Understanding MTF Top Surgery – The Basics

Synopsis: This comprehensive blog provides an in-depth exploration of Male to Female (MTF) top
surgery. We take a magnified look at this transformative procedure, dissecting its essential aspects.
Our discourse ranges from a detailed explanation of the procedure, its types, the physical and
mental prerequisites for candidates, the surgery’s risks, and potential complications to an overview
of the recovery process. This blog aims to educate, enlighten, and empower individuals who might
be considering this life-altering journey.
Sections include:

  1. An Introduction to MTF Top Surgery
  2. The Different Types of MTF Top Surgery
  3. Who is an Ideal Candidate for MTF Top Surgery?
  4. Understanding the Risks and Potential Complications
  5. The Recovery Journey Post MTF Top Surgery.
    Section 1: An Introduction to MTF Top Surgery
    Male to Female (MTF) Top Surgery is a gender confirmation surgery that plays a significant role in
    the transition process for many transgender women. The primary purpose of this surgical procedure
    is to change and reconstruct the male chest area to resemble a feminine breast contour,
    consequently helping individuals align their physical appearance with their gender identity.
    The procedure is highly individualized, considering factors such as body type, overall health, and
    personal preference. MTF top surgery involves the creation of breasts and the correct positioning
    and sizing of the nipples and areolas to achieve a more natural and feminine aesthetic. Moreover,
    it’s an integral part of a more extensive transition process that may involve hormone therapy, voice
    training, and other surgical procedures.
    Section 2: The Different Types of MTF Top Surgery
    MTF top surgery encompasses several different techniques, with the selection of the specific
    method largely depends on the individual’s body type, desired results, and surgeon’s expertise.
    The most common techniques include:
     Breast Augmentation: This technique involves using implants (silicone or saline) to create
    feminine breasts. The procedure is typically recommended for individuals who have little
    breast tissue.

 Fat Grafting: This procedure uses liposuction to extract fat from one part of the patient’s
body, which is then injected into the chest area to create a natural, feminine contour.
 Combination Procedure: Some individuals may opt for combining both techniques to achieve
the desired breast size and shape.
Each procedure has unique advantages and potential drawbacks, and it is crucial to thoroughly
discuss these with the surgeon to make an informed decision.
Section 3: Who is an Ideal Candidate for MTF Top Surgery?
MTF top surgery is a significant decision that comes with its physical and mental prerequisites. The
World Professional Association for Transgender Health (WPATH) provides Standards of Care (SOC)
that most surgeons follow when determining an individual’s eligibility for the procedure.
Generally, ideal candidates for MTF top surgery:
 Have a persistent, well-documented case of gender dysphoria, which refers to psychological
distress due to a discrepancy between an individual’s gender identity and assigned sex at
 Are at least 18 years of age or have parental consent if under 18.
 May have completed a period of hormone therapy as recommended by a PCP/ medical
provider unless the patient has health contraindications or is otherwise unable or unwilling
to undergo hormone therapy.
 Are in overall good health with no physical or mental medical conditions that could increase
surgery risks.
 Have a clear understanding of the surgery, potential risks, and complications.
 They have continuously lived in their gender identity for a significant period.
Section 4: Understanding the Risks and Potential Complications
Every surgical procedure carries risks, and MTF top surgery is no exception. While modern surgical
techniques have dramatically reduced these risks, prospective patients must be aware of potential
complications. These could include:
 Anaesthesia risks
 Infection or bleeding
 Poor wound healing
 Changes in nipple or breast sensation
 Implant leak or rupture
 Unfavourable scarring

 Dissatisfaction with the aesthetic results
Notably, having an experienced surgeon significantly reduces the likelihood of complications. The
individual must maintain open communication with their surgeon, ensuring they understand the
potential risks and complications associated with their chosen surgical technique.
Section 5: The Recovery Journey Post MTF Top Surgery
The recovery process after MTF top surgery is as unique as the surgery itself, varying from person to
person. However, understanding the general expectations can help individuals prepare mentally and
physically, ensuring a smoother transition to their new bodies.
The initial recovery period usually lasts one to two weeks, during which some rest is essential.
Patients can expect discomfort, swelling, and bruising during this time, which can be managed with
prescribed medication.
Following the surgery, patients are generally advised to wear a special surgical bra, which provides
support and helps reduce swelling. Additionally, light activities can be resumed gradually as comfort
allows, but strenuous activities, including heavy lifting and vigorous exercise, should be avoided for
at least four to six weeks.
Regular follow-up appointments with the surgeon are vital during the recovery period. These visits
allow the surgeon to monitor healing, remove sutures if necessary, and promptly address potential
However, recovery extends beyond the physical. The emotional aspect of recovering from MTF top
surgery can be both exhilarating and challenging, given the significant changes that come with the
transition. Mental health support, therefore, plays an instrumental role in a successful recovery
Finally, it’s crucial to remember that the final results of MTF top surgery can take several months to
manifest fully. Patience, therefore, is critical during this transformative journey.
Top Surgery Art is committed to delivering personalized care has made them a preferred choice for
many individuals undertaking this transformative journey. Their experienced team of professionals
ensures a comfortable, respectful, and supportive environment, enabling patients to navigate their
journey with confidence and peace of mind. For more information, please visit their website, Top
Surgery Art, and the dedicated page on MTF Top Surgery.
About Dr Ashu Garg
Dr Ashu Garg, a pioneering transformative surgery expert, serves in southern California. In his 23-
year career, he has made a name for himself in the surgical field, particularly emphasising cosmetic
surgery and aesthetic procedures. Dr Garg is an esteemed Diplomat of the American Board of
Cosmetic Surgery.
Dr Garg’s surgical journey began with an intense experience in Plastic Surgery, followed by his
significant contribution to oncological surgical procedures at the highly reputed Tata Memorial
Cancer Center in Mumbai, India.

On relocating to the USA, Dr Garg engaged in clinical research in Vascular Surgery at the prestigious
Massachusetts General Hospital of Harvard University. His research findings, published in the Journal
of Vascular Surgery, underline his commitment to pioneering surgical innovation.
In Seattle, WA, he undertook fellowship training in Cosmetic Surgery, perfecting techniques in
liposculpture, body contouring, facial cosmetic procedures, and transformational transgender
Dr Garg’s superior cosmetic results are a testament to his mastery of innovative techniques and
advanced liposculpture. A proud member of the American Academy of Cosmetic Surgery and the
World Professional Association for Transgender Health (WPATH), Dr Garg’s dedication to
transformative care for the LGBTQ community is unwavering.

  1. World Professional Association for Transgender Health (WPATH), Standards of Care for the
    Health of Transsexual, Transgender, and Gender Nonconforming People, Version 7.