Top Surgery – Female to Male in Lexington, KY

Top surgery is a highly personal procedure that can help create a flatter, more masculine chest contour. For many patients, this surgery is an important step toward feeling more comfortable and aligned with their body.

At Lexington Plastic Surgery™, Dr. Theo Gerstle approaches top surgery with respect, discretion, and individualized care. Your consultation will focus on your goals, anatomy, safety, and the surgical approach most appropriate for you.

see before and afters

What Is Female-to-Male Top Surgery?

Female-to-male top surgery, also known as masculinizing chest surgery, removes breast tissue and reshapes the chest to create a flatter, more traditionally masculine appearance. Depending on anatomy and goals, the procedure may also involve repositioning or resizing the nipples and areolas.

Because every patient’s body and desired result are different, top surgery is customized to the individual.

Am I a Candidate for Top Surgery?

Candidates for top surgery should be in good overall health and have realistic expectations about the procedure, recovery, scarring, and final results. During your consultation, Dr. Gerstle will review your medical history, discuss your goals, and explain the surgical options available.

Some patients may need medical or mental health documentation depending on their insurance requirements or care plan.

Top Surgery Techniques

The best surgical technique depends on chest size, skin elasticity, nipple position, and desired outcome. Common approaches may include tissue removal through incisions placed to allow chest reshaping and, when needed, nipple and areola resizing or repositioning.

Dr. Gerstle will discuss incision placement, scar expectations, and the overall surgical plan during your consultation.

Recovery After Top Surgery

After top surgery, patients typically wear a compression garment and follow specific activity restrictions while healing. Swelling, bruising, tightness, and temporary changes in sensation may occur.

The Lexington Plastic Surgery™ team will provide clear post-operative instructions and follow-up care to support your recovery.

Benefits of Top Surgery

Top surgery may help:

Create a flatter chest contour
Reduce or remove breast tissue
Improve comfort in clothing
Reduce reliance on chest binding
Create a more masculine chest appearance
Support a patient’s gender affirmation goals

The New You—Working With Dr. Gerstle

You will have a private consultation with Dr. Gerstle to discuss your medical history and your cosmetic goals. The doctor will benefit from understanding your reasons for wanting top surgery along with the results you like to see. After performing a physical exam, Dr. Gerstle will present the options that would work for you. He will explain the procedure, anesthesia types, fees, and recovery time. We offer an exclusive, in-office state-of-the-art “mirror imaging” system that can enhance your photos to show you what you will look like after the surgery. This tool is invaluable for giving you a reliable idea of what your results will be.

Once a surgical plan is made, we will schedule the operation to take place at one of our outpatient surgery centers.

Top Surgery Financing

Cherry is a payment plan designed for your health, beauty, and wellness needs and procedures and allows you to make convenient monthly payments.

CareCredit is a healthcare credit card designed for your health and wellness needs that can be used by your entire family. Use it to pay for out-of-pocket expenses not covered by medical insurance. Special financing options are available that you may not be able to get with other cards.

Pay for health and wellness care at over 200,000 enrolled providers across the nation. Once you’ve applied, you can use it again and again at any location that accepts CareCredit. For more information and to apply, please visit CareCredit.com.