Top Surgery
Top Surgery offered in Toronto, Ontario.
1 - 4 Weeks - Full Activity
Gender-affirming top surgery is a procedure that changes the chest’s appearance to create a more masculine or feminine look for transgender and non-binary people. It’s all about helping your body feel more in sync with your gender identity.
While top surgery is the most popular option, we also offer a range of other body contouring procedures that can add or reduce curves to make your body better match how you feel inside.
Transgender Female:
Gender-affirming top surgery for transgender women uses breast implants to create a breast shape. Patients can choose between a more natural or fuller look, with options for incision placement, implant size, and position.
There are two types of implants: silicone and saline. Silicone implants are filled with cohesive gel, which holds its shape even if ruptured, giving a natural feel. Saline implants are filled with salt water, safe if ruptured, and make leaks easily detectable.
Though implant ruptures are rare, it’s good to consider these factors when choosing your implant.
Transgender Male:
Gender-affirming top surgery for transgender men removes breast tissue to create a more masculine chest, typically using natural-looking scars around the inframammary fold or areola. Excess skin is also removed for a smooth result, with incision techniques varying based on the amount of tissue and skin.
For those with minimal breast tissue, a small peri-areolar incision may be enough, while others may require a procedure more like a mastectomy. The surgeon will customize the approach to achieve the most natural appearance for your chest.
What is Gender Affirming Top Surgery?
Scars
Some patients worry about scarring, as this procedure often leaves a chest scar. However, with proper care, scars fade over time, and many in the 2SLGBTQ+ community proudly embrace them as part of their journey. Your scar can be a meaningful part of your story.
Potential Risks and Complications
Transgender men, women, and nonbinary people face standard surgical risks like bleeding, infection, and anesthesia reactions. For those with large breast tissue removal, additional concerns may include fluid buildup, tissue damage, and potential nipple numbness. Discuss all risks and concerns with your surgeon to make an informed decision.
Incisions
Here are some options of incisions:
Transaxillary incisions are made through the armpit, and once healed, the scar blends in seamlessly with the natural armpit crease.
Inframammary incisions are made along the breast fold, typically recommended when the fold is already well-defined. This approach is often ideal for patients with minimal existing breast tissue.
Periareolar incisions are made around the edge of the areola; though less common, they’re an effective way to minimize visible scarring.