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Gallery
Miami, FL
305-204-9598

Miami, FL

Top Surgery Revisions

Introduction to Top Surgery Revisions

We welcome patients who have had their original surgeries elsewhere. There is a range of problems we can help patients with to align the appearance of their chest better with their transition goals.

Many of our patients come to Gallagher Plastic Surgery because their first surgery left them with scars, uneven contours, misplaced nipples, or excess tissue that affects how they feel about their chest. Dr. Gallagher in Miami, FL, works closely with each patient to evaluate their unique situation, explain the options, and create a revision plan that addresses both aesthetic and functional concerns.

Our goal is to help you achieve results that feel natural, balanced, and true to your identity, while providing a safe and supportive environment throughout the process.

What are Top Surgery Revisions?

  • Unfortunately, the greatest predictor of how a patient is going to heal in the future is how they have healed in the past. However, we can often get improvements by removing scars – especially in the case of “train-track scars”.

  • This can be a challenging issue to address, but in some patients, we can relocate one or both nipples if necessary. In cases where the nipple is way off, we can take it off and graft it back on in a more appropriate place.

  • It is possible to masculinize the nipple.

  • Nipples aren’t for everyone, and they can be easily removed in exchange for a short scar.

  • Patients are advised to wait at least six months, as the appearance of the chest will continue to improve after surgery. (This is especially true in key-hole procedures). But removing a little or a lot of extra skin is usually straightforward.

  • In some patients, a “sunken in” appearance is observed on one or both sides of the chest. It is sometimes possible to fill in one or both sides with the patient’s own fat to correct this.

  • In some patients, breast tissue may extend around the sides and back, leaving lumps behind after the first surgery. These are usually easily removed.

  • This can be a common problem when the patient has had a breast reduction at the first surgery, instead of top surgery. This is usually easily converted into masculinizing top surgery. Sometimes we see patients who have had keyhole surgery but still have too much tissue left. Sometimes a patient does well with a small-incision revision; otherwise, we can convert to a double-incision approach for a better appearance.

What Are the Benefits of Top Surgery Revisions?

Dr. Gallagher, a blonde woman with long curly hair, is seated at a desk in her office with a large window overlooking a cityscape. She is smiling and looking off to the side while holding documents and a pen.

Top surgery revisions can refine the chest shape, improve symmetry, reduce or remove unwanted scars, and reposition or reshape the nipples. These improvements often help patients feel more at ease in their bodies and more aligned with their transition goals.

For many, the greatest benefit is the renewed confidence that comes from having results that finally feel right.

Who Are the Best Candidates For Top Surgery Revisions?

Dr. Gallagher, a blonde woman in a white lab coat over a grey dress, is seated and smiling warmly while speaking and gesturing with her hands to a patient in a light blue patterned hospital gown. They are in a well-lit exam room next to a wall with a pink and blue abstract painting.

The best candidates are patients who have already had top surgery but are not satisfied with the results. Concerns may include leftover tissue, scarring, skin looseness, nipple size, or nipple placement. Often, we are able to help patients who have been told elsewhere that nothing can be done.

It is generally recommended to wait at least 6 months after the original procedure before considering a revision, to allow the chest to heal fully.

What’s the First Step?

Your Top Surgery Revision Journey with Dr. Gallagher

The first step is to schedule a consultation with Dr. Gallagher at Gallagher Plastic Surgery either in Miami or virtually. During this visit, she will review your surgical history, examine your chest, and listen carefully to your concerns. You will discuss your goals and what you hope to achieve with revision surgery.

Dr. Gallagher will explain the available options, recommend the best approach for your individual needs, and address any questions you may have about the procedure, recovery, and expected results.

This consultation also provides a great opportunity to discuss logistics, including scheduling, anesthesia, and postoperative care.

What to Expect on the Day of Top Surgery Revisions Surgery

On the day of surgery, you will check in at the surgical center and review your plan with Dr. Gallagher prior to the procedure. The length of surgery depends on the type of corrections being made, but most revisions are performed on an outpatient basis.

Anesthesia and numbing techniques are used to keep you comfortable.

After surgery, a supportive binder or garment will be placed, and you will be given detailed instructions for recovery. Having a trusted person to bring you home and stay with you for the first night is strongly recommended.

Top Surgery Revisions Recovery

Your Guide to Post-Top Surgery Revision Care

Recovery after a revision depends on the complexity of the surgery, but is often similar to the initial recovery. Most of our top surgery revision patients will need to wear a binder or compression garment for a few weeks to help minimize swelling and promote healing.

Stitches are typically dissolvable, and most people feel well enough to return to work within one to two weeks. Some bruising, swelling, and temporary changes in sensation are normal and typically improve gradually.

Dr. Gallagher will provide you with clear aftercare instructions and schedule some regular follow-ups to check your recovery progress.

How Much Does a Top Surgery Revision Cost in Miami, FL?

The cost of top surgery revision in Miami will take into consideration how complex your surgery is and the techniques needed to achieve your desired results. Surgeon’s fees, facility costs, and anesthesia will also be factors in the total price.

A personalized cost estimate will be provided to you during your consultation with Dr. Gallagher at her Miami office. Financing options and insurance guidance may also be available to help you plan for surgery.

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Why Choose Dr. Sidhbh Gallagher?

