FTM Top Surgery is a procedure for transsexual men that creates a masculine chest by removal of both breasts.

Top Surgery involves breast removal (Subcutaneous Mastectomy) and male chest contouring, and can also include nipple grafts, or nipple/areola resizing and repositioning. This is done under general anesthesia. Top surgery is the most sought after procedure for transmen who wish to have their “badge of femininity” or breasts removed.

For smaller breasts, this is done by doing a liposuction assisted subcutaneous mastectomy (bilateral). An ultrasound machine is used in suctioning the breast tissue and surrounding fat after which complete breast removal is achieved thru incisions around the areola. For large and pendulous breasts, a double mastectomy with grafting of the nipple and areola may be required. This requires long incisions under the breasts.

How long does it take?
The procedure lasts from 3 – 4 hours.

How long is the downtime?
About 2 weeks.
Healing times vary, but many trans men return to desk jobs and light work after two weeks. There should be no heavy lifting, regular lifting of your arms over your head or weight training for 6-8 weeks.