Top Surgery (FTM)

Shape a chest and a future that feels like yours.

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What Is Top Surgery?

Top surgery, also known as chest masculinization surgery, is a gender-affirming procedure that removes breast tissue and reshapes the chest to create a flatter, more traditionally masculine appearance. This surgery is often a foundational step in a multi-stage transition journey for many transgender men and non-binary individuals.

This procedure can provide significant emotional relief for individuals seeking alignment between their chest and gender identity. Top surgery isn’t just about changing your body—it’s about reclaiming your reflection and living more freely in the world.

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Benefits Beyond the Mirror

TCGAICON - Flatter Chest-cropped
Creates a flatter chest contour, supporting gender affirmation and reducing reliance on binding
TCGAICON - Improves Confidence-cropped
May improve self-confidence in intimate, social, and professional settings
TCGAICON - Supports mental well-being-cropped
Supports emotional well-being and mental health stability
TCGAICON - Physical Comfort-cropped
Improves physical comfort in everyday movement and clothing

Real people. Real results.

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Life After Transformation.

Explore Stories

Featured Videos

Jay's Story: Gender-Affirming Surgery | Dr. Sean Herman

Jay's Story: Gender-Affirming Surgery | Dr. Sean Herman

Evan's FTM Top Surgery | Dr. Sean Herman

Evan's FTM Top Surgery | Dr. Sean Herman

Remi's FTM Top Surgery | Dr. Sean Herman

Remi's FTM Top Surgery | Dr. Sean Herman

What Are The Different Types of Top Surgeries To Consider? | Dr. Sean Herman

What Are The Different Types of Top Surgeries To Consider? | Dr. Sean Herman

Recovery Timeline after Top Surgery | Dr. Sean Herman

Recovery Timeline after Top Surgery | Dr. Sean Herman

What to Expect

During the Procedure
Top surgery is tailored to your body and goals. Our surgeons offer several techniques, including:

  • Double-incision mastectomy with nipple grafts for larger chests
  • Peri-areolar or keyhole incisions for those with smaller chests
  • Nerve-sparing methods to help preserve sensation
  • Hidden-scar approaches for a more natural-looking result

Surgery is performed under general anesthesia and typically takes 1–3 hours. Most patients go home the same day or after a one-night stay.

 

Risks and Recovery
Recovery after top surgery typically lasts two to six weeks, depending on the surgical approach and how your body heals. During this period, you'll wear a compression vest for about four weeks to support healing and minimize swelling. It's normal to experience some soreness and swelling in the initial days, which can be effectively managed with medication provided by your care team.

Most patients can return to work, school, or daily activities within two to three weeks, though it's important to avoid strenuous movement until your surgeon clears you. Scar care and sensation tracking continue over the next six months, with your surgical team monitoring healing and providing resources for optimal results.

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Planning for Surgery

Travel and Accommodations 
We welcome patients from all over. Our care coordinators can help arrange lodging and travel support for out-of-town patients.

Insurance and Financial Planning
A dedicated patient navigator will help you understand your benefits and access financing options.

Additional Resources
Looking for more information? Explore our Patient Resource Center for pre-op checklists, FAQs, and community support links.

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Patient Resource Center
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Frequently Asked Questions

Will I lose nipple sensation?

Not necessarily. Our surgeons use advanced techniques to preserve nerves when possible.

Will scars be visible?

We aim for hidden or minimally visible scars and offer post-op treatments to support healing.

Do I need a mental health letter?

This will largely depend on your individual insurance plan. Our team will assist you in reviewing your benefits to understand what is needed for your specific coverage.

How much does FTM top surgery cost in New Jersey?

The cost of FTM top surgery in New Jersey varies depending on the surgical technique, anesthesia, facility fees, and insurance coverage. Many patients are able to use insurance with the help of our dedicated navigators, who assist with approvals and cost transparency every step of the way.

What are the different types of chest masculinization surgery?

There are several top surgery techniques tailored to your body and goals. These include double-incision mastectomy with nipple grafts, peri-areolar and keyhole incisions, and nerve-sparing methods. Your surgeon will recommend the best approach based on your chest size, skin elasticity, and aesthetic goals.

Does FTM top surgery leave scars?

Yes, all surgical procedures result in some scarring, but our surgeons use hidden-incision techniques and provide detailed post-op scar care plans to minimize their appearance over time. We also offer follow-up treatments like silicone therapy or laser resurfacing if needed.

How do I prepare for top surgery?

Preparing for top surgery involves both physical and emotional readiness. This may include medical evaluations, stopping certain medications, arranging time off for recovery, and creating a comfortable post-op space. Our team provides a detailed checklist and one-on-one guidance to help you feel confident and supported going into surgery.