Top Surgery in New York City

Gender affirming chest surgery focused on natural shape, thoughtful detail, and supportive care, whether your goal is a masculine chest contour or a feminine silhouette.

A Chest That Matches Your Identity Can Change Everything

Top surgery in NYC is often one of the most meaningful steps in gender affirmation because it affects how you move through the world every day. The chest is visible in clothing, posture, and social interactions, and it can be a consistent source of dysphoria for many patients.

At FFSNYC, top surgery is approached with deep respect for the emotional significance of this milestone, as well as the surgical precision required to create natural, balanced outcomes. Our team focuses on thoughtful planning and individualized technique. Whether your goal is a masculine chest contour or a feminine breast shape, every plan is built around your anatomy, lifestyle, and long-term goals.

What Is Top Surgery?

Top surgery refers to gender affirming chest procedures that reshape the chest to better align with a patient’s gender identity. For many transgender men and nonbinary patients, this means chest masculinization surgery, which removes breast tissue and creates a flat, masculine chest. For transgender women and transfeminine patients, top surgery often refers to breast augmentation, which enhances volume, shape, and femininity.

Top surgery is not one size fits all. Each procedure is tailored to body proportions, skin elasticity, existing tissue, and desired results. The goal is an outcome that looks natural, feels comfortable, and supports a more confident relationship with your body.

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Why Choose FFSNYC?

Top surgery requires both technical precision and an individualized approach. At FFSNYC, our team provides gender affirming surgical care with a high standard of safety, planning, and patient support. We take time to evaluate your anatomy and goals, then recommend the technique that will create the most natural, stable outcome for your body.

Patients choose FFSNYC because we offer coordinated care across a multidisciplinary surgical team, efficient scheduling, and a supportive experience that respects how personal these procedures are. We also work with commercial insurance, allowing many patients to pursue top surgery with reduced financial burden compared to cash-only practices.

Top Surgery Procedures

Chest Masculinization

Breast Augmentation

Recovery

Recovery varies depending on whether you undergo chest masculinization or breast augmentation. Most patients experience swelling, tenderness, and tightness during the first one to two weeks, with gradual improvement as healing progresses. Patients are typically advised to avoid heavy lifting and strenuous activity for several weeks to protect surgical results.

Compression garments may be recommended after chest masculinization to support contour and reduce swelling. After breast augmentation, supportive bras may be used during healing. Follow-up appointments are scheduled to monitor incision healing, scar progression, and overall outcome, with ongoing guidance tailored to your procedure.

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Results

Top surgery in NYC results become more defined as swelling subsides and the chest settles into its new shape. Many patients notice a meaningful shift in comfort and confidence early in healing, with continued refinement over the following months. The goal is an outcome that looks natural in clothing and in daily life, supporting a chest that feels aligned and authentic.

Frequently Asked Questions

How do I know which top surgery procedure is right for me?

Your consultation includes a review of anatomy, goals, and options. The surgical team will recommend the approach that best supports your desired chest shape and long-term outcome.

Will I have visible scars after chest masculinization surgery?

Scar visibility depends on the technique used. Many patients require incisions that create permanent scars, but placement is planned carefully, and scar care support is provided.

How is nipple placement determined in chest masculinization?

Nipple position is planned based on chest proportions and masculine contour goals. In some techniques, nipples may be resized or repositioned for a more natural look.

How do I choose the right implant size for breast augmentation?

Implant recommendations are based on chest width, tissue quality, and your goals. Your surgeon will guide you through sizing options to create balanced, natural proportions.

How long is the recovery after top surgery?

Many patients return to light daily activity within one to two weeks, but strenuous activity is restricted for longer. Full healing and scar maturation continue over several months.

Can top surgery be covered by insurance?

Coverage varies, but FFSNYC works with commercial insurance plans and can help determine eligibility based on your plan and documentation requirements.

Will my results look natural?

At FFSNYC, the goal is always natural proportion and balanced contour. Planning is individualized to avoid outcomes that look overly tight, exaggerated, or artificial.

Can top surgery be combined with other procedures?

In some cases, yes. Your surgeon will determine whether combining procedures is safe based on your surgical plan, goals, and recovery considerations.

Schedule Your Consultation for Top Surgery in New York City

Schedule a consultation to explore chest masculinization or breast augmentation with a team focused on safe planning, natural results, and affirming care that supports your goals and your identity.