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About Top Surgery

For individuals who are transitioning from female to male (FTM), top surgery for masculinization typically involves a mastectomy to remove breast tissue and create a flatter chest. On the other hand, top surgery for feminization involves breast augmentation to create a more feminine chest contour. While this type of surgery is often associated with cisgender women, it can also be vital to gender-affirming care for transgender women (MTF).

Is Top Surgery Right for Me?

Transgender top surgery can be suitable for individuals seeking masculinization or feminization of their chest. Here are some general guidelines for considering who may be a candidate for these procedures:

  • Transgender men who desire a more masculine chest appearance or transgender women who want to feminize their chest
  • Non-binary individuals who desire a flatter chest and a more masculine or feminine appearance
  • Individuals who experience gender dysphoria related to their chest

Before & After Top Surgery


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Transgender Top Surgery Procedure


For those seeking masculinization, several techniques may be used. The most common technique is double incision mastectomy, which involves making two horizontal incisions below the pectoral muscles and removing breast tissue. The nipples are then resized and repositioned to create a more masculine appearance. Another technique that may be used is periareolar mastectomy, which involves making a circular incision around the areola and removing breast tissue through that opening. This technique is typically used for those with smaller breasts and may result in less scarring.


Feminization top surgery involves the addition of breast tissue to create a more feminine appearance. The most common technique is breast augmentation, which involves inserting breast implants to increase breast size and create a more feminine shape. The surgeon will trace the incision along the natural crease of the chest, around the edge of the areola, or in the armpit and insert breast implants. The specific incision will depend on your anatomy, preferences around scarring, and the size and shape of the implants. The nipple and areola will then be repositioned to create a more natural-looking chest.

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Immediately after your surgery, you must rest and avoid strenuous activities. Dr. Buchanan will give you aftercare instructions explaining how to care for your surgical incisions, which may include wearing a compression garment or bandages. You should also avoid showering or bathing for a few days after the operation to prevent infection. Pain and discomfort are common after transgender top surgery, but Dr. Buchanan will prescribe pain medication to help manage these symptoms. 

You may also experience swelling and bruising, which can be alleviated with ice packs and rest. You will need to take some time off to rest and recover after your surgery. Dr. Buchanan will let you know when it is safe to resume daily activities, such as exercise and lifting heavy objects. It is vital to listen to your body and refrain from pushing yourself too hard during recovery. After your surgery, you will have follow-up appointments with Dr. Buchanan to monitor your progress and ensure proper healing. Dr. Buchanan will let you know when you can remove your compression garment or bandages.

How Much Does Transgender Top Surgery Cost?

Male to Female Top Surgery prices starting at $9,000

Female to Male Top Surgery prices starting at $15,000

The cost of undergoing transgender top surgery in Tampa can vary significantly depending on the complexity of the case for MTF or FTM Surgery. Factors such as the surgeon's experience and reputation, the techniques used, and the case's complexity can influence the procedure's cost. For instance, highly experienced or reputable surgeons may charge more, and the procedure's complexity can affect the cost. Additionally, the location of the surgeon's practice can also impact the cost of the procedure, as larger cities often have higher operational costs.

Since it is a cosmetic procedure, health insurance does not cover the cost. The total cost may include:

  • Surgeon fees
  • Operating room costs
  • Compression garments for post-surgery
  • Anesthesia fees

However, the initial cost may not include blood tests, pre-operative testing, medical clearance exams, and prescription medications.

If you have financial limitations but want to undergo FTM or MTF top surgery, you can discuss financing options with Dr. Buchanan or any VIVIFY staff members. They offer financing plans to help patients achieve their surgical goals.

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Why Choose VIVIFY?

At VIVIFY plastic surgery & medspa, we believe that every individual deserves to feel comfortable and confident in their own skin. That's why we offer transgender top surgery to help our patients achieve the physical appearance that aligns with their gender identity. Our team of compassionate medical professionals is committed to providing top-quality care and support to each of our patients throughout their surgical journey. 

We understand that undergoing any type of operation can be a significant decision, so we create a welcoming and inclusive environment where our patients feel safe and supported. Our goal at VIVIFY is to help each one of our patients feel like the outside matches the inside so that they can live their lives with confidence and authenticity. If you're considering transgender top surgery, we invite you to schedule a consultation with Dr. Buchanan.

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