FTM (Female to Male) Top Surgery
When your gender identity is transmasculine, the female breasts you were born with can be a constant reminder that who you are does not match your outside appearance.
With compassion and understanding, Azouz Plastic and Cosmetic Surgery welcomes you to their inclusive practice. As one of the most sought-after surgeons in Texas, Dr. Azouz treats patients from around the world, and offers support and guidance for your FTM top surgery.


What is FTM Top Surgery?
top surgery removes the female breasts, allowing you to present the masculine characteristics that align with your gender identity. The masculinized chest will be flat and contoured, with a natural appearance. Dr. Azouz understands no two FTM top surgeries are identical, and your goals for surgery will differ from someone else’s. He will take the time to truly listen to your concerns and answer your questions. Your aesthetic desires are accounted for when selecting surgical techniques for the most natural outcome.
Benefits of Top Surgery?
- Eliminate Binding: binding the breast on a regular basis for a long period of time may constrict blood vessels of the chest and increase the risk of blood clots and compress the spine causing pain and damage.
- Improve Confidence: achieving a chest that aligns with your gender identity can boost self-confidence, by having clothes fit the way you envision and allowing you to feel more comfortable in your own body.
- Reduce Gender Dysphoria: FTM top surgery can signficantly lessen feelings of body and gender dysphoria by creating a chest that reflects your true identity.
- Facilitate Gender Expression: top surgery allows you to present yourself to the world in a way that feels authentic.

Risk of Surgery
As with any surgical procedure, there are inherent risks involved. Some of the most common side effects may include but is not limited to:
- Temporary bruising and swelling
- Infection at the incision sites
- Irregular contours or asymmetry
- Numbness or changes in skin sensation
- Poor scarring
- Changes in nipple sensation or appearance
Dr. Azouz will take the necessary precautions and closely monitor your recovery to minimize these risks.
What to Expect After Surgery?
- You may experience mild discomfort, bruising, and swelling following surgery, which can be managed with prescribed pain medication and a compression binder.
- Most patients can return to work and light activities within a few days, but strenuous exercises and activities must be avoided for several weeks.
- Dallas plastic surgeon Dr. Azouz will assess your progress during the follow-up appointments after your surgery.
Anesthesia Used During Surgery
During the top surgery, Dallas plastic surgeon Dr. Azouz prioritizes patient safety and comfort. In most cases, he uses sedation with local anesthesia to help avoid the postoperative side effects of general anesthesia.
Schedule a Consultation with Dr. Azouz
FTM top surgery is a personal decision, and you deserve a highly-skilled surgeon who understands the importance of the procedure beyond a cosmetic perspective. Contact Azouz Plastic and Cosmetic Surgery today to schedule your FTM top surgery consultation.
Request A Consultation

Dr. Azouz is incredibly personable and made me feel comfortable from the very start. He made sure I understood each stage of the procedure and genuinely listened to my worries. I felt like I was in excellent care the entire time, and his friendly and personable manner made all the difference. It is uncommon to find a physician who possesses both great skill and a sincere, compassionate personality. Strongly recommended!
FAQs
Top surgery recovery typically takes about 6 weeks before patients can participate in more regular activities, though this can largely vary depending on the individual.
Patients will generally be under general anesthesia during the procedure, preventing them from experiencing any pain during the actual procedure. Pain medication will be prescribed to help manage any pain or discomfort following the procedure. Generally, top surgery is not considered a highly painful procedure. Most patients will rate the pain as low to moderate, with the first few days following surgery being the most painful.
Nipple placement and appearance will be consulted on prior to surgery. Dr. Azouz discusses with individual patients their ideal nipple placement and appearance.