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Female to Male Top Surgery in Melbourne

What is Female to Male Top Surgery?

Female to Male Top Surgery (FTM), Transgender Chest Surgery or Gender Cosmetic Mastectomy, is a surgical procedure performed to remove the breasts and shape a more masculine chest. The procedure includes the removal of breast tissue and excess skin, while properly repositioning and reconstructing the nipple area.

Female to Male Top Surgery

Dr Patrick Briggs, Specialist Plastic Surgeon (FRCS)  has comprehensive experience in bilateral mastectomy and chest contouring that alters the female breast to mimic and function as a male form. However, several technical aspects need to be considered beforehand.

FTM Top Surgery is usually performed by two different techniques, depending on the patient’s breast size and physical appearance. Bilateral Mastectomy is a technique performed in patients with larger breasts, while the Perialeoral approach is applicable for patients with smaller breasts.

What are the benefits of Female to Male Top Surgery?

Since the effect of testosterone to reduce breasts in trans men is minimal, FTM Top Surgery plays an important role in relieving gender dysphoria.

Some of the benefits that FTM Top Surgery patients experience are:

  • Significant improvements in psychological and social functioning
  • Enhanced body confidence
  • More masculine look
  • Lower future risk of breast cancer

Am I a Good Candidate for Female to Male Surgery?

  • Unhappy with your breast shape and size
  • Have realistic expectations before undergoing surgery
  • Good physical and mental health
  • Non-smoker, or a smoker willing to quit
  • 18+ years old
  • Able to make a decision based on complete information and to consent to the surgery

Then you may be a good candidate for FTM Top Surgery.

FTM Top Surgery Before & After

Want to see more ‘real patient’ FTM Top Surgery before and after photographs, performed in Accredited Melbourne Hospitals by Dr Briggs, a highly experienced Specialist Plastic Surgeon?

What Should I Know About Having Female to Male Top Surgery?

Before the operation, you will have an appointment with a surgeon to determine and completely check your health and set a plan for your surgical approach..

This is a good time to ask questions to make sure you understand the procedure and to fully understand the reasons but also the risks of the surgery. Your surgeon will decide which surgical technique is best for your case.

Depending on your medical record, you will receive pre-operation instructions that may include:

  • Not eating or drinking for at least 12 hours before the operation
  • Avoid blood-thinning medications
  • Refrain from smoking
  • Refrain from drinking alcohol

FTM Top Surgery is usually performed under general anaesthesia, which means you won’t be conscious during surgery. Dr Briggs will make an incision around your chest and remove the breast and other tissues that need to be removed.

The incision is then closed with sutures.

Female to Male Procedure Details

There are several techniques for performing Female to Male top surgery which are based upon the incision given, size and shape of the breasts, size of the nipple, and areola. All the techniques have been discussed below:

  1. Double Incision with Free Nipple Grafts:

It is also known as a bilateral mastectomy. This surgery is done if you have medium to large sagging chests. A horizontal or curved incision is made on the upper and the lower border of your chest muscle. The skin is peeled back then the exposed fatty tissue is removed. Another incision is made and nipples are removed, resized, and again grafted back in the necessary position.

This surgery is most beneficial if you are a transgender man whose position of the nipple is lower than the fold beneath the chest. Since the nipple stalk and nerves are cut to be repositioned and grafted, the sensation of the nipple is low. Hence, you may feel the loss of sensation, however, touch sensation is intact. Finally, the skin is sutured below the chest muscle i.e. pectoral muscle.

Female to Male Top Surgery
  1. Inverted-T Surgery or T-Anchor:

This surgery is for you if you have large chests with some extra skin. In this surgery, an incision is given as an inverted T shape or anchor shape where the nipple and areola are not touched. Since the nipple is preserved, the sensation is intact.

An additional vertical incision will also be required in this surgery.

The main advantage of this surgery over Double Incision surgery is that nipple sensation remains intact and nipple loss is not an issue. However, the drawback is that some tissue must be left behind which helps in blood supply to the nipple. This results in less flatness of the chest in comparison to the double incision surgery.

3. Keyhole Top Surgery:

It is a perfect surgery for you if you have a small chest. Like the name says, your surgeon will make a small keyhole like incision under the lower border of your areola. The underlying tissue is removed and your nipple sensation will remain intact as well as you will get a comparatively high level of chest flatness.

Recovery From Female to Male Top Surgery

After surgery, you may feel pain and stiffness. The first couple of days are usually the most uncomfortable.

