MTF Top Surgery

Male to female (MTF) top surgery is a breast augmentation procedure performed as part of gender reassignment surgery for trans women. The procedure aims to feminise the chest by adding additional volume and shape to the breasts.

Transwomen may undergo hormonal treatment as a part of their gender reassignment surgery, encouraging some breast growth as a result. However, many trans women may wish to reshape this breast tissue, or have not taken hormones but still desire more feminine, fuller breasts. The use of silicone or saline implants, breast augmentation using fat transfer, or a composite procedure utilising both implants and fat transfer can help to achieve this enhanced, feminine upper body for transwomen, regardless of hormonal treatment. 

At the CREO Clinic, Dr. Omar Tillo has performed many MTF top surgeries, helping patients achieve a more feminine form and better match their gender identity by enhancing the size and shape of the breasts. Dr. Tillo is also one of the few plastic surgeons that holds membership to the World Professional Association for Transgender Health (WPATH), demonstrating his dedication to his trans patients. Renowned for his composite breast augmentation, Dr. Tillo is a master of creating a natural-looking bust.

To book a confidential consultation with Dr. Tillo, contact the CREO Clinic today and get one step closer to your ideal, feminine figure. 

Overview of FTM Top Surgery

What Is MTF Top Surgery?

Male-to-Female Top Surgery is a type of breast augmentation procedure using implants, fat transfer or a mixture of both surgical techniques to create a more feminine chest by increasing the volume and moulding the shape of the breasts. 

It can be used in addition to hormone therapy, building on breast tissue developed from this treatment, or in the absence of hormones to create a curvier upper body that is traditionally feminine in appearance.

Who is a Candidate for MTF Top Surgery?

During consultation with Dr. Tillo, your suitability for MTF top surgery will be discussed to determine whether the procedure is right for you.

In general, you are a good candidate for MTF top surgery if:

• You are a trans woman who has been diagnosed with gender dysphoria
• You have been living in your preferred gender for at least one year and have undergone psychological assessment
• You are over 18
• You are in overall good physical and mental health, with a suitable BMI under 30
• You wish to enhance the size and shape of your breasts to achieve a more feminine aesthetic
• Have an adequate amount of fat to be harvested (if fat transfer breast augmentation is chosen)
• You have realistic expectations for what MTF top surgery can achieve

MTF Top Surgery Cost In London

At the CREO Clinic, MTF top surgery generally starts from £6,900 for breast augmentation surgery using implants, and £7,900 for augmentation with fat transfer. However,  the price of MTF top surgery can vary in accordance with your bespoke needs. As such, a comprehensive cost breakdown is only available after your initial consultation with Dr Tillo.

For patients who would prefer to spread the cost of the surgery over monthly instalments, we provide financing options via our partner Chrysalis Finance. Chrysalis offers 0% APR over 12 months, and longer payment periods are available.

Male to Female Top Surgery Procedure

Breast augmentation for transgender patients is typically performed under general anaesthetic, and takes 2-3 hours to complete. 

For a breast augmentation using implants, an incision is made under the creases of the breasts, beneath the nipples or in the underarm, depending on whether silicone implants or saline implants are being used. As the breast tissue is likely to be less developed in transgender patients, the implants are usually placed under the muscle to provide better coverage and reduce the risk of rippling. The incisions are then closed using sutures. 

When fat transfer is used for male to female top surgery, liposuction is required to remove fat from parts of the body where it is in excess. This extracted fat is then purified and directly injected into the breasts to achieve the desired shape via a series of small incisions. 

Recovery

You may experience swelling, bruising and tightness around the breasts following male to female breast surgery. These side effects typically dissipate within 1-2 weeks, after which you should feel comfortable carrying out light, daily activities and returning to work. However, you should wait until you are fully recovered before exercising and carrying out more strenuous activities, which typically takes 6 weeks.

During these first six weeks, you will need to wear a compression vest to manage any swelling, which can help to alleviate any associated discomfort. 

What Are the Potential Risks of MTF Top Surgery?

Like any surgical procedure, MTF top surgery carries a degree of risk though complications are rare. General risks include bruising, swelling, infection, scarring and bleeding. 

Risks of Inserting Breast Implants: 

• Loss of nipple sensation
• Capsular contraction
• Implant rotation, loss or rupture
• Aesthetic concerns and asymmetry e.g. changs in shape, rippling, creasing or folding
• Anaplastic Large Cell Lymphoma (rare)
• Breast implant illness

Risks of Fat Transfer Breast Augmentation:

• Volume loss requiring repeated procedures
• Aesthetic concerns and asymmetry e.g. lumpiness, waviness, skin discolouration, wrinkling, skin laxity or dimpling
• Fat necrosis
• Fat embolism

Additional Physique Adjustments 

Buttock Augmentation

In addition to MTF breast surgery, many trans women choose to undergo additional procedures to feminise the figure. A buttock augmentation using either implants, fat transfer or a combination of both, can create a curvier, highly desirable figure that is traditionally feminine. This procedure can help to even out the proportions of the lower body after the breasts are augmented. 

MTF Top Surgery FAQs

Schedule A Consultation