Transgender Top Surgery in Minneapolis, MN

Top surgery is specifically designed to change the chest so it better aligns with a person’s gender identity. Chest masculinization may involve removing breast tissue and excess skin, reshaping the chest, and repositioning or resizing the nipples. Chest feminization typically focuses on creating fuller breast contours, often with implants. Traditional breast reduction or augmentation changes breast size or shape but is not necessarily designed around gender-affirming goals.

Dr. McCue will consider your chest size, skin elasticity, amount of breast tissue, nipple and areola position, overall health, desired chest appearance, and scar preferences. These factors help determine which technique is most likely to produce results that match your goals.

During your consultation, Dr. McCue will discuss your goals, medical history, medications, previous procedures, and expectations. They will usually examine your chest, take measurements, and recommend appropriate surgical options. You can also discuss incision placement, nipple positioning, scarring, recovery, risks, and expected results.

It depends on the surgeon, healthcare system, and insurance provider. Some patients may need a referral, medical clearance, or letter from a qualified healthcare professional before surgery. Insurance companies may also have their own documentation requirements. Your surgeon’s office can explain what is required in your specific situation.

Age requirements can vary by surgeon, location, healthcare system, and insurance policy. Adults can generally provide their own consent for surgery. Younger patients may require parental or guardian consent as well as additional medical or psychological evaluation.

Not necessarily. Hormone therapy is not required for every person who undergoes top surgery. Recommendations may depend on the type of surgery, your individual goals, your surgeon’s protocols, and any insurance requirements.

Yes. Many people undergo top surgery without taking testosterone or estrogen. Hormone therapy and gender-affirming surgery are separate treatment options, and not everyone chooses or medically qualifies for hormone therapy.

Your surgeon will provide detailed preoperative instructions. Preparation may include completing medical testing, reviewing medications and supplements, avoiding smoking or nicotine, and following instructions about eating and drinking before surgery. It is also helpful to arrange transportation, prepare your recovery space, fill prescriptions in advance, and have someone available to assist you during the early stages of recovery.

The procedure often takes about two to four hours, although the exact length depends on the type of surgery, the technique used, and the complexity of the procedure.

You will generally need someone to drive you home after surgery because anesthesia can temporarily affect your coordination and judgment. It is also helpful to have someone stay with you or remain available during the first day or two to assist with meals, medications, household tasks, and other needs.

You may experience swelling, bruising, soreness, tightness, and temporary numbness. Your chest may be covered with bandages, and you may need to wear a compression garment or surgical binder. Some patients also have temporary drains. Rest and limited upper-body movement are usually recommended during early recovery.

Pain levels vary and depend on the type of procedure performed. Many people experience soreness, tightness, pressure, or moderate discomfort during the first several days. Your surgeon may recommend prescription or over-the-counter pain medication to help keep you comfortable.

Scarring depends on the surgical technique. Double-incision chest masculinization usually results in longer scars across the lower chest, while keyhole or periareolar techniques typically create scars around or near the areola. Chest feminization incisions may be placed beneath the breast, around the areola, or elsewhere, depending on the approach. Scars usually soften and fade over time but will not disappear completely.

Temporary numbness or reduced nipple sensation is common after top surgery. Some sensation may return as the nerves heal, but permanent changes in sensation are possible. The likelihood depends partly on the technique used and whether the nipples are repositioned using grafts.

Top surgery generally produces long-lasting structural changes to the chest. However, aging, significant weight fluctuations, pregnancy, hormonal changes, and other factors can affect chest appearance over time. In some cases, patients may want a revision surgery to address scarring, asymmetry, contour irregularities, or other concerns.