Gender-affirming top surgery, including mastectomy or maximal breast reduction (also referred to as non-flat top surgery), can be a life-changing step for individuals seeking alignment between their physical appearance and gender identity. This surgery is ideal for transgender and non-binary individuals looking to create a more masculine or androgynous chest contour. Candidates are generally in good physical and mental health, have realistic expectations for the procedure, and have a strong desire to feel more comfortable and confident in their bodies. Top surgery is not just a cosmetic procedure—it is a deeply personal journey toward self-expression and authenticity. Many patients desribe this procedure as “life-saving.

Day of Gender-Affirmaing Top Surgery
What to expect
Top surgery is typically performed under general anesthesia and lasts 2-3 hours, depending on the surgical technique. For mastectomy, your surgeon may use approaches like double incision with nipple grafts or keyhole techniques, depending on your anatomy and desired outcomes. In breast reduction cases, tissue and skin are removed to achieve a flatter, more proportional chest. Your surgeon will explain the steps in detail during your consultation, ensuring you feel informed and prepared. Post-surgery, dressings and compression garments will be applied to support healing and minimize swelling. You will be able to go home the same day.
Learn More About The Process
Mastectomy Recovery
A Journey to Confidence and Comfort
Recovery from gender-affirming top surgery involves resting and following your surgeon’s post-operative care instructions to promote optimal healing. Swelling, bruising, and mild discomfort are common in the initial weeks and can be managed with prescribed medications and compression garments. Most patients can resume light activities within 2 weeks and return to full activity after 4-6 weeks. Over time, scars will fade, and the final chest contour will emerge, revealing a flatter, more masculine or androgynous appearance. This transformative surgery allows patients to feel more comfortable in their skin, fostering a sense of confidence and authenticity.