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Many non-binary individuals struggle to feel at ease in their own bodies. On top of this, our cultural and societal understanding of genderqueer identity provides little support for those who wish to undergo transitional procedures.

At Align Surgical Associates Inc., our team of trusted, compassionate plastic surgeons is excited to assist you on your journey towards authenticity and self-congruence. Non-binary top surgery can remove feminine breasts, recontouring the chest wall to create an aesthetic that better matches your gender identity.

What is non-binary top surgery?

Some non-binary individuals do not wish to undergo hormone therapy, so top surgery may be the only procedure that they pursue in terms of their transition. Non-binary top surgery may involve bilateral mastectomy as well as nipple and areola reconstruction to achieve a flatter chest more in line with the patient’s self-image.

Surgery is customized to your wishes, as discussed during your private consultation with our team. Factors such as the amount of available breast tissue, the degree of breast ptosis, the quality of skin elasticity, and your anatomical measurements will all play a role in formulating the best plan for your surgery.

What are the different techniques used to perform non-binary top surgery?

The most common approach with top surgery is a bilateral mastectomy with a double incision. This technique involves the removal of the breast tissue through horizontal incisions beneath the pec muscles. The nipples are resized and reshaped along with the areolas. The benefit of this technique is that it removes all of the breast tissue and excess skin at once.

During the periareolar technique, breast tissue is removed through a minute incision surrounding the nipple, which results in minimal scarring. This type of procedure is only appropriate for those who have small breasts to start with, a limited amount of excess skin to deal with, and a slim body type. If skin does need to be removed, it can typically be accomplished by removing a donut of tissue around the areola.

For some clients who are concerned about preserving nipple sensation, a pedicled technique can be used as is common in reconstructive surgery. This technique may not accomplish as significant an amount of breast tissue removal, but it does preserve sensation in the nerves.

For those clients who have a large amount of breast tissue to be excised, top surgery can be performed by combining mastectomy with liposuction to achieve the flattest, smoothest chest contour possible.

There are several modifications that can be made to achieve whatever your goals may be in terms of:

  • Incision placement
  • Incision shape and orientation
  • Nipple and areola size
  • Nipple and areola location
  • No nipple and areola (no reconstruction is desired)
  • Amount of tissue and fullness

Before & Afters

Non-Binary Top Surgery Non-Binary Top Surgery
Non-Binary Top Surgery Non-Binary Top Surgery

What are the benefits of top surgery for non-binary individuals?

  • A flatter, streamlined chest appearance
  • Reshaped and repositioned nipples
  • Removal of excess fat, tissue, and skin
  • Enhanced satisfaction with one’s image
  • Improved confidence and self-esteem
  • Natural-looking results
  • The procedure is customized to your existing anatomy
  • Long-lasting outcome

Who is a good candidate for top surgery?

Good candidates for surgery have been professionally diagnosed with gender dysphoria and have a strong desire to undergo top surgery. Hormone therapy is not required as a prerequisite for non-binary body contouring. Patients undergoing surgery should be non-smokers in good physical and mental health who are at or near their ideal weight. Excellent candidates will be realistic in their expectations and have a support team in place to help them after surgery.

What can I expect after surgery?

Each person heals at a different rate, so recovery times will vary from patient to patient. As can be expected with any surgery, you will experience some swelling, bruising, and tenderness at the incision sites. After your procedure, you may have drains in place to help rid the body of excess blood and fluids. A dressing on your nipples will remain in place for 5-7 days post-op. You may also need to wear a compression garment, which helps to minimize swelling and keep your new chest shape flat and smooth.

Postoperative pain is moderate and can be well controlled with pain medications prescribed by the doctor.

During the first week of your recovery, you should take care to restrict arm movements such as lifting, reaching, or clutching the steering wheel. You will be able to resume work and normal activities at about 7 days post-op. Strenuous exercise and weight lifting can be resumed after 3-4 weeks.

While scarring will be visible for top surgery, over the course of the first year these markings fade significantly. Our team will suggest some medical-grade skincare products that can help to make your incisions as inconspicuous as possible.

Why choose Align Surgical Associates Inc. for non-binary top surgery?

Align Surgical offers strategic surgical procedures to help you live in a body that feels congruent with your authentic self. From our skilled board-certified surgeons to our highly trained and credentialed RN’s, we provide the utmost compassion and support throughout your transition. Dr. Satterwhite, Dr. Rodriguez, and Dr. Gurjala are passionate about obtaining the most advanced, cutting-edge technology on the market to help minimize scarring and recovery times. Call Align Surgical Associates Inc. today to learn more about non-binary top surgery and how it can help you to live your best life.

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