Gender affirming top surgery plays a vital role in helping individuals align their physical appearance with their gender identity. These surgeries are often a powerful step in reducing gender dysphoria and enhancing personal comfort, confidence, and emotional well-being. Whether someone is seeking a more traditionally masculine chest or wishes to develop a feminine breast contour, top surgery offers individualized solutions that support personal transformation.
At Cosmetic Surgery Specialists Of Memphis, both female-to-male (FtM) chest masculinization and male-to-female (MtF) breast augmentation are performed by board-certified plastic surgeons Dr. Peter Aldea and Dr. Patricia Eby. With elite surgical training from institutions like Columbia, Duke, Stanford, and Harvard, they provide respectful, affirming, and technically advanced care for individuals across the gender spectrum in Memphis.

What Is Gender Affirming Top Surgery?

Gender affirming top surgery includes a range of procedures that modify the chest to better align with a person’s gender identity. The two most common surgical goals are chest masculinization for FtM individuals and breast feminization for MtF individuals.
FtM Chest Masculinization
This surgery removes breast tissue to create a flatter, masculine chest contour. Techniques vary based on the patient’s chest size, skin elasticity, and nipple position. Options may include:
- Double incision mastectomy with or without nipple grafts
- Peri-areolar or keyhole methods for smaller chests
- Free nipple grafts in larger chests or where significant repositioning is needed
The goal is a natural-looking, contoured chest that allows for comfort and confidence in appearance and movement.
MtF Breast Augmentation
This procedure involves the use of implants to create feminine breast contours. Implant size, shape, and placement are determined through consultation, based on chest measurements, skin characteristics, and the patient’s aesthetic goals.
Implants can be placed:
- Above or below the chest muscle
- Through an incision at the inframammary fold or around the areola
The objective is to achieve a proportional, soft, and feminine breast appearance that supports the patient’s gender identity and body goals.
The Benefits Of Gender Affirming Top Surgery
Both FtM and MtF surgeries offer physical, emotional, and psychological benefits that extend beyond cosmetic outcomes.
Common benefits include:
- Alignment of physical appearance with gender identity
- Reduction in gender dysphoria and emotional distress
- Increased comfort in clothing and social settings
- Improved self-image and confidence
- A sense of affirmation and completeness
These surgeries are often essential steps in a larger journey of living authentically and with greater personal peace.
Who Is A Good Candidate For Gender Affirming Top Surgery?
Gender affirming top surgery may be appropriate for adults who have persistent gender dysphoria, are in good physical and mental health, and have realistic expectations for surgical outcomes.
You may be a good candidate if you:
- Identify as transgender, non-binary, or gender diverse
- Are at least 18 years of age and able to provide informed consent
- Are mentally and physically healthy enough for elective surgery
- Have a clear understanding of the goals, benefits, and limitations of surgery
- Desire to affirm your gender identity through physical transformation
Each procedure is tailored to the individual, with surgical planning based on anatomy, goals, and medical history.
Why Choose Cosmetic Surgery Specialists Of Memphis For Gender Affirming Top Surgery?
At Cosmetic Surgery Specialists Of Memphis, Dr. Peter Aldea and Dr. Patricia Eby are committed to providing gender affirming surgical care that is safe, respectful, and personalized. As board-certified plastic surgeons with advanced training from some of the most prestigious programs in the country, they bring both technical excellence and a compassionate approach to each patient’s experience. They have performed thousands of plastic surgery procedures and are known for their dedication to detail, surgical precision, and individualized outcomes. Their Memphis-based practice offers a discreet, supportive environment where patients receive direct attention and care from the surgeons themselves. Recognized by Castle Connolly, U.S. News and World Report, and Three Best Rated, Drs. Aldea and Eby are trusted providers who help patients take meaningful steps toward living in bodies that reflect their identity and goals.
Affirming Surgical Care For All Identities In Memphis
Whether you are seeking a flatter chest or a fuller breast contour, gender affirming top surgery can help bring your appearance into alignment with who you are. Located in Memphis, Cosmetic Surgery Specialists Of Memphis provides individualized, respectful care from experienced board-certified plastic surgeons. To schedule a private consultation in Memphis, call (901) 752-1412 today.
