Transgender Top Surgery

What Is MTF Transgender Top Surgery in Richmond, VA?

The ultimate goal of transfeminine chest contouring is to help you feel more comfortable and confident in your own body. By aligning your internal sense of self with your external physical characteristics, breast augmentation surgery can provide you with an elegant, natural-looking figure and an improved level of self-esteem.

In the procedure, Dr. John Zinsser will create a beautiful, feminine chest contour with the placement of saline or silicone implants. During your initial consultation, Dr. Zinsser will work closely with you to understand your unique goals. He will answer your questions, address your concerns and customize a treatment plan tailored specifically for you.

World-Class Results

Over 25 years of Experience

Dr. Zinsser provides natural-looking results tailored to each individual’s needs and goals. Whether you’re in your 20s and experiencing changes post-pregnancy, or in your 60s seeking rejuvenation after weight loss or aging, Dr. Zinsser’s expertise ensures a custom approach for long-lasting and natural-looking enhancement.

Dr. Zinsser provides breast lift results from real patients you can see so you know what to expect going into surgery. Discover his previous work on the before and after page.

What Is FTM Transmasculine Top Surgery?

If you are a transgender man or nonbinary individual who wants to attain a more masculine or less feminine look by reducing the size of your breasts, transmasculine top surgery may be your ideal solution. In addition to removing breast tissue and excess skin, the procedure also often involves the repositioning and resizing of the nipples.

For so many of our patients, masculinization surgery achieves more than just a flatter chest and a more masculine appearance; it allows them to live more authentically, with improved self-esteem and a body image that is more aligned with their inner selves. During your initial consultation, Dr. Zinsser will discuss all your options and explain what you can realistically expect from your top surgery results.

Watch: Dr. Zinsser Discusses Transgender Procedures at Zinsser Plastic Surgery

Dr. Zinsser photo Richmond, VA Zinsser Plastic Surgery

What Are Some Richmond, VA Transgender Patient Experiences?

"I'm a trans nonbinary person who just got top surgery with Dr. Zinsser 6 days ago. When I say that I could not imagine more perfect results its completely true, but that honestly goes to my entire experience with him and his staff. They are trans educated, led me to getting insurance coverage despite mental illness, genuinely kind, responsive, took me to a hospital that was FANTASTIC the day of my operation, more affordable than other surgeons in the area, and likely hit all of the boxes not specifically mentioned yet. I cannot thank them enough for giving my dream chest and treating me with such kindness through the entire process."

Our Commitment to You

At Zinsser Plastic Surgery, we strive to provide the most compassionate and highly personalized care available to transitioning women and men. Through meticulous planning, exceptional execution and a focus on safety, we have helped many patients obtain the bodies and self-confidence they have been seeking for years.

Dr. John Zinsser is a board-certified plastic surgeon, certified by the American Board of Plastic Surgery. While any physician with general surgery training can offer cosmetic surgery procedures and refer to themselves as a “cosmetic surgeon,” only those certified by the American Board of Plastic Surgeons have demonstrated their knowledge, skill and proven history of exceptional results through rigorous testing and reviews of past performance. When you choose Dr. Zinsser, you can rest assured that you are in the capable hands of an experienced and highly trained plastic surgeon.

Every member of our staff is honored to play a role in your transformative journey, and we take personal pride in helping to produce an outward reflection of your inner beauty with dignity, respect, safety and comfort.

 

To learn more about how board-certified plastic surgeon Dr. John Zinsser can give external shape to your inner form, contact us today online or at (804) 464-7615 to schedule your initial confidential consultation. Zinsser Plastic Surgery welcomes patients from Richmond, Midlothian, Petersburg and other areas across Virginia.Bottom of Form

The Results You Desire...Today!

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Transgender and Nonbinary Top Surgery FAQs

There are various options regarding breast implants, including saline vs. silicone, implant structure, overall cup size, implant placement, and incision location.

Dr. Zinsser is skilled in all breast augmentation techniques and will guide you through the details of each decision, taking into account your aesthetic goals and unique anatomy.

Recovery time for a tummy tuck is approximately 4 to 6 weeks. Though you will be discharged from the medical facility on the day of your procedure, you will likely need assistance completing normal tasks for a few days, especially if you have young children.

As with any surgical treatment, it is important to follow Dr. Zinsser’s instructions regarding activities, cleansing, garment use, wound and drain care, and sun exposure to ensure optimal results from your tummy tuck procedure. We will provide you with a full list of aftercare instructions to follow that include nutrition and hydration.

Existing breast tissue, breast shape, skin elasticity, and body type play a role in your overall transformation after MTF breast augmentation. Age is also a factor. Older patients will have chests that may appear more youthful than women your age.

There are a wide range of sizes for breast implants. It’s a good idea to bring a photo to your Top Surgery consultation of your desired results. When selecting images, choose individuals with a body shape similar to your own.

During your consultation, you’ll try on implant sizers to determine the best look under clothing. It’s a highly accurate method of predicting what size is best suited for you. 

Dr. Zinsser recommends that MTF Top Surgery patients access feminizing hormone therapy for at least one year before MTF breast augmentation surgery to maximize breast growth and achieve optimal aesthetic results. However, hormone therapy is not a requirement for surgery. Dr Zinsser will discuss your options with you.

Risks associated with Top Surgery are relatively minor. The risk of experiencing a serious difficulty is less than half of one percent. Although small, Dr. Zinsser advises becoming aware of the potential complications to be aware of during your recovery.

So far, little evidence links saline or silicone implants to cancer. Only 2% of all breast cancer occurs in the breast tissue of male designated people at birth. Therefore, the risk for breast cancer is extremely low for transfeminine people with or without breast implants.

However, there is some scientific evidence that estrogen HRT can increase cancer risk. If you are over fifty and have had HRT for five or more years, it’s recommended that you get an annual mammogram.

MTF top surgery uses implants to create a feminine chest contour, while FTM top surgery removes breast tissue and reshapes the chest to create a flatter, more masculine or androgynous appearance. Dr. Zinsser and his team will customize a procedural plan to match your goals and anatomy.

Some patients choose to start hormone therapy before surgery, but it is not a prerequisite for safe or effective results. Dr. Zinsser will review your medical history and coordinate with your prescribing provider to determine if you need to stop or adjust your current hormone regimen.

Scars vary based on the technique. MTF incisions are usually small and hidden in the breast folds. FTM scars may be around the areolas or along the lower chest. With proper care, your scars will fade significantly over time, eventually matching your skin tone.

Some patients require drains to prevent fluid buildup. Dr. Zinsser will explain whether drains are likely in your case.

Implants do not come with an official expiration date, but most last a decade or longer. They may eventually need replacement due to natural aging or medical complications such as a rupture or capsular contracture.

We encourage you to take light walks beginning early in your recovery to speed healing. Please wait to resume more strenuous workouts until Dr. Zinsser approves.

Coverage varies by plan. Fortunately, many insurers now recognize top surgery as medically necessary. Dr. Zinsser’s team can help you understand your options and documentation requirements.

While you will need to wear a compression garment as instructed to reduce swelling and improve your new chest contours, you will likely no longer feel the need to bind after you have fully healed. This surgery can provide significant relief from gender dysphoria, along with improved confidence and comfort in your daily life.

Nonbinary patients often seek a neutral result that is not strictly masculine or feminine. Dr. Zinsser will tailor this procedure to your desired appearance, always focusing on natural, proportional results that align with your goals and body type.