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 plastic surgeons Dr. M. Bradley Calobrace and Dr. Juan Quintero offer MTF and FTM top surgery to patients from Louisville, Lexington, Floyds Knobs, and the surrounding area.

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

Top Surgery
 Before & After Photos


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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. Juan Quintero 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.

Doctor Bradley Calobrace


Board-Certified Plastic Surgeon

Dr. M. Bradley Calobrace has specialized expertise in a complete range of procedures and is dedicated to bringing the most advanced techniques and technology to the region.

Dr. M. Bradley Calobrace
Doctor Juan Quintero




Dr. Juan L. Quintero is an experienced and highly recognized plastic surgeon known for his exceptional patient care and beautiful, natural-looking results. He specializes in procedures of the face, breast, and body, including vaginal rejuvenation.

Dr. Juan L. Quintero

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 accommodate the implant fully. If you desire a subtler result, however, a tissue expander may not be necessary, especially if you’ve been on estrogen for some time and you’ve developed your own natural breasts.

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This free, easy-to-use program lets you access your records and documents, learn about procedures, and even upload your own photos.


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

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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. Quintero performs a mastectomy to remove existing breast tissue completely. 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.


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Vectra 3D Technology Preview


We use a breakthrough device to enhance the consultation process our for breast surgery patients. VECTRA® 3-D is an advanced software system that produces a three-dimensional image of the patient's existing appearance plus an integral fourth dimension: an image of the expected results.

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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.


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