All You Need to Know About Transman Top Surgery

by | May 10, 2023 | Transgender Surgeons

Transman top surgery is a significant milestone for individuals seeking to align their bodies with their gender identity. It’s a procedure that reshapes the chest to create a more masculine appearance. The following will help you understand what to expect from top surgery for a transman.

Types of Transman Top Surgery

Two main types of top surgery for transmen are double incision and periareolar.

Double Incision

The double incision procedure involves two horizontal incisions across the chest to remove the breast tissue and skin. The nipple-areolar complex is resized and repositioned to create a more masculine chest contour. This procedure is recommended for individuals with larger breasts or who desire a more significant reduction.


The periareolar procedure involves making a small incision around the edge of the areola and removing breast tissue. This procedure is recommended for individuals with smaller breasts or who want a less invasive procedure.

What to Expect During Transman Top Surgery

Before the surgery, you will meet with your surgeon to discuss your goals and medical history. Before the surgery, you may need to stop taking certain medications, such as aspirin or blood thinners.

During the procedure, you will be given anesthesia to ensure you are comfortable and pain-free. The surgeon will make the necessary incisions and remove the breast tissue and skin. The surgery can take two to four hours, depending on the type of procedure.

What to Expect After Transman Top Surgery

After the surgery, you must rest and take time off from work or school. You may experience swelling, bruising, and discomfort in the chest area. Your surgeon will instruct you on caring for the incision sites and managing pain or discomfort.

You must wear a compression garment for several weeks after the surgery to help reduce swelling and promote healing. You should avoid strenuous activity and heavy lifting for at least six weeks after the surgery.

If you’re considering transman top surgery, visit The International Center for Transgender Care website.

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