OHSU

Transgender Chest Reconstruction

Transgender chest reconstruction (top surgery) is usually the first procedure patients undergo during the gender reassignment process.

More commonly known as “top surgery,” this is usually the first procedure patients undergo during the gender reassignment process.

During the female-to-male (FTM) surgery, your surgeon will remove your unwanted breasts by performing a procedure similar to a mastectomy, but with repositioning the nipples and reduction of the areolas to create a more masculine looking chest. During the male to female (MTF) surgery, your surgeon will augment your breasts by placing breast implants under the chest muscle.

Prior to scheduling any patient interested in transgender breast surgery, the providers at the Plastic & Reconstructive Surgery Clinic will require one letter from the treating mental health professional that specifies the following (letter must be dated within one year of consult):

  1. The patient's general identifying characteristics.

  2. Results of the patients psychosocial assessment, including any diagnoses.

  3. The duration of their professional relationship including the type of evaluation and therapy or counseling to date.

  4. An explanation that the criteria for surgery have been met, and a brief description of the clinical rationale for supporting the patients request for surgery.

  5. A statement about the fact that informed consent has been obtained from the patient.

  6. A statement that the mental health professional is available for coordination of care and welcomes a phone call to establish this.

Available at these clinics

Plastic & Reconstructive Surgery Clinic