Gender Affirming Top Surgery
Dr. Rose offers gender affirming top surgery with a focus on precision, personal meaning, and full-spectrum care from consultation to recovery.
Dr. Rose offers gender affirming top surgery with a focus on precision, personal meaning, and full-spectrum care from consultation to recovery.
Top surgery is a deeply personal step in aligning how you feel with how you’re seen. At Dr. Rose Plastic Surgery, this procedure is treated with the care, nuance, and individual respect it deserves.
Dr. Jacqueline Rose Makerewich provides gender affirming top surgery in a welcoming, private setting. With experience in chest contouring and surgical techniques designed to preserve sensation and minimize scarring, she works closely with each patient to create results that feel right for them. There are no assumptions here, only conversation, expertise, and honest support.
Gender-affirming top surgery encompasses procedures for both FTM (female-to-male) and MTF (male-to-female) transitions, designed to align physical appearance with one's gender identity.
MTF top surgery, also known as breast augmentation for transfeminine patients, creates a natural-looking feminine chest by carefully adding volume and contour to create a beautiful breast mound.
FTM top surgery involves removing breast tissue to create a flatter, more masculine chest. Scars are placed discretely along the lower border of the chest and pectoral muscles, and around the areola with careful attention to scar placement.
These surgeries can be transformative, fostering harmony between body and self-perception. Dr. Rose recognizes the profound significance of these choices and is dedicated to supporting you through this journey at your own pace, ensuring that each step is taken with understanding and care.
There are several surgical approaches to top surgery. Dr. Rose will recommend a method based on your chest size, skin elasticity, and goals.
Dr. Rose's transition surgeries are tailored with precision and care. For FTM transitions, she reshapes the chest under general anesthesia, taking 2-3 hours to ensure natural, symmetrical contours. In MTF transitions, Dr. Rose focuses on creating a feminine chest appearance by carefully incisions in discrete locations and creating soft fullness and clevage. Her attention to detail ensures a harmonious outcome that aligns with each individual's vision.
Top surgery addresses chest dysphoria by reshaping the chest to better align a person’s physical appearance with their gender identity.
For many trans and nonbinary people, this surgery provides relief and affirmation by reducing the disconnect between body and mind, helping individuals appreciate a more unified sense of self.
Less strain from binding and improved mobility are common physical benefits.
Top surgery is associated with reduced anxiety, better self-esteem, and increased body comfort for many people.
Dr. Rose won’t rush you. She’ll take time to understand what you want and provide real answers to all your questions without assumption or judgment.
You may be a good candidate if you:
Dr. Rose works with patients at various stages of transition. You’ll be asked about your goals, history, and care team to ensure this is the right step for you.
Initial recovery lasts about 1 week. Most patients can return to light activity within a few days; however, lifting and upper body movement will be limited initially. Dr. Rose provides a detailed recovery plan including:
You’ll have many follow-up appointments, and Dr. Rose remains available if any questions arise at any point.
Final results develop over 3–6 months as swelling resolves and scars fade. Scars can take 12 to 18 months to fully mature. With Dr. Rose’s careful incision planning and scar care, most patients feel proud of their outcome.
Dr. Rose offers more than surgical skill - she offers a safe space. Her work is precise, but never impersonal. Every decision is grounded in listening. Every patient is treated with dignity and care.
Her follow-up care is generous. Her scar-conscious approach is deliberate. And her belief in your autonomy is unwavering.
Requirements vary. Dr. Rose follows WPATH-informed guidelines and can discuss options with you during your consultation.
Yes. Dr. Rose will review the differences between nipple-sparing and graft options, including their implications for sensation, healing, and appearance.
In some cases, yes, and this can be discussed during your consultation. Feminizing liposuction and body contouring with fat grafting is a common procedural combination.
Availability varies depending on the time of year. After your consultation, we’ll work with your schedule as best we can.
