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 (also called chest masculinization or FTM/N top surgery) is a surgical procedure that removes breast tissue and reshapes the chest to create a flatter, more masculine or androgynous appearance. It can be performed using a variety of methods, depending on your body and your goals.
Top surgery can be life-affirming—not because it defines who you are, but because it brings your body into closer alignment with how you already feel. Dr. Rose understands that this decision carries weight, and she’s here to walk through it with you at your pace.
There are several surgical approaches to top surgery. Dr. Rose will recommend a method based on your chest size, skin elasticity, and goals:
The procedure is performed under general anesthesia and typically takes 2 to 3 hours. Dr. Rose carefully marks incisions, removes breast tissue, and contours the chest for a natural, symmetrical result. If nipple grafts are needed, they are resized and positioned with precision.
Top surgery addresses gender dysphoria related to the chest and helps alleviate the emotional and physical discomfort that can come with it. For many, it reduces the need for chest binding and improves posture, breathing, and daily comfort.
For many trans and nonbinary people, this surgery provides relief and affirmation by reducing the disconnect between body and 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—no assumptions, no judgment.
You may be a good candidate if you:
Dr. Rose works with patients at various stages of transition and does not require hormone therapy to access surgery. You’ll be asked about your goals, history, and care team to ensure this is the right step for you.
Initial recovery lasts about 2 weeks. 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 several 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.
Sensation in the chest and nipples may change—Dr. Rose will explain what to expect based on your surgical plan.
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.
Coverage depends on your provider and location. We’ll help you navigate the paperwork if needed.
In some cases, yes—this can be discussed during your consultation.
Availability varies depending on the time of year. After your consultation, we’ll work with your schedule as best we can.
