GENDER - AFFIRMING SURGERY

We proudly offer gender-affirming procedures tailored to support each patient’s transition with compassion, precision, and respect. Whether you are early in your journey or seeking surgical affirmation as part of your long-term goals, our practice provides expert, personalized care to help you feel more aligned in your body.

Periareolar (Keyhole) Technique

Who It’s For:
Patients with small glandular tissue burden and good skin tone
Minimal excess skin and no significant sagging
Individuals preferring minimal scarring

Procedure Overview:

A circular incision is made around the areola
Breast tissue is removed through this incision
Nipple remains attached to native blood supply (no grafting)
Best suited for smaller chests with minimal ptosis
Greater chance of requiring revision for optimal outcome when compared to double incision technique

Benefits:

Minimal visible scarring
Faster healing and recovery
Natural nipple sensation more likely to be preserved

Double Incision Mastectomy with or without Free Nipple Grafting

Who It’s For:

Patients with medium to large glandular tissue burden
Individuals with excess or inelastic skin
Those who want flatter contours and optimal nipple placement

Procedure Overview:

Two horizontal incisions are made along the lower edge of the chest
Breast tissue is removed, and the chest is sculpted for masculine contour
Nipple-areolar complexes are resized and repositioned as a free nipple graft, meaning you won’t retain natural nipple sensation
You will have two drains that typically stays for 5-10 days depending on the amount of drainage
Scars are along the lower border of the pectorals and fade over time

Benefits:

Most defined and masculine chest contour
Most predictable nipple placement
Ideal for larger chests or those with less skin elasticity

What It Is:

Chest masculinization surgery—commonly referred to as top surgery—is a gender-affirming procedure to create a masculine chest by removing breast tissue and, when appropriate, resizing and repositioning the nipples and areolae. It is performed under general anesthesia and typically as an outpatient procedure.

We offer two main surgical techniques, chosen based on your anatomy, skin elasticity, and aesthetic goals:

Chest Masculinization Surgery
(Top Surgery)

Chin Contouring
(Genioplasty or Chin Reduction)

What It Does:

Reduces chin projection or width
Smooths strong, square chins into softer, rounder contours
Can include chin sliding or shaving techniques

Ideal Candidates:

Broad, long, or projected chins
Desire for a more subtle or delicate lower face

Benefits:

Balanced facial proportions
Softer jaw-to-chin transition
Feminine facial harmony

Jaw Contouring (Mandibular Angle Reduction)

What It Does:
Refines the outer jaw angles and reduces lower facial width
Creates a more tapered, V-shaped appearance
Often done through incisions inside the mouth

Ideal Candidates:

Prominent, angular, or square jawlines
Seeking a softer, oval facial shape

Benefits:

Less masculine lower face profile
Narrower jaw and better facial balance
No visible external scars

What It Is:

Facial Feminization Surgery (FFS) is a group of procedures that reshape masculine facial features into a softer, more traditionally feminine appearance. We offer targeted surgeries to refine the forehead, jawline, and chin—key areas that influence gender perception. We utilize Virtual Surgical Planning (VSP) with CT scan to achieve safer and more predictable results.

Forehead Contouring / Brow Reduction

What It Does:

Reduces prominent brow bossing and reshapes the orbital rims
Lowers the hairline if needed (optional forehead advancement to offset receding hairline)
Smooths the forehead into a flatter, more feminine curve

Ideal Candidates:

Individuals with strong or angular brow ridge
Seeking a softer upper third of the face

Benefits:

Softer eye framing and smoother forehead
Reduced heaviness or shadow above the eyes
Harmonized upper facial contours

Facial Feminization Surgery (FFS)

Procedure Overview:

Silicone or saline implants are placed under the chest muscle (subpectoral) or above the muscle depending on anatomy and tissue coverage
Incisions are made in the inframammary fold for discrete scarring
Implant size and shape are customized to match your body goals and proportions

Ideal Candidates:

Patients on hormone therapy with stable breast growth (usually at least after 12–18 months)
Individuals with sufficient skin elasticity and chest wall tissue
Good general health and realistic expectations

Benefits:

Fuller, rounder breast appearance
Improved body confidence and silhouette

Breast augmentation for transfeminine individuals enhances the chest with implants to create a more traditionally feminine appearance. This procedure can be a powerful part of gender affirmation, especially for patients who have undergone hormone therapy and are seeking additional volume and shape.