Many people begin or continue gender-affirming care during Pride month because it symbolizes personal growth and self-love. If you’re considering this procedure, you might wonder what the experience involves, how to prepare, and what recovery looks like.
Mark D. Epstein, MD, FACS, is a dual board-certified plastic surgeon who is ready to answer questions and empower patients to make informed decisions. He pairs decades of surgical experience with a compassionate approach that centers on individual goals.
What Is Top Surgery?
Top surgery is a gender-affirming procedure that reshapes the chest to better align with a person’s gender identity. It may involve removing breast tissue for a flatter, more masculine or nonbinary chest (chest masculinization) or adding volume and contour for a more feminine chest (chest feminization).
The techniques used vary based on your anatomy and your preferred outcome. Common approaches for chest masculinization include:
- Double incision with nipple grafts: Often recommended for individuals with larger chests.
- Periareolar (or “keyhole”) surgery: A good choice for those with smaller amounts of breast tissue.
For chest feminization, patients may choose:
- Breast augmentation with implants: Implants create the desired size, shape, and projection.
- Fat grafting: Fat transfer can sometimes be used alone or alongside implants for a more natural look.
Preparing for Top Surgery
A little preparation can make the experience a lot smoother. Here’s what to focus on:
- Medical evaluations: Dr. Epstein may request lab work or health screenings.
- Logistics: Arrange for time off work or school (most people need 1-2 weeks away). Line up help for the first few days post-surgery as well.
- Mental preparation: It’s normal to feel a mix of excitement and nerves. Connecting with others who have had the procedure can be reassuring.
Dr. Epstein’s team supports patients through every step, offering thorough pre-surgical planning, education, and post-operative care.
Schedule Your Top Surgery Consultation Today
Top surgery is deeply personal and a powerful affirmation of self. If you’re ready to move forward, Dr. Epstein and his team are here to guide you with empathy and skill.
Reach out today to learn more about how we can help you achieve the chest that reflects your true self. Call (631) 689-1100 or submit our contact form.
