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Top Surgery

FTM Top Surgery

A focused FTM top surgery experience for international patients.

The Procedure

What FTM top surgery involves

Top surgery reshapes the chest by removing breast tissue and contouring the chest wall for a flatter, more masculine profile. It's one of the most common gender-affirming procedures for transgender men and non-binary people, and the right technique depends on your anatomy and goals.

Who It's For

Who may consider FTM top surgery

Top surgery is most commonly sought by transgender men. It's also available to non-binary patients seeking a flatter, more masculine chest contour — not only those who identify strictly as male.

Surgical Techniques

The FTM top surgery techniques we work with

Want to see them side by side? Read our guide to top surgery techniques, including double incision vs keyhole.

Double incision top surgery incision pattern marked on the chest

Double Incision

Double incision is the most common approach for larger chests. Two horizontal incisions are made across the chest, breast tissue is removed, and the nipple-areola complex is repositioned. It's generally considered when a chest is larger or has less skin elasticity, since it allows for a fuller reshaping than techniques that rely on the skin retracting on its own.

Key considerations

  • Chest size and shape
  • Skin elasticity
  • Your desired final contour
Periareolar top surgery incision marked around the areola

Periareolar

Periareolar works through an incision around the areola. Because there's no separate incision across the chest, this approach depends on the skin naturally retracting afterward to create a flatter contour — which is why it's generally considered for smaller chests with good skin elasticity, rather than larger or less elastic ones.

Key considerations

  • Chest size and shape
  • Skin elasticity
  • Your desired final contour
Keyhole top surgery incision marked at the base of the areola

Keyhole

Keyhole is a more minimally invasive option, using a small incision at the base of the areola combined with liposuction to remove tissue, while leaving the nipple largely intact. Because it doesn't involve repositioning or resizing the nipple-areola complex, it's generally considered for smaller chests where less tissue needs to be removed.

Key considerations

  • Chest size and shape
  • Skin elasticity
  • Your desired final contour

Choosing a Technique

How technique selection is determined

Your surgical plan is decided individually, based on chest size, skin elasticity, and your desired result — not a fixed formula.

This decision is made together with Dr. Serkan Dinar during your consultation.

Patient Journey

What the process looks like

Travelling to Istanbul for your surgery? Read our guide to top surgery in Turkey for international patients.

  1. 01

    Prepare

    Consultation, medical history review, and a personalized surgical plan agreed before you travel.

  2. 02

    Surgery

    Your procedure, hospital stay, and immediate post-operative care.

  3. 03

    Recover

    Aftercare guidance and follow-up support as you heal, at home or before you travel back.

Recovery

Recovery and aftercare

Aftercare guidance and follow-up support continue as you heal, whether you're recovering locally or preparing to travel back after top surgery abroad. Recovery is planned individually as part of your Patient Journey, not a fixed timeline applied to everyone.

See the full Patient Journey

Read more in our guide to top surgery recovery and aftercare.

Questions

Frequently asked questions

What is FTM top surgery?

FTM top surgery (chest masculinization surgery) removes breast tissue and reshapes the chest to create a flatter, more masculine contour. It's one of the most common gender-affirming procedures for transgender men and non-binary patients.

What techniques are available?

The two most common approaches are Double Incision and Periareolar (Keyhole) surgery. Which one fits you best depends on chest size, skin elasticity, and your desired outcome — this is covered in detail during your consultation.

Is top surgery available if I'm non-binary?

Yes. Chest masculinization surgery is available to transgender men and non-binary patients seeking a flatter chest contour, not only those who identify strictly as male.

Do you see patients travelling from abroad?

Yes — Top Surgery Care is built around international patients. Our Patient Journey page walks through what to prepare before you travel, what to expect around surgery, and how recovery is supported afterward.

What happens during my first consultation?

We review your goals, medical history, and chest anatomy together, so your surgical plan is built around you rather than a standard package.

Get in Touch

Start with a consultation, not a commitment

Message us on WhatsApp or send a consultation request. Every plan starts with your goals, your anatomy, and your questions.

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