Top Surgery
Dr. Angela Rodriguez and ART Surgical provide gender-affirming care for transgender men and non-binary individuals in San Francisco and nationwide. For individuals seeking a more masculine appearance through top surgery, this may include breast removal (mastectomy) and chest contouring.
What is Top Surgery?
Many transgender men and non-binary individuals choose top surgery to align physical appearance and gender identity. This procedure can help reduce gender dysphoria. Top surgery can be an important step in your gender-affirming journey.
There are several options for top surgery. The best option for you will depend on your goals and preferences, body shape, and breast size. Talk to a specialized surgeon in gender-affirming procedures to explore choices, risks, and expected results.
Who is The Best Candidate For Top Surgery?
Candidates for transgender top surgery should meet several conditions. Individuals should seek professional guidance and support to understand their feelings and experiences related to gender identity. Candidates are usually at least 18 years old and have been living as their true selves for a while. They should be healthy and have support from family and friends to ensure care after the surgery.
It's important to have realistic expectations and understand the benefits and risks of surgery. Talk to an experienced surgeon to see if this procedure is right for you.
Planning for Surgery (Before Top Surgery)
If you’re considering transgender chest surgery, Dr. Rodriguez can discuss your goals with you and see if you're a good candidate. Sometimes the support of a mental health provider is necessary to make sure you’re ready for surgery. It's also essential to have a thorough medical check to ensure you're healthy.
Dr. Rodriguez will discuss the best surgery method for your body and goals, like double incision, periareolar, or keyhole. Ask a friend or family member to accompany you to your surgery and drive you home afterward. Our team will provide additional instructions to help you prepare for your surgery.
What to Expect During Top Surgery Recovery
Everyone's recovery is different, and Dr. Rodriguez will provide instructions for a smooth recovery. Pain, swelling, and bruising in your chest are common. Our team can give you medicine to help with the pain and scar care. Arm movement may be limited at first, but it will get better over time. It's important to change the bandages on your chest and keep your incisions clean and dry.
We will schedule follow-up appointments for Dr. Rodriguez to ensure you're healing well. After a while, you can go back to your regular activities, but you should avoid strenuous exercise for a few weeks. Your scars will fade with time, and we will provide instructions to help you take care of them.
To learn more about top surgery procedures and how Dr. Angela Rodriguez and her team will guide you through the process, book a one-on-one consultation.
Top Surgery FAQ
Top surgery is a surgical procedure often done as part of gender-affirming treatment. It involves removing breast tissue. This creates a more masculine chest for transgender men or a flatter chest for non-binary individuals. The procedure can significantly improve your well-being. It helps align physical appearance with gender identity.
The cost of top surgery can vary. It depends on the specific procedure chosen. The surgeon's experience and location, the facility where the surgery is performed, and any additional services required are factored into the cost. This estimate includes the surgeon, anesthesia, facility fees and post-operative care. Consult a qualified surgeon for an accurate cost estimate. They can help you based on your needs and circumstances. Some insurance plans may also cover some or all of the costs. Check with your insurance provider for coverage details.
Insurance coverage for top surgery varies depending on the insurance plan. Some plans cover it as part of gender-affirming care, while others may not. It's essential to check your insurance policy or contact your provider to understand what is covered and any requirements. Working with experienced healthcare providers can help navigate coverage and costs.
The time of top surgery depends on the specific procedure being performed, the technique and your anatomy. On average, top surgery typically takes two to four hours to complete. This timeframe can be shorter or longer. It depends on the complexity of the plastic surgery and any additional procedures being done at the same time. It is important for you to discuss the expected duration with your surgeon ahead of time.
Recovery time for top surgery depends on your overall health, the surgical technique, and following post-operative care instructions. Recovery usually takes around four to six weeks. You may experience discomfort, swelling, and limited mobility. It is common to take two weeks off work or school. It is also recommended to avoid strenuous activities for at least one month. Full recovery, including scar fading and return to normal activities, can take several months to a year. Following instructions from your doctor and attending follow-up appointments can ensure a smooth recovery.
It is possible to undergo top surgery without taking testosterone. Testosterone is not a requirement for undergoing top surgery. The decision to pursue top surgery is based on your gender identity and gender dysphoria. It is not based on your hormone levels. Discuss your goals and expectations with a qualified healthcare provider experienced in transgender care. This will help determine the most suitable treatment plan for you. They can advise if or when you should integrate hormone therapy into your care.