What is FTM Top Surgery?

FTM top surgery is intended to create a flatter, more masculine-looking chest. There are several techniques which may be used to achieve this appearance. Typically, incisions are made horizontally across either side of the chest and around each areola to remove fat, breast tissue, and skin from the area. For those in the Fox Chapel and Pittsburgh area with less tissue to remove, however, only circular incisions around the areolae (periareolar or circumareolar) are necessary.

What is MTF Top Surgery?

MTF top surgery is designed to create feminine breasts in a procedure which is overall similar to a traditional breast augmentation. The procedure involves placing saline or silicone breast implants to create a fuller, more feminine look. In some cases, tissue expanders may be necessary to create a space to place the breast implants.

Who is a Candidate for Top Surgery?

Most transgender people are good candidates for top surgery provided that they are generally healthy overall and understand realistic expectations for their results. In most cases, it is recommended or required that patients have received mental health screening or counseling prior to choosing gender affirming surgery including top surgery. Dr. Falcon or your health insurance provider may ask for a letter from your mental health care provider stating that you have received such counseling and that top surgery is recommended to relieve gender dysphoria. During a consultation, Dr. Falcon can explain your options and what you can expect from surgery in addition to evaluating your health to ensure that you are a good candidate.

“Excellent, compassionate, very nice and knowledgeable doctor. Dr. Falcon spends time with you and really listens. He's one of the best doctors I have ever seen and I would recommend him to anyone.”


Recovery After Top Surgery

Recovery after top surgery will vary depending on the techniques used to complete your procedure. MTF/MTN patients typically require a week of downtime to rest and recover, while FTM/FTN patients will usually need two weeks. After surgery, you can expect some discomfort especially in the first two days of the healing process. You can take pain medication as prescribed by Dr. Falcon to remain comfortable and should wear a compression garment or supportive surgical bra according to directions. It is also important to sleep on your back for at least a week after surgery to avoid putting pressure on the treatment area. Most patients have their first post-op appointment about a week after the procedure, when they will be able to see their chest without dressings or bandages for the first time. However, swelling usually persists for about 2-3 weeks, with some residual swelling lasting up to six months.

Does Health Insurance Cover Transgender Top Surgery?

Some health insurance plans do cover transgender top surgery but may require that you have received mental heath counseling or other types of treatment, such as hormone therapy, prior to your surgery. Contact your health insurance provider to learn more about what your specific plan covers. If you have questions about insurance or financing options, our staff will be happy to help.

Schedule a Consultation

To learn more about your transgender top surgery options, schedule a consultation with Dr. Falcon. To set up your appointment, call (724) 226-3900 or contact us online. Falcon Plastic Surgery’s Monroeville Office is conveniently located 5 miles from Murraysville and 16 miles from Greensburg.

State-of-the art, on site surgical suite located in Natrona Heights, PA

Our suite is certified with the highest level of accreditation by the American Association for Accreditation of Ambulatory Surgery Facilities, Inc. (AAAASF).

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