Gender-Affirming Top Surgery

Chest-Feminization Top Surgery Procedure

This is an outpatient surgery performed under general anesthesia in which breast implants are placed to reshape your chest to create a more feminine appearance. This gender-affirmation surgery helps the physical appearance of your chest better match your internal sense of identity. Our patients often desire not just to add volume to the chest area but also to enhance the body’s proportions with a natural look. Dr. Dumestre prefers to use silicone implants because they provide a more natural appearance and feel than saline implants. Silicone implants contain a cohesive gel as opposed to saline, which better simulates the feel of natural breast tissue. Silicone gel implants are also less likely to show visible “wrinkles” or “rippling” than saline implants.

For most patients, an incision in the fold of the breast is the best option, as this results in no scars on the front of the breast. However, this does vary based on the patient’s anatomy. Once the incisions have been made, the implants will be placed either behind the breast tissue or under the chest muscle. Fat grafting can sometimes be performed during your surgery for additional volume and optimal breast contour. This involves performing liposuction on one part of the body (often the flanks, abdomen, or inner thighs) and grafting that fat to the breasts.