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Dr. Jonathan Nguyen 
Board Certified Plastic Surgeon
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      • FTM Top Surgery
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    • Body Procedures
      • Arm Lift
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      • NAD
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      • Scar Therapy
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    • About
      • Dr. Nguyen
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404-256-1311

Dr. Jonathan Nguyen 
Board Certified Plastic Surgeon

Signed in as:

filler@godaddy.com

  • Home
  • Before & After Photos
  • Facial Procedures
    • Chin Liposuction
    • Eyelid Surgery
    • Face & Neck Lift
    • Nose Surgery
  • Breast Procedures
    • Breast Augmentation
    • MTF Top Surgery
    • Breast Lift
    • Breast Reduction
    • Breast Revision
    • Male Breast Reduction
    • FTM Top Surgery
    • Breast Reconstruction
    • DIEP Flap Reconstruction
    • Nipple Reconstruction
  • Body Procedures
    • Arm Lift
    • Thigh Lift
    • Mommy Makeover
    • Liposuction
    • Fat Injections
    • Tummy Tuck
    • Post Weight Loss Surgery
  • Injectables
    • Botox
    • Dermal Fillers
    • NAD
  • Innovations
    • Scar Therapy
    • Cellulite Reduction
  • About
    • Dr. Nguyen
    • Financing Options
    • Contact

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Breast Procedures

MTF Gender-Affirming Top Surgery

Gender affirming top surgery encompasses a range of surgical procedures designed to alter the chest appearance to better align with a person's gender identity. These surgeries are typically sought by transgender and non-binary individuals who may experience gender dysphoria related to their chest anatomy. The specific type of surgery chosen depends on factors such as the individual's anatomy, desired aesthetic outcome, and surgical preferences. 


Board Certified Plastic Surgeon, Dr. Nguyen of Atlanta has experience in Female to Male Transgender Top Surgery  as well as Male to Female. 

Take the First Step

If you have any questions or would like to schedule an appointment, please don't hesitate to contact us. 

Schedule a Consultation

Male to Female Gender Affirmation Surgery

Transgender male-to-female (MTF) top surgery, also known as transgender chest surgery, feminization mammoplasty, or breast augmentation surgery, is a surgical procedure aimed at creating a more feminine chest contour for individuals assigned male at birth who identify as female or along the feminine spectrum. This surgery is often a crucial step in the gender affirmation process for transgender women and non-binary individuals. 


MTF top surgery involves procedures to enhance the size and shape of the breasts to create a more feminine appearance. It typically includes breast augmentation using implants or fat transfer to achieve the desired breast size and contour.  

The Procedure

Breast Augmentation with Implants

Combined Approach (Implants + Fat Grafting)

Breast Augmentation with Implants

  •  Procedure: This involves the placement of breast implants to increase breast volume and achieve a more feminine chest contour.
  • Implant Types: Options include saline and silicone implants, each with different characteristics in terms of feel, appearance, and risk profiles.
  • Incision Locations: Typically, incisions are made in inconspicuous locations such as under the breast (inframammary fold), around the areola (peri-areolar), or in the armpit (transaxillary), depending on the patient's anatomy and desired outcome.
  • Recovery: Patients can expect some discomfort, swelling, and bruising post-surgery, with full recovery taking several weeks.

Fat Grafting (Fat Transfer)

Combined Approach (Implants + Fat Grafting)

Breast Augmentation with Implants

  • Procedure: This involves harvesting fat from other parts of the body (such as the abdomen or thighs) through liposuction and injecting it into the breast area to enhance volume and shape.
  • Benefits: Fat grafting can provide a more natural feel and appearance compared to implants. It also allows for contouring of adjacent areas during the same procedure.
  • Limitations: It may require multiple sessions to achieve the desired breast size, and not all of the transferred fat may survive, necessitating touch-up procedures.

Combined Approach (Implants + Fat Grafting)

Combined Approach (Implants + Fat Grafting)

Combined Approach (Implants + Fat Grafting)

  •  Procedure: Some surgeons combine breast implants with fat grafting to achieve a more natural and enhanced breast shape and size.
  • Benefits: This approach can capitalize on the benefits of both methods, providing volume from implants and natural contouring from fat grafting.
  • Considerations: It requires careful planning and may be suitable for patients seeking a specific aesthetic outcome.

Nipple and Areola Reshaping (Optional)

Nipple and Areola Reshaping (Optional)

Combined Approach (Implants + Fat Grafting)

  • Procedure: Depending on the patient's preferences and anatomy, procedures may include resizing or reshaping the nipples and areolas to achieve a more feminine appearance.
  • Techniques: Techniques may involve reduction, repositioning, or reshaping of the nipples and areolas to create proportionate and aesthetically pleasing results.

Consultation and Planning

Nipple and Areola Reshaping (Optional)

Consultation and Planning

Prior to surgery, patients undergo a thorough consultation with Dr. Nguyen. This includes discussing goals, expectations, risks, and the appropriate surgical approach. 

Recovery and Follow-Up

Nipple and Areola Reshaping (Optional)

Consultation and Planning

 Post-surgery recovery involves monitoring healing, managing discomfort, and attending follow-up appointments to ensure optimal results and address any complications. 

Frequently Asked Questions

These are just a few commonly asked questions about Male to Female Top Surgery. If you have specific concerns or questions, it's best to discuss them with Dr. Nguyen during a consultation.

Candidates typically include transgender women or non-binary individuals assigned male at birth who desire a more feminine chest contour. Candidates should be in good overall health and have realistic expectations about the outcomes of surgery. 


During the consultation, you will discuss your medical history, transition goals, expectations for surgery, and any concerns you may have. Dr. Nguyen will conduct a physical examination and recommend a personalized treatment plan based on your individual needs. 


The choice depends on factors such as desired breast size, existing chest anatomy, skin elasticity, and personal preferences. Dr. Nguyen will discuss the pros and cons of each option during your consultation. 


Recovery times vary, but typically involve discomfort, swelling, and bruising for the first few weeks. Dr. Nguyen provide instructions on post-operative care, including restrictions on physical activity and proper wound care. Follow-up appointments will be scheduled to monitor your healing progress. 


Coverage varies by insurance provider and policy. Some insurance plans cover MTF top surgery as part of transgender healthcare benefits, while others may require pre-authorization or additional documentation. It's essential to check with your insurance company and your surgeon's office to understand coverage options and requirements. 


Dr. Nguyen strives to achieve natural-looking results tailored to each patient's body shape and aesthetic preferences. Techniques such as nipple and areola reshaping can further enhance the outcome. 


 Like any surgical procedure, MTF top surgery carries risks such as bleeding, infection, adverse reactions to anesthesia, changes in nipple sensation, and the possibility of implant complications (for those opting for implants).  Dr. Nguyen will discuss these risks and give you pre- and post-operative instructions carefully to minimize complications. 


Before & After Photos

  Gender affirming top surgeries play a crucial role in supporting individuals' gender identities and can have profound positive effects on mental health and well-being. It's important for individuals to work with experienced healthcare providers who specialize in transgender health to ensure safe and effective treatment.  

Contact Us

Schedule a Consultation

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Dr. Jonathan T. Nguyen Plastic Surgery

Atlanta Plastic Surgery

975 Johnson Ferry Road Northeast, Sandy Springs, Georgia 30342, United States

Phone: (404)-256-1311 Ext: 3359

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