For many transgender men and non-binary individuals, female to male chest reconstruction — commonly known as Top Surgery—is one of the most meaningful steps in aligning outward appearance with gender identity. At her Northshore, WA practice, cosmetic surgeon Dr. Won provides personalized FTM/N chest reconstruction in a respectful, affirming environment focused on safety, precision, and natural masculine contouring.
Gender-affirming surgery is not simply about removing tissue — it is about creating a chest that feels authentically yours. Dr. Won tailors every procedure based on anatomy, skin quality, and aesthetic goals to help patients throughout the Greater Seattle area achieve a flat, proportionate, and confidently masculine chest.
What Is Female to Male Chest Reconstruction?
Female to male chest reconstruction is a procedure performed to help transgender men and non-binary people remove their breasts and achieve a less traditionally feminine chest. This is one of the procedures that brings a patient a step closer to completing their transition journey.
An FTM/N chest reconstruction focuses on removing breast fat, glandular tissue, and skin from the chest area to achieve a flat chest. The nipples and areolae will also be repositioned and resized as needed.
Surgical Techniques for FTM/N Chest Reconstruction
Top surgery is not one-size-fits-all. Dr. Won carefully selects the most appropriate surgical technique based on chest size, skin elasticity, and desired scar placement.
During your consultation, Dr. Won will determine which of the following female-to-male top surgery techniques is best suited to your anatomy and goals:
- Double Incision with Nipple Grafting – Ideal for moderate to larger chests, allowing precise contouring and nipple resizing.
- Periareolar Technique – Best suited for smaller chests with good skin elasticity.
- Keyhole Technique – A minimally invasive option for select candidates with minimal tissue.
During consultation, Dr. Won explains incision placement, nipple positioning, and expected scar patterns so patients can make informed decisions about their surgical plan.
Ideal Candidate for Female to Male Chest Reconstruction?
The best candidates for a female to male chest reconstruction are people in good physical and emotional health. Since this procedure has permanent results, it is best to ask all possible questions to help you make a final decision.
Like all surgical procedures, the best candidates must also be in good overall physical health so that they are capable of safely recovering from the procedure. This includes having no medical conditions that could impair healing.
FTM/N chest reconstruction candidates must have a BMI of 40 or below. This will help prevent complications related to anesthesia as well as wound healing.
Smokers (including cigarettes, marijuana, and vaping) must quit for at least 4 weeks before and 2 weeks after the procedure.
Drinking alcohol is prohibited at least 48 hours before and after the procedure.
Before
AfterYour FTM/N Chest Reconstruction Consultation
An FTM/N chest reconstruction consultation is focused on helping you feel comfortable and safe in your transition process. Dr. Won will answer all your questions related to the surgery, including questions about preparation, the procedure, and recovery. The chest area will also be assessed to determine eligibility for the procedure.
Provide your complete medical history including medication list. This will allow Dr. Won to plan and prepare an effective and comfortable procedure for you. Inform her of any possible allergies to select the best anesthesia.
Dr. Won will also discuss the surgical techniques involved in chest reconstruction. This will allow you to visualize the possible results and assist you in setting realistic expectations. Once you are eligible for the procedure, Dr. Won will provide special instructions in preparing for this gender-affirmation surgery.
FTM/N Chest Reconstruction Procedure in Seattle
A female to male chest reconstruction begins with administering general anesthesia. The patient will be fully unconscious during the procedure, and so no pain will be felt.
Once the general anesthesia takes effect, Dr. Won will begin creating the incisions to remove tissue. She will then reconstruct the underlying tissue to match the patient’s aesthetic goals. Afterward, the skin will be adjusted to the newly reconstructed chest. Sutures will be used to close the incisions.
Related Review
Procedure: Chest Reconstruction (FTM/N top surgery)
“Everyone I interacted with from my first inquiry to my post-op scheduling call has been wonderful and affirming. Dr. Won was thorough in explaining what the procedure would entail, and provided everything I needed for my initial recovery and care. Most importantly, I am over the moon happy with my results, even while I’m still early in the recovery process! I highly recommend Dr. Won.”
– Remy Drain
The Recovery Process
The best results can be experienced with great aftercare. There will be 2 follow-up appointments in the first week, one to remove the drains and the second one to remove the dressings. A total of 2 weeks is recommended to take time off from work and focus on recovery. More time off work may be recommended for those who have more physically demanding jobs.
A total of 6 weeks is recommended to avoid lifting more than 15 pounds, high impact activity such as running or jumping, and stretching your arms over your head. There are no restrictions on walking, and walking as much as possible is encouraged.
Frequently Asked Questions About Gender-Affirming Top Surgery in Seattle
How much does gender-affirming top surgery cost in Seattle?
The cost of top surgery varies based on the surgical technique used, anesthesia requirements, and whether insurance coverage applies. Your personalized quote will outline:
- Facility fees
- Surgeon and procedure fees
- Anesthesia services
- Postoperative office visits
- One compression garment (if needed)
Please note that consultation fees, pre-screening assessments, and diagnostic testing are billed separately.
For patients paying out-of-pocket or managing a deductible or co-insurance, our practice is pleased to accept financing through CareCredit®.
Does insurance cover gender-affirming top surgery?
Will I need to wear a compression garment (binder) after FTM top surgery?
Will I have visible scars?
Do I need documentation for surgery?
Schedule a Female to Male Chest Reconstruction Consultation
To learn more about female to male chest reconstruction in Seattle, schedule a consultation with Dr. Won. She will be happy to help you during this pivotal time in your life.