Types of Top Surgery

Depending on the patient’s goals, the surgeon may recommend several different approaches for top surgery:

For chest feminization:

Breast augmentation with implants.

Breast augmentation with fat grafting.

Breast augmentation with implants and fat grafting.

For chest masculinization:

Remove breast tissue and overlying skin.

Eliminate the crease along the bottom of the breast (the inframammary crease).

Contour the chest and emphasize the pectoral muscles.

Make the nipples and areolas smaller and reposition them (nipple grafts).

Remove the nipples entirely depending on patient preferences.

You and your surgeon will discuss the best choice for you, based on your body type, health, goals and other factors.