American Society of Plastic Surgeons
For Medical Professionals

Transmasculine Top Surgery

Masculinizing Chest Surgery

The goal of transmasculine top surgery, or masculinizing chest surgery, is to remove the breast tissue from both breasts and create a masculine or nonbinary appearance to the chest.

What are the steps of transmasculine top surgery?

Transmasculine top surgery includes the following steps:

Step 1 – Anesthesia

Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.

Step 2 – Mastectomy to remove the breast tissue

A mastectomy will remove the breast tissue present on your chest. Sometimes, excess skin will need to be removed as well.

Step 3 – Creating a masculine shape

After the breast tissue and any excess skin is removed, the remaining tissues must be repositioned to create a masculine contour to the chest.

Step 4 – Repositioning the nipple and areola

Sometimes the nipple and the areola need to be reduced and/or repositioned on the chest after the mastectomy is performed. The nipple and areola tend to be smaller and lie slightly more lateral and inferior on the male chest.


Patient Care Center