Top Surgery
FTM Top Surgery is a gender confirmation surgery procedure that creates a masculine chest. Top Surgery involves breast removal and male chest contouring, and may also include free nipple grafts, or nipple/areola resizing and repositioning. The different types of Top Surgery include Buttonhole Technique, Double Incision (DI), Inverted-T, Keyhole and Peri Areolar. Top Surgery is the most commonly performed surgery for trans masculine people, and may be the only surgical step taken in a FTM/FTN transition.
Dr. Marie-Claire Buckley
Not accepting new double incision mastectomy consults but has a waitlist for 2026. Please call the intake coordinator to join the list. Other gender-affirming surgeries, including breast augmentation and breast reductions, remain unaffected.