Your Options for Transmasculine Top Surgery

What Is Transmasculine Top Surgery?

Transmasculine, or FTM (“Female to Male”), is designed to remove breast tissue, flatten the chest, and leave the patient with a more sculpted and masculine appearing torso. Patients may choose to have the nipple-areolar complex reshaped and relocated in concordance with a male body. Some patients may elect for a more unconventional appearance and lose the nipple areolar complex altogether.

In accordance with the WPATH Standards of Care, each of our patients is recommended to meet with two gender therapists to help ensure that surgery is an appropriate treatment for the patient’s dysphoria. Restore Medical will work with you to help facilitate these meetings so that you may get to surgery sooner than later if that will help alleviate your gender dysphoria.

Known medically as a subcutaneous mastectomy, transmasculine top surgery reduces existing breast skin and tissue in order to achieve the new masculine chest contours. While hormone therapy can help trans men feel more comfortable with their bodies, many trans men choose to undergo top surgery to better match their gender identity.

Each patient’s surgery is different from the next. Our board-certified surgeon handles each as its own unique case in order to provide you with the most natural and the most true-to-you results.

Your Restore Medical Center surgeon will discuss the various methods of transmasculine top surgery available and will make recommendations based on your unique case. The right option for you will depend largely on the size of your chest and elasticity of the skin. Each top surgery technique features its own incision types, risks, and benefits which your surgeon will go over with you in detail during your private consultation.


Top Surgery Explanation
How does top surgery work?

We would love to speak about your transmasculine (FTM) top surgery options with you during a private one-on-one consultation at our Miami area practice. As advocates in the LGBTQ+ community, it is our passion to help each trans man or woman achieve their true selves through beautifully personalized results and board certified expertise. Please feel free to contact our office online, or call us at 305.865.2000.

The Transmasculine Top Surgery Procedure: What to Expect

Before Your Surgery

Our biggest priority at Restore Medical Center is you. We want to be sure that each and every one of our gender reassignment patients are able to get the surgeries they need to feel more like the person they are inside. However, we also want to be sure that each patient has all the information and details necessary to make a well-informed decision about surgery.

You will be able to ask any and all questions about transmasculine top surgery during your private one-on-one consultation. Our board-certified surgeon is sensitive and understanding to your situation and will work closely with you to create the best plan for your unique situation.

In accordance with the WPATH Standards of Care, each of our patients is recommended to meet with two gender therapists to help ensure that surgery is an appropriate treatment for the patient’s dysphoria. Restore Medical will work with you to help facilitate these meetings so that you may get to surgery sooner than later if that will help alleviate your gender dysphoria.

In the weeks and days leading up to your procedure, our surgery team will provide you with detailed pre-surgical instructions. If at any time you have any questions regarding your surgery, please do not hesitate to call our office or your surgeon directly.

Transmasculine Top Surgery Procedure Steps
Your surgery will be performed under general anesthesia at our on-site AAAASF accredited surgery center. Our surgery team consists of our board-certified surgeon and board-certified anesthesiologist in order to ensure your safety and the best possible outcomes.

It’s important that you have a friend or a loved one with you to drive you to and from your appointment, as well as to provide care and assistance during your initial recovery. No overnight stay is typically required after surgery.

The specific method for your transmasculine top surgery will be discussed at length during your consultation. Your surgeon will outline the specific procedure steps in detail and will answer any questions you may have regarding surgery.

Incision patterns will vary depending on the method used for your procedure. Once the incisions are made, your surgeon will work to reshape the chest by carefully removing excess skin and tissue.

Once the desired size has been achieved through the removal of skin and tissue, your surgeon will sculpt the chest and reduce/reposition the nipple-areola complex – or leave it off entirely if the patient desires a more non-binary appearance. Our Restore Medical Center surgeons are board certified and expertly trained in creating refined, well-sculpted contours that characterize a masculine chest – a unique artistry and understanding of this transformation is essential to achieving the most natural-looking outcomes.

Restore Medical Center

Transmasculine Top Surgery Aftercare

Getting Home. Because your surgery is performed under anesthesia, you will need a loved one to drive you home and help care for you the first few nights.

Bandages & Compression Garment. Immediately following your surgery, surgical bandages and a compression garment will be placed around your chest to assist with proper healing. A follow-up visit will be scheduled after your surgery during which your surgeon will change your dressings, reveal your new nipples, and remove your drains. Your compression garment will need to be worn 24 hours a day except for showering, for a few weeks after surgery.

Post-Surgical Effects. There will be some bruising and swelling of your chest after surgery, however this will gradually fade as your body and skin heals. Over time, incision lines will fade and flatten, eventually blending nicely with your body’s natural contours. If you had a nipple graft, the appearance of the nipple will change during the first postoperative month, ultimately scabbing and falling off to reveal your new nipple!

Common Questions:

  • How long will I require a loved one’s assistance? It’s important to have someone with you for at least the first few days. You don’t want to overwhelm yourself and you’ll need plenty of rest at this time.
  • When can I return to work? 1 week (depending on what you do)
  • When can I exercise and work out again? 1 month
  • When will I be able to resume having sex? 1 month
  • When can I expect my final results? The greatest change is drastic and immediate, but scars can remodel for up to 9 months

You will be provided with detailed post-operative instructions upon completion of your procedure. If at any time you should have any questions or concerns after surgery, please contact our practice immediately.

Possible Complications. As with all surgeries, transmasculine top surgery does have its risks – though these can be significantly minimized when performed by a board-certified surgeon. Possible complications include collections of fluid (blood, serous) that may need drainage, or in the case of infection.

Next Steps? We’d Love to Speak with You One-on-One

Our goal is for you to feel fully informed so you can make the best decision for you. Contact us for a virtual or in-person consultation and start the your life-changing conversation.