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Subcutaneous Mastectomy, also known as Top surgery, refers to a cosmetic procedure to remove the female breasts in a Female to Male transgender individual to create a natural-looking male chest. At London Transgender Clinic our 20 years of breast surgery expertise aims to ensure that you achieve the shape you desire in a safe and supportive environment. We support and endorse the Guidelines for the Standards of Care for transgender, trans-individuals set out by the World Professional Association for Transgender Health (WPATH).

Summary of Top Surgery

Procedure Time
2 to 3 hours depending on your initial size and shape.
2 weeks (Avoid strenuous exercise/activity for 6 weeks)
Back to Work
2 weeks
Lasting Effects of Treatment
image description
Moderate pain/discomfort for 5-7 days

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Your Procedure

  • Does Top Surgery require a general anaesthetic or hospitalisation?

    Top surgery is commonly performed under general anaesthetic or twilight, frequently as a day-case and sometime as an overnight procedure. Some individuals may be suitable for a local anaesthetic procedure as a day case.

  • How long is the procedure?

    Top surgery normally takes approximately 1 to 2 hours to perform depending on your initial size and shape.

  • Will drains be used at the time of Top Surgery?

    At London Transgender Clinic, we believe that any blood or fluid under the chest skin leads to inflammation and scarring with longer healing time. Therefore, drains will be placed at the time of your Top surgery. These will be removed before you leave hospital.

  • How long is the recovery time?

    Moderate pain / discomfort will be expected for 3 – 5 days. Patients can go back to their normal daily activities after 2 weeks, but avoid strenuous exercise / activity for 6 weeks. It will be necessary to wear a support garment for the first 3 weeks, day and night and the second 3 weeks during the day. The majority of swelling will resolve in 2 – 3 weeks but it will take up to 3 – 6 months for the chest to return to normal.

Top Surgery FAQ’s

  • How much does Female to Male Top Surgery/Mastectomy cost?

    Please contact us for more information! Be sure to ask about our financing options.

  • What happens at the consultation for Female to Male Top Surgery/Mastectomy?

    An initial consultation will be carried out to determine the goals for your treatment, make note of any associated asymmetries/abnormalities, and a treatment plan will be determined to achieve the ideal result for each individual.

  • How do I prepare for my surgery?

    The London Transgender Clinic strongly advises that you stop smoking to weeks prior to your surgery. Avoid aspirin/ibuprofen type analgesics for 2 weeks before and after your surgery.

  • What happens on the day of surgery?

    Our treatment plans are individualized for each of our patients. Every treatment will vary. Please contact us to learn more. We are here to answer any of your questions!.

  • What aftercare will be provided for me?

    The care of each patient, before, during and after surgery or treatment at the London Transgender Clinic is second to none. We have on-call nurses available for our patients 24 hours a day and follow up appointments to ensure complete patient satisfaction.

“What an amazing friendly team of people !!!”

5 5 Star Rating Written on January 31, 2019

Following on from my recent FTM chest surgery, I would like to take the opportunity to say a huge thank you to all the staff at the London Transgender Clinic for all of their continued support and care throughout my process. My first appointment was with Penny (Psychologist) which went amazing and encouraged me to book my appointment with Mary (Nurse prescriber) to continue through the process. Mary made me feel very comfortable during my appointment, she was very friendly yet professional which made the process even more exciting. I was prescribed testosterone gel in which I went home to collect from my local chemist. Due to unforeseen circumstances, I could not get my hands on the gel which set me back a little bit. Mary was very helpful in this situation, and reassured me everything was going to be okay. She suggested that I ordered it online, which I did, and had everything sorted within a week. I then had a consultation with Mary and Mr Inglefield who agreed to proceed with my chest surgery. The continued support and professionalism from all of the girls on reception was amazing, all were very helpful when I had any questions/queries, all calls and emails were responded promptly and professionally. Mr Inglefield is a very gentle, kind and caring man who made me feel so at ease about having my surgery done. He is always ready to have a laugh with you, but at the same time he remains very professional when communicating to you about surgery. His smile brightens up the whole experience! After I had my surgery, the continuity of care from everyone involved was amazing when having regular checks and my dressings changed etc. Laura, Natalie and Lynsey were awesome. My time at the clinic overall was such an incredible, calm experience. I felt at ease at every stage of my surgery from start to finish. I would highly recommend the clinic without a shadow of a doubt, and if anyone is considering chest surgery, the care and continuity of this experience at the London Transgender Clinic was absolutely amazing, I cannot thank everyone enough! Thank you Mel



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