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Dr. Charles Garramone

Leading Pioneer and Global Authority on Top Surgery

Dr. Charles Garramone, DO, FACOS is one of the most experienced Top Surgery surgeons in the world. Dr. Garramone was perfecting the art of Top Surgery at a time when there were only a handful of surgeons in the United States who performed it. His Top Surgery technique is sought after by thousands of patients for its consistent and predictable results. Dr. Garramone also offers the ManSculpture® Procedure, which is a technique of Body Sculpting exclusive to only Dr. Garramone. Dr. Garramone has been performing gender-affirming surgeries since 2005 and his practice is dedicated to serving the transgender and non-binary community.

Education and Training

  • Cum Laude graduate, University of Florida, Bachelor of Science degree in Microbiology & Cell Science.
    Medical degree, Nova Southeastern College of Osteopathic Medicine
  • Five-year General Surgery Residency, Michigan State University Botsford General Hospital where he served as Chief Resident of the Department of General Surgery, Chief Resident of Medical Education, and as an Associate Clinical Professor of the Department of General Surgery.
  • Two-year Plastic & Reconstructive Surgery Fellowship, Philadelphia College of Osteopathic Medicine, where he also served as Chief Resident of the Department of Plastic & Reconstructive Surgery and as an Associate Clinical Professor of the Department of Plastic & Reconstructive Surgery.

Dr. Garamone is board-certified in plastic and reconstructive surgery. He is a Fellow of the American College of Osteopathic Surgeons, and a Member of American Osteopathic Association and the World Professional Association of Transgender Health (WPATH).

Dr. Garramone has performed thousands of Top Surgery procedures for patients since 2005. With Dr. Garramone, you won’t have to worry about what your Top Surgery results will look like. He has experience that very few elite surgeons in the world can claim and is an absolute expert in Top Surgery. He has made meticulous advancements to his FTM Top Surgery procedure that provide consistent results every time. Dr. Garramone uses a modified Double Incision technique that accurately addresses nipple/areola position and size, as well as chest contour, providing the most aesthetically pleasing outcome.

“I am often asked the same question, ‘Why does everyone of your patients have an easily identifiable result, or Garramone Chest?’. My only response is simple, everyone’s chest is different. Everyone gets a different and unique result with their chest surgery that I perform. The reason why my results look similar or like a ‘Garramone Chest’ is because I contour the chest and place the nipples and scars anatomically where they should be.” — Dr. Garramone

Dr. Garramone has the most-documented portfolio of Top Surgery results from his patients, who have posted them to countless social media sites. In fact, it was Dr. Garramone’s patients who coined the term “The Big Reveal” as he encouraged patients to take photos and video at their post-op appointment, when patients see their chest for the first time after surgery. Thousands of these momentous clips can be viewed on YouTube.

Combining Top Surgery and Body Masculinization

Dr. Garramone also offers ManSculpture®, a Body Sculpting / Body Masculinization surgery that he developed for his female-to-male and non-binary patients. ManSculpture® uses power-assisted Liposuction techniques to treat areas such as the abdomen (stomach), “love handles” (flanks), and the “saddle bag” area of the outside hips or thighs to provide a more streamlined, masculine body shape. It is commonly performed at the same time as the Top Surgery. By combining these procedures, you can save considerable money on the overall operating costs.

Cost of Surgery

ProcedurePrice (USD)
FTM Top Surgery$12,000 - $15,000
ManSculpture® Body Sculpting / Masculinization$6000 - $18,000

Costs above are accurate as of March 2024 and include the surgeon’s fee only. For an exact surgery estimate, please book your consult with Dr. Garramone. Cash and all major credit cards are accepted. Medical financing via CareCredit is also accepted.

Please note: Dr. Garramone does NOT accept insurance, Medicare or Medicaid at this time. However, Dr. Garramone can provide a letter of documentation on request so that you can apply for direct reimbursement from your insurance company.

Dr. Garramone sees patients from around the world. If you’re coming from out-of-town, be sure to ask his office staff about local recommendations, such as hotels.

Dr. Garramone performs surgeries at Memorial Same Day Surgery Center, which uses state-of-the-art equipment, highly-trained surgical staff, and board-certified anesthesiologists. He is also affiliated with Memorial Hospital West, Memorial Hospital Pembroke and Memorial Hospital Miramar.

Dr. Garramone is honored to play a role in the transition journey of his patients. He has been an advocate of the transgender community since 2005 and is currently a Surgeon Sponsor of Point of Pride, a non-profit organization that provides financial aid and direct support to transgender people in need of health and wellness care.

Speak with Dr. Garramone
Dr. Garramone is available for in-person and phone appointments. There is no fee for the call. The wait time for is about one week and surgery can be scheduled within approximately three months later. You’ll experience a warm and caring environment from the first point of contact right through to your final post-op appointment.

5 Stars“Dr. Garramone is a true master. I had high expectations and confidence going into the operation. The results were better than expected,. My chest is healing impeccably because of his precision and care. The team was kind, efficient, and comprehensive. An all-around great experience. Thank you for the impact you’ve had on my life!” — Jerek L.


Surgery Requirements

  • Minimum age of 18.
  • Medical referral from a physician.
  • BMI of less than 45, due to anesthesia guidelines at hospital
  • No smoking at least 1 month before surgery.
  • Cessation of any medication with known interaction to general anesthesia.
  • Mammogram if over 40 years old.

Have questions for Dr. Garramone? Contact his office by clicking the Send Inquiry button.