FTM Top Surgery in Reston, VA

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Female-to-male (FTM) top surgery is becoming a highly requested treatment among females who desire to have their breasts reduced to appear more masculine. One of the most visible differences between the male and female body is the feminine breast versus the masculine chest. Also called male chest contouring, this procedure uses the subcutaneous mastectomy technique to remove fat and breast tissue to recontour the chest. During the process, the plastic surgeons at Austin-Weston will also reposition the nipple-areolar complex (NAC) for a masculine-looking outcome. For females with larger breasts or those with unhealthy or lax skin elasticity, excess skin will be removed so the chest skin is taut and firm. The NAC may also need to be reduced. Since the ideal male chest is not flat but slightly rounded from developed pectoral muscles, pectoral implants may be added for a more masculine chest. 

To learn more about FTM surgery, or if you have questions regarding any procedure that changes the overall look of your gender, we invite you to call the skilled surgeons at Austin-Weston, The Center for Cosmetic Surgery.

Surgical Technique

The are many surgical techniques that can be used in FTM top surgery. Our surgeons will typically select based on the starting size of the chest and the patient’s skin elasticity. All techniques preserve the patient’s natural nipple and areola, but the placement is usually changed to fit the new contour. Common subcutaneous mastectomy techniques include:

  • Buttonhole technique
  • Double incision
  • Inverted T/T-Anchor
  • Periareolar
  • Keyhole
  • Minimal scar

During/After Surgery

FTM top surgery is generally performed as an outpatient procedure with the patient under general anesthesia at an accredited surgical facility. After the surgery, the patient will be put in a compression vest that they should wear for at least 3 – 4 weeks to minimize bruising and swelling. We will go over any specific recovery instructions and schedule follow-up appointments to check the patient’s healing. Our team of aftercare nurses can also offer information on scar care management to help minimize the appearance of surgical scars.

Estimated Cost

At Austin-Weston, we know that each patient case is unique, which is why the cost of your procedure will be dependent on a number of factors. Unfortunately, most insurance companies do not cover cosmetic procedures. However, we offer a variety of financing options and payment plans that can help make your treatment affordable. To learn more, call our front desk to schedule a private consultation. During this time, we can discuss your treatment plan and estimate your costs.

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Starting Cost  
From $10,050
Recovery Time  
1-2 Weeks
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FTM Top Surgery FAQs

Other Body Surgeries?

To fully transform from a female body to a male, body contouring surgeries like liposuction can help to make the body more masculine. One of the most popular FTM body contouring surgeries removes fat from the hips, thighs, and buttocks since the male lower body is typically more narrow than the female.

HRT Therapy Before?

While patients are not required to be on hormone replacement therapy (HRT) before their FTM top surgery, it can give better results. The testosterone can help develop the patient’s pectoral muscles, which will create a more natural contour.

Avoiding Dog Ears?

“Dog ears” are often associated with FTM top surgery as a description of the excess skin and fat that can bulge out of the stitches. Dog ears can be avoided with extra liposuction during the procedure for the fat below the armpits and on the side of the chest. Patients can avoid developing dog ears after their surgery by maintaining a healthy, stable weight.


To learn more about female-to-male top surgery and the other plastic surgeries we offer to help create the unique look you desire, we invite you to call our Reston, VA cosmetic surgery office. The plastic surgeons at Austin-Weston treat our patients with compassion and offer skill with an artistic approach to surgery that leads to natural-looking outcomes. Schedule your consultation to learn more.

*Individual results are not guaranteed and may vary from person to person. Images may contain models.