We have moved to Woollahra

View Map + Address 

NEW AHPRA Regulations for Cosmetic Surgery from 1st July – See Blog

FTM Top Surgery Sydney NSW

Female to Male Top Surgery for Trans Men in Sydney

FTM Top Surgery Sydney NSW

Female to Male Top Surgery for Trans Men in Sydney



What is Female to Male FTM top Surgery for Trans Men?

As mentioned above, this surgery is offered to transgender men. The procedure involves taking out the breast tissue and rearranging the surrounding tissue. The skin around the nipple is rearranged as the male chest is usually wider than the female chest. The surgery is similar to a bilateral mastectomy but involves more chest contouring. The surgery is much more than just removing the breast tissue. The new chest should look more masculine, so, there needs to be a careful reconstruction of the entire chest.

Several techniques are used for transgender FTM top surgery. The technique to be applied In your particular case is determined by the size of the breasts before surgery.

People with larger breast tissue need a total bilateral mastectomy. It is also often called Double-incision top surgery with or without nipple grafts. As there is much more tissue to remove, Dr Maryam will need to create a larger incision; the whole nipple may be removed in this approach. Through the incision line, the breast or mammary tissues are removed. The nipple and areola are also worked on to reduce their size. The extra fat in the chest area is removed and then the altered nipple and areola are repositioned or reattached. Dr Maryam will take special care in making sure there are no wrinkles in the skin surrounding the nipples or in the chest. To make a smooth, tight masculine chest, removing excess skin is often necessary. This is one of the most common methods.

For people with smaller breasts, a periareolar approach also works. As the name suggests, the incision in the periareolar approach is done on the sides of the areola; or to be specific, in a circular motion surrounding the areola. After the breast tissue is removed, the incisions are sutured, effectively creating a smaller chest with smooth skin. If you already have a small chest, only a slight modification will be needed. In this case, only a small incision is made along the lower border of the areola. Through that small opening, Dr Maryam removes breast tissues and performs liposuction, if necessary. Thus, the chest is flattened. However, this approach only works if you already have a flat chest, so no excess skin removal is necessary.

benefits plastic surgery

Benefits of FTM Transgender Top Surgery

Here are some of the benefits:

  • Relief from gender dysphoria: Gender dysphoria is a condition many transgender people suffer from. It’s a condition where an individual feels severe discomfort or unease with the gender of their body. This sense of wrongness is often present from childhood and may be exacerbated during puberty. This is a major cause of depression and anxiety in young transgender people. According to research, these symptoms of gender dysphoria do improve following gender-confirming medical interventions like top surgery
  • The nipple sensation can be preserved in some procedures
  • A natural looking chest

Are you a Suitable Candidate for FTM Top Surgery?

Before scheduling your procedure, make sure you are ready to get the procedure done and your body is in good health condition. To be a good candidate to get Female To Male top surgery you will need to:

  • Have been cleared by a psychologist. Usually a psychologist needs to clear you as fit for the surgery and you will need a WPATH certificate. Getting top surgery is a life changing decision. Although most patients are ready and eager to go through the procedure, you still need a psychologist’s approval. They will just assess your mental health to ensure you are taking this decision after understanding all that it entails.
  • Have a normal weight. You need to be in the healthy weight range to be able to undergo the surgical procedure under General Anaesthesia.
  • No systemic disorder. Any disorder that prevents you from getting the surgery.
  • Realistic expectations. This may sound counterintuitive, but people who have realistic expectations are good candidates. Gender affirmation surgery is a complex process. While this surgery will make your chest area flatter, it is healthy to have realistic expectations.
  • You don’t smoke. If you do smoke, you will need to abstain from it for at least a few weeks before and after the surgery.
  • Older than 18 and able to consent. This is important as you need to understand the risks and can take informed decisions.
  • You may have to have taken hormone therapy. Usually a 10/12 month hormone therapy is required.
Dr Jeremy Hunt_Craniofacial Plastic Surgery_Sydney Childrens Hospital_04

How is the Female to Male Transgender Surgery Done?

FTM top surgery is a major surgical procedure that requires you to be unconscious during the intervention. Hence, you will be under the effects of general anaesthesia. You will need to prepare for the surgery:

  • Start fasting from 12 to 18 hours before the surgery
  • Stop smoking a few weeks or a month before the surgery
  • Stop drinking alcohol or limit consumption the week before the surgery
  • If you are on blood thinners, you will need to discontinue 3- 5 days before surgery

The surgery is only a few hours long, so technically you can be out of the hospital the day you get it. However, seeing that it is a major procedure, you may want to spend a day in the hospital.

