Top surgery, also known as chest masculinization surgery, is a surgical procedure that removes breast tissue and reshapes the chest to create a more masculine appearance for transgender men. It is one of the most common gender-affirming surgeries for trans men.
There are several different surgical techniques that can be used for top surgery, including:
⦁ Double incision: This is the most common type of top surgery. It involves making two incisions under the breasts, from the armpit to the center of the chest. The breast tissue is then removed, and the nipples are repositioned.
⦁ Incisionless: This is a newer technique that uses liposuction to remove breast tissue. It does not require any incisions, but it is not as effective as double incision surgery for larger chests.
⦁ Keyhole: This is a minimally invasive technique that uses a small incision around the nipple to remove breast tissue. It is only suitable for small-breasted people with good skin elasticity.
⦁ Donut: This is a variation of the keyhole technique that involves removing a donut-shaped section of skin around the nipple. It is also only suitable for small-breasted people with good skin elasticity.
The recovery time for top surgery varies depending on the surgical technique used. However, most people are able to return to work or school within a few weeks.

Top surgery can be a life-changing procedure for transgender men. It can help to alleviate gender dysphoria and improve mental health. However, it is important to remember that top surgery is not a cure for gender dysphoria. It is a medical procedure that can help to improve quality of life, but it is not a magic bullet.

If you are considering top surgery, it is important to talk to a qualified surgeon about your options. You should also do your research and talk to other trans men who have had top surgery. This will help you to make an informed decision about whether or not top surgery is right for you.

Here are some resources that you may find helpful:
⦁ The Trevor Project:
⦁ Trans Lifeline:
⦁ The National Center for Transgender Equality:

Top surgery, also known as chest masculinization surgery or female-to-male (FTM) chest reconstruction, is a gender-affirming surgical procedure sought by transgender men and non-binary individuals assigned female at birth. The goal of top surgery is to remove breast tissue and create a more masculine chest contour that aligns with the individual’s gender identity.

Here are some key points to know about top surgery for transgender men:
⦁ Procedure options: There are different surgical techniques available for top surgery, and the choice depends on factors such as the individual’s anatomy, desired outcome, and surgeon’s expertise. The two primary techniques are:
⦁ Double incision mastectomy: This procedure involves making horizontal incisions across the chest to remove breast tissue and excess skin. The nipple-areolar complex is typically resized and repositioned to create a more masculine appearance.
⦁ Keyhole or peri-areolar surgery: This technique is suitable for individuals with smaller breasts and minimal excess skin. It involves making an incision around the edge of the areola to remove breast tissue, leaving minimal scarring.
⦁ Eligibility and readiness: It is generally recommended that individuals seeking top surgery have been living as male or in their affirmed gender for a certain period of time, typically at least a year. Additionally, some surgeons may require individuals to undergo counseling or obtain letters of support from mental health professionals to ensure they are mentally and emotionally prepared for the surgery.
⦁ Preparation and recovery: Prior to surgery, individuals will undergo a thorough medical evaluation and may need to make some lifestyle adjustments, such as quitting smoking or adjusting medications, to optimize their safety and surgical outcomes. After surgery, there will be a recovery period that includes post-operative care, restrictions on physical activity, and follow-up appointments with the surgical team.
⦁ Potential outcomes and considerations: Top surgery can provide significant relief for individuals experiencing gender dysphoria related to their chest. The results can vary depending on factors such as skin elasticity, chest size, and surgical technique. It is important to have realistic expectations and discuss specific goals and desired outcomes with the surgical team.

It is essential to consult with a qualified and experienced plastic surgeon whospecializes in transgender surgeries to discuss the available options, potential risks and complications, and expected outcomes. They will evaluate your specific circumstances, explain the procedure in detail, and guide you through the process of top surgery.