It is important to consult with a qualified and experienced plastic and reconstructive surgeon who specializes in gender-affirming procedures.

    What happens during female-to-male top surgery?

    The procedure will likely be supplemented with gender-affirming hormone therapy with testosterone. Achieving full results can take up to a year and include redistributing fat away from the chest and broadening shoulders. Unique to each patient, the scope of the surgical procedure is individually tailored to consider underlying biology and anatomy as well as the desired aesthetic result.