Mr. Jackson

Understanding Top Surgery — A Comprehensive Guide

For transgender individuals, top surgery can completely transform not just their bodies but their lives as well. By enhancing the chest for a more feminine appearance or taking about excess breast tissue for a toned, masculine look, Dr. Widenhouse and our team at Port City Plastic Surgery can help you embrace your true you.

What is Top Surgery?

Top surgery is a gender-affirming procedure performed on both trans women (Male-to-Female or MTF) and trans men (Female-to-Male or FTM). MTF top surgery involves the enhancement of the breasts through the insertion of implants, while FTM top surgery involves removing breast tissue and sculpting existing tissue for a more masculine chest.

MTF Top Surgery

For trans women, top surgery involves creating a more feminine chest area by inserting saline or silicone implants. The size and type of implants used largely depend on your body type and your personal goals.

FTM Top Surgery

FTM top surgery involves the removal of breast tissue and, in some instances, resizing and repositioning the nipples. The ultimate goal is to achieve a more masculine chest contour.

Why Choose Port City Plastic Surgery for Your Top Surgery?

When it comes to top surgery, comfort and safety are paramount, and you could not be in better hands than with Dr. Brian Widenhouse. He is a board-certified plastic surgeon with years of experience performing MTF and FTM top surgeries. He understands the importance of this procedure to his patients and how life-changing it can be. He uses his expert knowledge and skills to deliver exceptional results tailored to you.

What to Expect During a Top Surgery Consultation?

During your consultation, Dr. Widenhouse will discuss your goals, examine the treatment area, explain the procedure in detail, and answer any questions you might have.

No matter which procedure you have done, we’ll start by administering IV sedation by a board-certified anesthesiologist. Dr. Widenhouse will then make the incisions you discussed during your consultation and either remove excess breast tissue or insert your breast implants. MTF surgery takes about 2-3 hours, and FTM surgery lasts anywhere from 2 to 4 hours.

Schedule A Consultation

Top surgery is a significant step that marks a big milestone in a person’s transitioning journey. While it can be a daunting decision, understanding your options and working with experienced professionals like Dr. Widenhouse can put you at ease. We’re here to help you embrace your true self! Take the first step toward feeling more at home in your body and schedule a consultation with Port City Plastic Surgery today. Call our Charleston or Daniel Island, SC office at  843-380-6648 or fill out our online contact form.


2683 Lake Park Drive
Charleston, SC 29406


125 River Landing Drive
Suite 101
Daniel Island, SC 29492