Gender Confirmation Top Surgery

Deciding to undergo gender confirmation surgery (sometimes called "gender reassignment" or "gender affirmation") surgery is about more than just wanting to look a certain way–it's about helping you realize your true identity and feeling at home in your body. At CaloAesthetics, our impeccably trained surgeons offer MTF and FTM top surgery to Louisville and Lexington-area patients.

Your Top Surgery Considerations

Your decision to undergo top surgery is entirely your own. It's your choice when to have the surgery and for what reasons. If you're ready to take the next step and begin exploring your options, board-certified plastic surgeons Dr. Bradley Calobrace and Dr. Chet Mays are here for you. Regardless of the procedure you want, you do need to meet some key qualifications to be eligible for surgery:

  • Good physical and psychological health, free of conditions that might make surgery dangerous
  • Understanding of the specifics of surgery as well as the results you can expect
  • 18 years of age or older

At CaloAesthetics, we do not accept insurance. A letter of recommendation from a qualified mental health professional is required for surgery.

The Top Surgery Process

Whether MTF or FTM, top surgery creates results that are permanent. Here's what you can anticipate:


Although MTF top surgery usually uses breast implants, it's a bit different than typical breast augmentation for cisgender women. This is because transgender women may not always have enough natural tissue to cover their desired implants. If you'd like implants that are on the large side, your surgeon may recommend a temporary tissue expander to help your body produce enough skin to fully accommodate the implant. If you desire a subtler result, however, a tissue expander may not be necessary, especially if you're been on estrogen for some time and you've developed your own natural breasts.

MTF top surgery is performed while you're under general anesthesia. Using an incision placed around your areolae or within the breast crease, Dr. Calobrace or Dr. Mays makes a pocket within the pectoral muscle and places the implant within this pocket. The surgeon then closes the incisions with sutures.


FTM top surgery is similar to a traditional breast reduction, but it is more technically complex. While you are under general anesthesia, Dr. Calobrace or Dr. Mays performs a mastectomy to completely remove existing breast tissue. He then sculpts the remaining tissue into a masculine-looking chest. Finally, he positions the nipples and areolae, and, if necessary, raises them higher on the chest or reduces their diameter. The final step is to close your incisions with sutures.

What to Expect During Recovery

Both MTF and FTM top surgeries are outpatient procedures. Your surgeon provides you with recuperation guidelines and instructions, depending on the specifics of your own surgery. However, you can expect to be away from work and other daily activities for about 1 week, and potentially longer if you work in a physically demanding job. You should avoid strenuous activity, especially that which requires upper body exercise, for at least 6 weeks after your top surgery. MTF patients should be aware that their implants will go through a period of acclimation, during which the implants will soften and drop to a natural-looking position.

Breast implants do not last forever, but they have long "lifespans"–typically exceeding a decade. The results of FTM top surgery are permanent. In either case, you'll be able to enjoy the body you've envisioned for many, many years.

We're ready to help you through your top surgery journey. Request your consultation online or call us at (502) 899-9979 to book your first visit.

Discover The Perks

CaloPerks is our in–house rewards program designed to help you save big on the treatments you love.

Learn More

Newsletter Sign Up

Back to top

Authorities in Cosmetic Surgery

Our experienced plastic surgeons are highly regarded by patients and other surgeons across the country. They utilize the latest techniques and technology to provide exceptional results and care.


Contact Us

Association Logos
*Dr. Calobrace is a member of these societies.