Compassionate, Gender-Affirming Surgical Care
At Chicago Cosmetic Surgery & Dermatology, we provide affirming, patient-centered surgical care for individuals seeking chest masculinization or chest feminization. Our Board-Certified Plastic Surgeons specialize in creating natural, balanced, and gender-affirming results tailored to your body and vision.
Whether your goal is a flatter, more masculine chest or enhanced breast contouring for a feminine silhouette, we prioritize safety, precision, and surgical excellence—ensuring you feel supported and empowered throughout your journey.
What Is Top Surgery?
Top surgery is a gender-affirming procedure that reshapes the chest to better reflect your gender identity. Depending on your goals, this may include:
Chest Masculinization (FTM/N)
Creating a flatter, more contoured chest by removing breast tissue and reshaping the chest wall. Techniques may include:
- Double incision mastectomy with nipple grafts
- Keyhole or periareolar incision
- Liposuction for additional contouring
Chest Feminization (MTF/N)
Enhancing breast shape and size using implants or fat transfer to create a natural feminine contour.
Each surgical plan is customized based on anatomy, skin elasticity, nipple position, and desired results.
Your Personalized Consultation
At Chicago Cosmetic Surgery & Dermatology, we provide supportive, gender-affirming surgical care for individuals seeking chest masculinization or chest feminization. Our board-certified plastic surgeons specialize in creating natural, balanced results that align with your body, goals, and identity.
Whether you’re aiming for a flatter, more masculine chest or enhanced contouring for a feminine silhouette, we prioritize safety, precision, and respect—ensuring you feel understood and empowered throughout your journey.
Surgical Procedure
Depending on the technique, surgery may involve:
- Removing breast tissue
- Repositioning or resizing the nipples
- Adding implants (for chest feminization)
- Sculpting the chest with liposuction
Procedures are performed in our accredited outpatient surgical facility.
Recovery After Breast Reduction
- Initial discomfort and swelling typically improve within the first week
- Most patients return to work in 7–10 days
- Avoid strenuous activity for 4–6 weeks
- Supportive garments may be recommended to reduce swelling and support healing
- Final breast shape continues to refine over several months
You’ll receive detailed aftercare instructions to ensure optimal healing and results.
FAQ's for Top Surgery
How long is recovery after top surgery?
How long is recovery after top surgery?
Most patients resume light activities in 7–14 days. Full healing and final contour refinement continue over several months.
Will I have visible scars?
Will I have visible scars?
Scarring depends on the surgical technique. Incisions are placed strategically, and scar care protocols help minimize visibility over time.
Can nipple sensation change after surgery?
Can nipple sensation change after surgery?
Yes. Sensation may decrease, increase, or change temporarily or permanently depending on the technique used.
Is top surgery permanent?
Is top surgery permanent?
Yes, the results are long-lasting. Significant weight changes or hormonal shifts may affect chest contour over time.
Do I need a letter or documentation for surgery?
Do I need a letter or documentation for surgery?
Requirements vary. During your consultation, we’ll review documentation needed for insurance or procedural approval if applicable.
Is liposuction always performed with masculinization surgery?
Is liposuction always performed with masculinization surgery?
Not always, but it can enhance chest contour and is recommended when additional sculpting is needed.
Begin Your Gender-Affirming Journey
If you're ready to move forward with a chest contour that aligns with your identity and goals, schedule a private consultation at Chicago Cosmetic Surgery & Dermatology. Our team is dedicated to providing affirming care, surgical expertise, and support at every step of your journey.



