FTM top surgery (chest reconstruction) at TranPlastic in Huntington Beach creates a masculine chest contour for transgender men. Our experienced surgeons provide gender-affirming care with natural, masculine results.
What Is FTM Top Surgery?
FTM top surgery removes breast tissue and reshapes the chest to create a masculine appearance. It’s one of the most common and impactful gender-affirming procedures for transgender men.
Benefits:
- Aligns physical appearance with gender identity
- Eliminates need for chest binding
- Enables comfortable participation in sports/swimming
- Reduces gender dysphoria
- Improves quality of life
Top Surgery Techniques
Double Incision with Free Nipple Grafts
- For larger chests or significant skin excess
- Horizontal incisions below pectoral muscle
- Nipples resized and repositioned as grafts
- Most common technique
Periareolar (Keyhole)
- For small chests with minimal skin excess
- Incision around areola only
- Nipple sensation preserved
- Minimal scarring
Inverted-T (Anchor)
- For moderate skin excess
- Combines periareolar incision with vertical component
- Good for medium-sized chests
The Surgical Procedure
- Anesthesia – General anesthesia
- Incisions – Based on chosen technique
- Tissue removal – Breast tissue and excess skin removed
- Chest contouring – Residual tissue sculpted for masculine appearance
- Nipple placement – Resized and repositioned
- Closure – Drains placed, incisions closed
Procedure time: 2-4 hours
Recovery Timeline
- Week 1: Compression vest worn. Limited arm movement.
- Weeks 2-4: Drains removed. Gradual increase in activity.
- Months 2-3: Most swelling resolves. Return to normal activities.
- Month 6+: Final results with faded scars.
Frequently Asked Questions
Will I have sensation in my nipples?
Periareolar technique usually preserves sensation. Double incision with grafts may result in reduced sensation.
How visible will scars be?
Scars fade significantly over 12-18 months. Proper scar care helps minimize appearance.
Can I build muscle after top surgery?
Yes, after full healing (6+ weeks), you can resume chest exercises and build pectoral muscles.
Is top surgery covered by insurance?
Many insurance plans cover gender-affirming top surgery. We help with pre-authorization.
Requirements for surgery?
Persistent gender dysphoria, mental health professional letters, hormone therapy (typically 12+ months), medical clearance.
About Dr. Tuan Tran
Dr. Tuan Tran specializes in gender-affirming surgery, providing expert FTM top surgery with natural, masculine results.
Insurance & Cost
We work with most insurance providers and offer financing options.
Locations We Serve
Main Location: Huntington Beach, CA
Serving Orange County: Newport Beach, Fountain Valley, Westminster, Garden Grove, Costa Mesa, Seal Beach
Contact Us
Ready for your masculine chest? Contact TranPlastic today.
Phone: 714-839-8000
Contact Page: Tran Plastic Surgery Contact Page