Your surgeon and anaesthetist will prescribe some pain medication, but the pain level shouldn’t exceed a moderate level.

You can expect going back to work or school 2-4 weeks after the surgery, depending on the surgical technique that Dr Briggs has performed and your overall health.

Most patients can go back to their usual physical activities 6-8 weeks after the surgery.

Swelling and pain will gradually decrease in the first couple of weeks, but you will have to sleep on your back for at least 10 days to minimise the pressure on your chest.

Dr Briggs will give you specific recommendations to minimise the scarring. Note that scarring can be dramatically increased by not following the advice given by Dr Briggs and his team.

Some FTM Top Surgery methods require patients to use drains for some time to prevent fluid accumulation.

FTM Top Surgery Cost

Every patient is different, therefore the prices vary. You will be given a price quote after your first consultation.

Your FTM surgery quote will include your surgeon’s fee, anaesthetist’s fee and the hospital fees.

It is advisable to check with your private health insurer to find out if you are covered for the surgery before you proceed.

How Can I Pay For Plastic Surgery

Risks & Complications of FTM Surgery

Like every surgical procedure, FTM Top Surgery comes with certain risks and complications:

After Surgery
  • Risk of Infection
  • Pain
  • Bleeding
  • Swelling
  • Scar formation
  • Numbness under the arms
  • Blood accumulation
  • Stiffness
  • Dissatisfaction with the results
  • Reduction or complete loss of the nipple sensation
  • Failed nipple graft

Why Choose Dr Patrick Briggs?

With a wealth of experience and training, Dr Patrick Briggs is dedicated to best-practice patient care and education, customising FTM Top Surgery for each and every patient to best meet their needs and desired surgical outcomes.
Dr Patrick Briggs is fully qualified with current ASPS and ASAPS memberships. Also, when choosing a Plastic Surgeon word of mouth is always a great way to gain further knowledge.
Our Specialist Plastic Surgeon, Dr Patrick Briggs offers high quality, natural-looking surgical results and is highly experienced in gender confirmation surgeries.

FAQ About Female to Male Top Surgery

Q: How can I know which surgical method is best for me?

A: The best way to find out is by consulting your surgeon. Not all patients and body types are the same. FTM Top Surgery is a highly personalised surgical procedure that differs for each and every patient.

Q: What are the effects of hormones on the breast?
A: Usually, hormone therapy doesn’t assist with a significant change in breast size of FTM patients.

Q: When can I shower after FTM Top Surgery?

A: You can shower after you have been advised By Dr Briggs at your first post-op appointment but please keep your incision away from direct contact with water. Using wet wipes to keep clean can help in the first days after the surgery.

Q: How long will I have to stay in a hospital?

A: Some patients are discharged the same day, some stay overnight. It depends on the method performed and how you are feeling.

Q: Will I wear chest garment after the FTM Top Surgery?

A: It is recommended to wear a compression garment to help the recovery process and get a better result.

About Dr Patrick Briggs FRCS (Plast) - Specialist Plastic Surgeon in Melbourne


Dr Patrick Briggs offers high quality, natural-looking plastic and cosmetic surgery results and is vastly experienced in BreastBody and Face Surgery having performed over 4500 Surgeries in private practice.  With world-wide expertise Dr Patrick Briggs is an expert in breast, face and body surgery for men and women.


Book your Initial Surgery Consultation

  • Email us or Call on 1300 264 811  to arrange your initial consultation appointment with Dr Patrick Briggs.
  • A Referral from your GP or specialist is helpful but NOT essential – you can have a consultation without a GP Referral.
  • Your initial Consultation Booking Fee with a Specialist Surgeon is $300 and your booking fee is paid ahead of your appointment and will secure your consultation date. You can pay by phone by calling us to book an appointment time. We have online payment methods if necessary.

What to Bring to your Plastic Surgeon Consultation

  • It can be helpful to bring a friend or relative to help discuss the information and your choices
  • Take notes and read the literature provided  on the procedures thoroughly
  • Want more information before scheduling your consultation?

Request more information about the procedure – call or contact us

Please contact us using our contact form to arrange to book a consultation with our Specialist Plastic Surgeon or to speak with our reception staff who will be able to provide you with further information.

Send an enquiry today or phone 03 8849 1444  during clinic hours, Monday to Friday 9 am – 5 pm

Further reading – Medical References

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Kind Regards
Dr Briggs’ Team