If you are choosing to go home, have someone pick you up from the hospital as you won’t be able to drive or carry your bag by yourself. You will need some time to recover from the surgery.


Recovery after FTM Top Surgery

Recovery is an essential part of the process. As the results of the surgery partly depend on uneventful recovery, you need to take extra precautions during this time. Do not put stress on your body. Immediately after surgery you will notice lots of swelling and redness. That’s completely normal. The swelling will go down soon enough. You will be prescribed some analgesic medication that also help with the swelling. Avoid applying ice packs directly on the wound as it could cause skin damage.

You should not lift your arms for a week, or you may pull on the stitches. You should also refrain from showering for 48 hours. In the meantime, take sponge baths to prevent getting the surgery site wet. Also, you will feel stiffness in your arms and upper body in the initial four/ five days following the surgery. During this time, stay home and rest. You can go back to work or school after 2- 4 weeks. During these first few weeks, you will also need to sleep on your back to prevent unnecessary pressure at the level of the incisions. You probably will be able to do some light exercises from the 4th week. However, intense exercises and heavy lifting needs to be held off until the 8th week.

benefits plastic surgery

FTM Top Surgery Aftercare

To make sure you are recovering well you need to rest and drink fluids. However, doing the following things will speed up the process:

  • Use the compression bandages. It’s a must, since these bandages prevent your tissues from accumulating fluid
  • Take medications on time. Do not skip analgesic medication as they are for more than your pain. They work on reducing swelling and bruising too.
  • Don’t put pressure on your chest. Wear loose clothes and avoid going out or doing yoga or exercises until you are completely healed.
  • Sleep on your back. 

FTM Top Surgery Cost Sydney – How much is Transgender top surgery in Sydney? Price & Fees

You might be wondering just how much it is going to cost to get the gender affirmation surgery in Sydney.

Well, it depends on the surgeon, technique and your insurance. Depending on whether Medicare or your health fund will cover some of the surgery, the cost could vary greatly.

You can learn more about possible Medicare & Health Fund coverage, Gender Affirmation Surgery Payment Plan, or the costs for gender affirmation surgery on our Surgical Costs page.

Take the next step today

Dr Maryam aims to get optimal results using different innovative surgical techniques. Book a consultation with Dr Maryam at your earliest convenience.

Next Step – Fill in the Enquiry form or call the Team on 1300 157 200.

About Dr Maryam Seyedabadi - Plastic Surgeon

Take the next step today

Book your personal consultation today to meet with Dr Maryam and discuss what she can achieve in your particular case.

orangelogos (1)

Enquire Now

Considering FTM Top Surgery?

How old do you have to be to get FTM top surgery?


Usually a person needs to be of legal age or over 18 to get this procedure.

Do I need to stop smoking?


Yes. You need to be a non-smoker or stop smoking at least two to three weeks before the intervention to be eligible for the surgery.

Will I get scars from FTM top surgery?


A breast reduction procedure entails scars.

What are Risks and Complications of FTM Top Surgery?


All surgery has risks. As the FTM top surgery is a major surgical procedure, it holds some risks you need to be aware of:

  • Infection
  • Haemorrhage or bleeding
  • Pain
  • Swelling
  • Numbness in the chest
  • Stiffness of the arms
  • Loss/ partial loss of nipple-areolar complex

Most of these complications are pretty rare. Other risks will be explained by Dr Hunt during the consultation. You can also visit Dr Hunt’s risk of surgery page to find out more details about the potential complications of plastic surgery.

Dr Maryam Seyedabadi

Dr Maryam Seyedabadi has recently joined Dr Hunt’s practice in Edgecliff and is now available for consultations on a range of plastic surgery and cosmetic surgery for breast, body and face.

She is just one of the very few dually qualified Specialist Plastic Surgeons, completing both medical and dental degrees. This gives her a unique skillset and ability for face surgery, orthognathic & jaw surgery.

As a Sydney Female Plastic Surgeon, Dr Maryam offers surgery by women for women. She is supported in clinic & theatre by a completely female surgical team for those who prefer being operated on in a women-only or more female-friendly private hospital environment.