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Miami, FL

MTF top Surgery/Feminizing Mastoplasty

Introduction to MTF Top Surgery/Feminizing Mastoplasty

For transfeminine patients seeking enhanced cleavage and a more sculpted, feminine-looking chest appearance, MTF top surgery is the ideal choice. The surgery relies on breast implants or fat transfer to maximize the ongoing benefits of hormone therapy and help patients experience improved congruence between their inner identity and outer presentation. Dr. Sidhbh Gallagher in Miami, FL, is a gifted, double-board-certified cosmetic surgeon affiliated with the Aesthetic Society who delivers highly personalized, natural-looking body contouring outcomes.

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What Is MTF Top Surgery?

Top surgery is performed to help transfeminine patients achieve a more rounded and sculpted chest profile that reflects their identity, boosts their confidence, and allows them to enjoy a wider range of clothing, lingerie, and swimwear options.

Many patients require a larger volume cup size. This can be done either using the patient’s own fat taken from other parts of the body where it is not wanted, usually the abdomen. This is known as fat grafting. It can also be done by using an implant. There are several options and approaches to consider. Dr. Gallagher will help you understand which option will be best to enhance and feminize the breast. For most patients, an implant is the more obvious choice, as with each fat grafting surgery, there is a limit to how much we can increase volume (usually it’s limited to only one cup size.

The main decisions you will make with Dr. Gallagher are:

  • Type of implant — silicone vs. saline
  • Placement of the incision
  • Whether to place the implant above or below the muscle
  • What size implant to use

Most patients opt for a silicone implant placed through an incision in the fold beneath the breast, beneath the muscle.

Size preference is very personal, and Dr. Gallagher will discuss the pros and cons in detail. Often, there is a “sweet spot” range that the chest can accommodate. If we go beyond this, we may introduce distortions that lead to unnatural results or droop over time. Therefore, Dr. Gallagher and the patient will typically agree on a range before the surgery.

What Are the Benefits of MTF Top Surgery?

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.

When transfeminine patients start hormones after puberty, it’s not unusual that the breasts may form a characteristic “tuberous” appearance. This usually indicates a lack of fullness and roundness in the lower breast. It is critical that your surgeon understands and has experience with the unique needs of a transfeminine breast to achieve the best possible results. When top surgery is performed by experienced, double-board-certified plastic surgeon Dr. Gallagher in Miami, patients enjoy the following transformative benefits:

  • Enhanced alignment between the inner and outer selves
  • Heightened confidence, well-being, and quality of life
  • A more feminine, balanced chest appearance
  • Expanded options for clothing, swimwear, and lingerie
  • Lasting, natural-looking results

Who Are the Best Candidates for MTF Top Surgery?

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.

MTF top surgery is suitable for healthy, non-smoking individuals who have realistic expectations and can devote the proper amount of time to recovery after surgery. It is often recommended that the patient be on feminizing hormones for 2 years to ascertain what breast growth they will naturally get before undergoing an augmentation. The WPATH Standards of Care mandate approval for patients with persistent, well-documented gender dysphoria and the full ability to consent to treatment.

What’s the First Step?

Your MTF top Surgery/Feminizing Mastoplasty Journey with Dr. Gallagher

To begin your body-sculpting journey with Dr. Gallagher in Miami, you will first attend a detailed consultation that includes a thorough medical and physical assessment. During this initial visit, the doctor will address all your questions, listen carefully to your goals, and begin creating a personalized treatment plan tailored to your needs. She will also discuss the risks, recovery time, costs, insurance details, and expected outcomes of the procedure, ensuring your expectations remain realistic. Many of our patients fly in for surgery so that this first consultation can be done virtually. Finally, our team will book your surgery date. We may ask you to undergo additional medical testing and discontinue the use of certain pills and supplements that could increase your risks. You should schedule a helper to drive you home and assist you after your procedure.

What to Expect on the Day of MTF Top Surgery?

Dr. Gallagher will work to provide the most affirming result for each individual patient. There are often subtleties involved in breast augmentation for transfeminine patients that require attention and the adaptation of the technique in order to get the best results possible.

  • Growth Already There -First, we take into consideration what changes hormones have already caused. The typical advice is to wait 2 years at least, so we have had maximal benefit on the hormones and the breasts have stopped changing shape (we never want to operate on a moving target). We take into consideration the size and shape of the breasts.
  • Tuberous Breasts – Often, many transgender women may notice that they have tuberous-type breasts, which means the fold is high and the lower part of the breast is missing the rounded contour. Also, it’s very common to have asymmetrical breasts. Dr. Gallagher will take all these factors into consideration when choosing the size and position of the implants. Indeed, she will often choose two different-sized implants in order to balance out the size differences.

Transgender Woman Breast Surgery Options

Many transgender women may benefit from having the implant placed on top of the muscle. This prevents the implants from being pushed out of the sides and allows the rounded contour of the lower part of the implant to shape the lower part of the chest.

Often, the nipples on a transwoman’s chest are spaced a little further apart. While we want to create cleavage, this can be a little more challenging as it is critical to center the implant on the nipple. Typically, as swelling reduces and the implants settle, it is possible to get nice cleavage in a bra.

Mastopexy or Shaping

Sometimes, the breasts may require additional shaping or lifting to enhance their femininity. For example, in many transgender women, the fold underneath the breast may sit high. This can be adjusted. Patients typically undergo this procedure simultaneously with an augmentation.

Nipple Enlargement

Hormones can increase breast tissue, but a lot of transgender patients may notice disappointing feminization of the nipples themselves. Various surgical techniques can be used to increase the projection of the nipples.

MTF Top Surgery Recovery

Your Guide to Post-MTF top Surgery/Feminizing Mastoplasty Care

After undergoing MTF top surgery in Miami, your chest will be wrapped in a compression garment, helping to reduce swelling. Later, you will wear a sports bra for up to six weeks. While most patients can resume non-strenuous activities within a few weeks, it is crucial to avoid high-intensity workouts and heavy lifting for 6 to 8 weeks. Side effects, such as swelling and bruising, may persist for the first 3-4 weeks before gradually lessening. However, these symptoms should be gone completely within 9-12 months.

How Much Does MTF Top Surgery Cost in Miami, FL?

Dr. Gallagher will discuss all the cost details of MTF top surgery in Miami with you during your initial consultation. She will provide in-depth information on the insurance process and financing as well.

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Why Choose Dr. Gallagher?

Dr. Sidhbh (pronounced “Sive”) Gallagher is a double board-certified aesthetic expert in Miami, FL, and is affiliated with the Aesthetic Society. She works with today’s most innovative, progressive techniques to help transgender patients achieve their ideal physique and enjoy heightened confidence and well-being.

Originally from Ireland, Dr. Gallagher received her medical degree from University College Dublin, graduating in the top three percent of her class. She then traveled to the U.S., where she embarked on eight additional years of exhaustive surgical training. Dr. Gallagher served as an assistant professor at Indiana University from 2015 to 2020, during which time she developed groundbreaking techniques such as Masculoplasty. A leader in the emerging field of gender-affirming surgery, Dr. Gallagher established the Eskenazi Health Transgender Health and Wellness Program and the program at Indiana University Health.

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MTF top Surgery/Feminizing Mastoplasty FAQ’S

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

To learn more about MTF top surgery and how the procedure can enhance confidence, peace of mind, and quality of life, please reach out to Dr. Gallagher, a double-board-certified plastic surgeon in Miami, FL, to book your initial consultation today!

Dr. Gallagher frequently works with patients outside of Miami and the state of Florida. If you are interested in discussing this procedure 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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