Top Surgery and Reverse
Top Surgery in Ohio
Top surgery and reverse top surgery, or gender-affirming chest surgeries, are a personalized surgical choice that helps you align your physical appearance with your identity and goals. Whether you’re seeking chest masculinization, chest feminization, or reverse top surgery, our surgeons develop individualized treatment plans using advanced reconstructive and aesthetic techniques tailored to your anatomy and long-term well-being.
Why Choose Midwest Breast & Aesthetic Surgery for Top Surgery and Reverse Top Surgery?
At Midwest Breast & Aesthetic Surgery, we provide personalized surgical care for patients pursuing chest masculinization, chest feminization, or reverse top surgery, with treatment plans thoughtfully developed around each person’s anatomy, goals, and medical history.
Top Surgery
Top surgery is a gender-affirming procedure that reshapes the chest to better align with your identity and goals. Depending on your needs, this may include chest masculinization to create a flatter, more masculine chest or chest feminization to enhance breast shape and volume. Our surgeons develop personalized surgical plans that prioritize natural-looking results, comfort, and long-term confidence.
Reverse Top Surgery
Reverse top surgery helps restore breast shape after a previous gender-affirming chest procedure. Whether your goals have changed or you're exploring reconstruction after prior surgery, our surgeons create personalized treatment plans that may involve implants, your own tissue, or other reconstructive techniques to achieve balanced, natural-looking results while supporting your long-term well-being.
Who Is an Ideal Candidate?
Many adults seeking gender-affirming chest surgery may be candidates for treatment. During your consultation, your surgeon will evaluate your anatomy, medical history, overall health, and personal goals to recommend the most appropriate approach.
Factors That May Influence Your Candidacy
- Gender dysphoria or a desire for gender-affirming chest surgery
- Overall health and ability to safely undergo surgery
- Chest anatomy and skin quality
- Smoking or nicotine use, which can affect healing
- Hormone therapy history, when applicable
- Insurance or documentation requirements that may apply to your care
Our Surgical Approaches
FTM Top Surgery (Chest Masculinization)
FTM top surgery creates a flatter, more masculine chest by removing breast tissue, reshaping the chest contour, and repositioning the nipples when appropriate. The surgical technique is selected based on your anatomy, skin quality, and desired result.
The procedure typically involves removing breast tissue, reshaping the chest contour, and resizing or repositioning the nipples when appropriate.
MTF Top Surgery (Chest Feminization)
MTF top surgery creates a fuller, more feminine chest contour using carefully selected breast implants and, when appropriate, fat grafting to enhance softness and shape. Your surgeon will carefully select the implant type, size, and placement based on your body proportions and aesthetic goals, and fat grafting may be recommended to enhance softness and contour when appropriate.
Reverse Top Surgery
Reverse top surgery is designed for patients seeking to restore or reshape the chest after previous gender-affirming chest surgery. Whether you’re pursuing breast restoration after chest masculinization or revising a previous procedure, your surgical plan is developed around your anatomy, prior surgery, and current goals.
Your surgeon will discuss the reconstructive options available for your individual situation and help establish realistic expectations for your results.
Your Personalized Care Plan
Every treatment begins with a thoughtful, judgment-free consultation where you’ll have the opportunity to discuss your goals, medical history, previous surgeries, and expectations.
Your personalized surgical plan will be designed around your anatomy, previous procedures, desired chest contour, recovery expectations, and long-term surgical planning. Throughout your journey, you’ll be supported by our surgeons, physician assistants, nurses, and care coordinators from consultation through recovery.
Recovery Timeline
Weeks 1-2
Swelling, bruising, soreness, and compression garments are common. Follow-up appointments begin.
Weeks 3–4
Many patients gradually return to work and light daily activities, depending on their recovery.
Weeks 6–8
Swelling continues to improve, and light exercise may resume with surgeon approval.
Following Months
Scars continue to mature, sensation may gradually change, and your final contour becomes more refined.
Results & Sensation
The initial chest contour is visible immediately after surgery, although swelling and scar maturation continue over the following months. Scars typically soften and fade over time, while changes in nipple and chest sensation vary depending on the procedure performed, your anatomy, and the surgical technique used.
Our goal is to create a result that feels balanced, natural, and aligned with your individual goals while supporting long-term healing and function.
Frequently Asked Questions
Do I need to be on hormone therapy before surgery?
Not necessarily. Your surgeon will discuss your treatment history and any requirements that may apply to your individual circumstances.
Will sensation change after surgery?
Changes in nipple and chest sensation are common during healing. The degree of sensation recovery varies depending on the procedure and individual healing.
Can I have surgery if I've had a previous chest procedure?
In many cases, yes. Our surgeons can evaluate previous surgeries and discuss revision or reverse top surgery options that may be appropriate for your goals.
Does insurance cover gender-affirming chest surgery?
Coverage varies depending on your insurance plan and documentation requirements. Our team can help verify your benefits and discuss your options.
*This page is for educational purposes only and is not a substitute for a consultation with a board-certified surgeon. Every patient is unique, and treatment recommendations and results vary. We encourage you to schedule a consultation with our team to discuss your options.
Schedule a Consultation
If you’re exploring top surgery or reverse top surgery, we’re here to help you move forward with confidence. Schedule a consultation to discuss your goals and create a personalized treatment plan.