Dr. Sidhbh Gallagher at Gallagher Plastic Surgery is double board-certified in general surgery and plastic surgery, and is widely recognized for her expertise in gender-affirming procedures. As a member of the American Board of Plastic Surgery (ABPS) and the Aesthetic Society, she is committed to providing safe, ethical, and affirming care.

Patients in the Miami area choose Dr. Gallagher for her surgical expertise, compassionate approach, and dedication to helping each individual feel comfortable and confident in their results.

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See what our Patients Say

Patient Reviews

  • Dr. Gallagher, wearing a surgical cap and mask, is shown from the back of the head and shoulder, dressed in a blue surgical gown, looking down toward a bright operating area.

    I had an amazing experience with Dr.Gallagher and her team, the whole experience from the procedure (top surgery) to the post-op care has been fantastic. Dr.Gallagher was able to address any concerns I had with my chest before the procedure and made me feel comfortable the whole way through, and then the attentiveness post-op is all the better.

    Alfio Oliveira (Jay)

  • Dr. Gallagher (left), in a white lab coat, and a blonde patient (right), in a blue patterned hospital gown, smile and look up at the camera. The patient is holding up a peace sign with one hand. A piece of art with the colors of the transgender flag is visible on the wall behind them.

    Thank you so much Dr. Gallagher for your amazing work! I appreciated the great support from your team at the surgical centre and your office. Everyone was so wonderful! I am extremely happy with my results and had a very positive experience. I had followed Dr. Gallagher for several years on Instagram prior to my surgery, and learned so much from her detailed explanations about various aspects of the surgical procedures, what to expect on the day, recovery, etc. I had complete trust, felt safe, felt listened to. I also appreciate the follow-ups, and answers to all my questions. The support, warmth, care is top notch!

    Gill B.

  • Dr. Suzanne Gallagher, a blonde woman in light green scrubs, stands next to a patient lying on a bed (only the patient's arm is visible) behind a blue curtain in what appears to be a clinical or operating room setting. She is smiling and gesturing with her right hand while her left hand is on her hip.

    Dr. Gallagher and her whole team, from Neasa to Daryl Ann and everyone else in between, are absolutely fantastic, kind hearted, hard working people. Dr. Gallagher truly amazed me and I’m so grateful to have had her on my team.

    I was able to get keyhole top surgery about three weeks ago and I’m loving my results already! I’m muscular and heavier set as well but always had a smaller chest, and I’m so glad Dr. Gallagher was the one who could do this for me.

    Right now I am still experiencing swelling, but I am using compression dressings every day, throughout the day which helps tons! I know that when the swelling subsides months from now, and everything is “back to normal”, I am going to love even more what I see in the mirror because I can finally see me.

    Morgan F.

  • Dr. Gallagher, wearing a surgical cap and mask, is shown from the back of the head and shoulder, dressed in a blue surgical gown, looking down toward a bright operating area.

    So glad I found Dr. Gallagher. I would not have elected to pursue my surgery had I not found a qualified and competent medical provider that I felt I could trust and have confidence in their ability to offer a high-quality, low-risk result. As a result of my initial contacts and consultations with Gallagher Plastic Surgery practice, I was willing to pursue my desired surgery and even travel half-way across the country to their offices. I’m so glad I did. The results are outstanding, more than I even anticipated. This was the 3rd practice I had dealt with and so I was learning what to look for and knew Dr. Gallagher was a good fit. The medical expertise and professionalism are what I based my decision on to proceed. They were calmly confident for a reason. I realized at the surgery event and through to the 3 week post-op checkin the excellence in their personal care (bed side manner). The office and Dr. Gallagher communicated very well. Everything went smoothly and as planned. As nervous as I was about an unnecessary surgery, Dr. Gallagher and her team were able to build enough trust that I was able to receive a very beneficial result.

    Tim F.

  • Dr. Gallagher (left), in a white lab coat, and a blonde patient (right), in a blue patterned hospital gown, smile and look up at the camera. The patient is holding up a peace sign with one hand. A piece of art with the colors of the transgender flag is visible on the wall behind them.

    Dr. Gallagher and her team are the absolute best! She completed my brachioplasty on Tuesday and when I saw the initial results at my post op appointment two days later I literally had tears of joy streaming down my face. My weight loss journey has been a road of many ups and downs, and I was so nervous about whether this surgery could even work for me. Even with the swelling that is normal after brachioplasty, there is an enormous difference, and I am still in disbelief that even this early on, my arms look this great. My husband was even in disbelief, and we’re so excited to see what I’ll look like in two weeks time. Dr. Gallagher is so kind and patient, and walked me through all of the phases of healing/expectations, and was great to call and check in. If you are looking for a highly skilled surgeon that will give you optimal results along with a compassionate approach, it is well worth your time and money to consider a consultation with her. I am forever thankful for her and for her team! This is life changing for me. Thank you, Dr. Gallagher! I appreciate you so much!

    Melissa E.

Schedule Your Consultation

If you are considering a top surgery revision, schedule your consultation with Dr. Gallagher at Gallagher Plastic Surgery in Miami.

Call (305) 204-9598 or visit gallagherplasticsurgery.com to book your appointment and take the next step toward results that reflect your goals.

Dr. Gallagher frequently works with patients outside of Miami and the state of Florida. If you are interested in discussing top surgery revision in a discreet and comfortable setting, you can also schedule a virtual consultation with her to ask any questions you may have and learn more about proceeding with your surgery.

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