An Interview With Dr. Charles Garramone
Top Surgery has come a long way over the last 20 years, from a niche procedure to vital affirmation for a diverse community. In this interview, Dr. Charles Garramone discusses how patient needs and expectations have changed. More »
Top Surgery Explained
What is Top Surgery? Top Surgery is a gender affirming surgery for transgender men and non-binary individuals that creates a masculine chest. Also known as FTM Top Surgery, the procedure involves breast removal (Mastectomy) and male chest contouring, and may also include free nipple grafts, or nipple/areola resizing and repositioning.
Top Surgery is the most commonly performed gender reassignment surgery for trans masculine people. Top Surgery helps one to live more comfortably, improving psychological and social functioning, and it may be the only surgical step that one takes in their transition.
The different types of Top Surgery include Double Incision (DI), Peri Areolar, Nipple-Preserving Inferior Ellipse, Buttonhole Technique, Inverted-T or T-Anchor and Keyhole. Learn more about Top Surgery Procedures »
Have Questions?
- The Ultimate Top Surgery FAQ »
- How Much Does Top Surgery Cost? »
- Top Surgery Insurance Coverage »
- How to Use Medical Financing »
- Risks and Complications »
- Sensation: What You Need To Know »
- Ask a Question Here »
How To Get Started »
Find a Top Surgery Surgeon »
MORE FEATURES
Next-Gen Top Surgery: Nipple-Preserving Inferior-Ellipse
The Nipple-Preserving Inferior-Ellipse Mastectomy is an innovative top surgery technique developed by Dr. Rachel Bluebond-Langner, a board-certified plastic and reconstructive surgeon at NYU Langone Health in New York City. Designed to preserve the nipple-areola complex and achieve a natural chest contour with well-hidden scars, this technique is an important alternative for those who are less qualified for traditional approaches.
Surgical Readiness Letters
Getting Top Surgery requires a Surgical Readiness Letter from a qualified mental health professional. This guide breaks down the WPATH Standards of Care (SOC) requirements, who can write the letter, key components it must include, and when to obtain it. Whether navigating insurance requirements or surgeon preferences, understanding the letter process is essential for a smooth surgical journey.
Top Surgery Considerations for Non-Binary Folks
When it comes to Top Surgery, non-binary folks often face an uphill battle, but there are ways around the insurance hurdles, as well as experienced surgeons who are enthusiastic about providing truly inclusive care.
Dr. Charles Garramone
The first surgeon in the U.S. to build an entire surgical practice around Top Surgery.
Dr. Scott Mosser
Consistently excellent Top Surgery results for more than 15 years. San Francisco, California.
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Browse All Surgeons - Surgeons Who Take: Insurance - Medicare - Medicaid
Dr. Walter Lin
Fellowship-trained, exceptionally skilled plastic surgeon with deep expertise in gender surgery.
Dr. Paul Steinwald
Dr. Steinwald has more than 25 years of experience performing gender-affirming Top Surgery.
FOCUS: Scar Care
Top Surgery Scar Care: Are You Making These Common Mistakes?
Make sure that you aren't making these common mistakes with your scar care that can result in poor scarring and cost you more money than you need to spend!
Top Surgery Scar Care, Part 2: Advanced Topical Scar Treatment
Dr. Javad Sajan has developed a scar treatment protocol for Top Surgery. Those looking for an advanced approach to scar care will find it worth a closer look.
FOCUS: Revisions
All About "Dog Ears"
Dog Ears are one of the most common reasons for a Top Surgery revision. Find out what they really are and how to avoid them or get rid of them after Top Surgery in this one-stop primer featuring expert commentary from Dr. Alan Dulin.
Top Surgery Revisions: Causes, Costs, and Considerations
A revision can improve Top Surgery results dramatically and should be considered if you're not satisfied with your results. Find out what you need to know.