A man's chest with incision marks and arrows for breast augmentation

Male to Female Top Surgery Explained

Male to female top surgery is a surgical procedure that reconstructs a male’s chest into a female’s. Transgender females seek this specific breast augmentation to better transition to a female physique and add fullness and a feminine shape to their breasts — and these patients find it life-changing. With the expertise of board-certified cosmetic plastic surgeon Dr. Adibfar and his experienced astute medical team, he has been able to give transitioning patients the self-confidence they need to live more happily in their bodies. Let’s look at this procedure in more detail.


The aim of male to female top surgery is to augment the structure, size, and shape to that of a female’s breasts, therefore, creating a beautiful feminine silhouette and enhancing the patient’s self-esteem and confidence.


An ideal candidate for this procedure would be a transitioning patient in good and stable health both mentally and physically, whose weight is often consistent, who doesn’t smoke, and who has found the hormones alone aren’t working well enough to initiate the change they’d like to see in their bodies. At the initial consultation, Dr. Adibfar will discuss the procedure in detail, as well as your medical history to find out whether you’re a good candidate for the procedure and that it is the right procedure for you. You will be encouraged to discuss your desires and goals from the surgery while Dr. Adibfar gives a realistic view of what the individual patient might expect from the recovery and results. Once confirmed Dr. Adibfar will explore all the augmentation and implant options best suited to your physical body.


The procedure typically takes approximately 2-3 hours and is performed under general anesthesia.

Dr. Adibfar’s meticulously tailored procedure will depend on your body and expectations however incisions are usually made around the nipple area or under the breast and armpit. Dr. Adibfar will then make space in each breast to allow the implant to sit comfortably. Before the incisions are sutured, Dr. Adibfar will contour the implants and skin to assure symmetry and balance. On occasions, additional fat grafting may be performed to create a more feminine cleavage as well as camouflage some of the potential rippling of the implants in a patient with minimal breast tissue envelope.

Patients recover remarkably well from male to female top surgery. After the procedure patients return home wearing a recovery bra with dressings which will need to be worn for approximately one month. Strenuous upper body activities including lifting and exercise need to be avoided and results resembling full recovery are typically seen around the 3-month mark with incision lines that significantly fade over time.


Transgender patients can endure a lot of emotional and mental stress not being able to look the way they feel on the inside. To be able to become the gender you feel most deeply is a significant and life-altering milestone and patients often report that the surgery’s results are worth it.


Transgender assignment surgeries are no easy feat and choosing the right plastic surgeon is vital to assure the best possible results for you and your body. If you’d like to discuss this procedure further, feel free to reach out to our team.


Click here to learn more or to book a consultation with Toronto’s Elements Spa’s board-certified cosmetic plastic surgeon Dr. Adibfar.