Surgery to create a more feminine chest shape

Feminizing "top" surgery involves surgical techniques used to enhance the size, shape, or fullness of the breasts in people who were assigned male at birth and desire a more feminine-appearing chest. While estrogen stimulates some breast development, the amount of growth may not be satisfactory for some people.

The most common technique for feminizing top surgery is implant-based breast augmentation. Other techniques involve transfer of fat or other tissue from another part of the body to the chest; however, fat and tissue transfer techniques are less commonly done.

Implant-based breast augmentation

For implant-based breast augmentation, saline or silicone implants can be used. To insert the implant, the surgeon makes an incision under the breast and creates a pocket, either above or below the chest wall muscle, to hold the implant in place. The surgeon will select the best location of the implant based on a person's unique anatomy and the size and type of the implant.

While there are anatomic restrictions that limit the maximum implant size, you will have a sizing appointment before surgery to discuss your desired appearance.

Gender-affirming surgery at Main Line Health

Feminizing top surgery is available at Main Line Health through the Gender Care Program. If you are interested in top surgery, a consultation will be scheduled with our plastic and reconstructive surgeon. During this consultation, your goals will be discussed and a surgical technique will be recommended.

Before requesting a consultation, we recommend that you review the eligibility criteria for feminizing top surgery.

To learn about gender-affirming surgical options offered at Main Line Health or to schedule an appointment with a gender care surgeon, please call 484.337.5329 for a consultation.