Top Surgery in San Francisco

Gender Affirmation Procedures

A large part of individual identity lies in our appearance. For transgender and
non-binary individuals, this means the ability to bring their physical appearance into alignment with
their true sense of self. We are proud to offer gender affirmation procedures at Elite Transformations.
These procedures include chest reconstructive surgery, facial
feminization, and body contouring. For the chest, male to female breast
augmentation and female to male top surgery techniques are offered. Facial feminization and body
contouring by both surgical and non-surgical means are offered as well.

Dr. Fisher’s office in San
Mateo, CA is conveniently located in the San Francisco Bay Area. We provide compassionate care to
patients from nearby metropolitan areas including the greater San Francisco and East Bay areas, as well
as to those who travel from out of state and internationally to see Dr. Fisher for gender affirmation
procedures.

Candidates for Gender Affirmation Procedures

Gender affirmation procedures are appropriate for non-smoking individuals who
have come to an informed decision about permanently altering their outward appearance. Patients who are
prepared for this change, and who have realistic expectations of what is possible for them after
comprehensive consultation, are the happiest with the outcome of their decision.

“Dr. Fisher is very easy to talk to and I really enjoyed having her as my doctor. As someone who’s a
transman, it’s hard to find someone who is not only knowledgeable on the subject, but actually puts the time
and effort into giving you the desired outcome. I couldn’t be happier with the results and it far exceeded
my expectations. Especially since other doctors had told me that I would have been able to have a
periareolar procedure, but she was able to ease my worries.

I would definitely recommend her time and time again!” – Kyle

Female to Male Surgery

FTM chest reconstruction, also called Top Surgery, is performed for transgender
men and non-binary transmasculine individuals. This procedure involves removal of existing breast tissue
by various techniques to create a masculine chest. Female to male top surgery may be further
complemented by appropriate body contouring procedures for masculinization. These may include
liposculpting of the axillary area, which is fullness that often extends from the side of the chest to
the underarm region. Fat reduction of the “muffin top” or flank areas to create a more masculine hip
line can also be performed.

Common procedures include:

• removal of existing breast tissue
• body contouring
• liposuction of underarm area
• reduction of “muffin top”
• creation of a masculine hip line

Female To Male Chest Reconstruction

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more before & after photos.

FTM Top Surgery Techniques

There are a number of techniques that may be considered for female to male top
surgery and the technique chosen depends on multiple factors. Dr. Fisher performs all state-of-the art
techniques, and the surgery is tailored to the individual. The incision type and tissue removal
procedures you may be candidate for are determined by factors such as the amount of existing breast
tissue, current breast size, and breast shape. Different incision techniques, such as keyhole,
periareolar, and double incision all lead to different scar patterns. Dr. Fisher will help you
understand which technique is most appropriate for you.

Recovery from FTM Top Surgery

Patients will need care at home and supervision for a few days after surgery.
Care is generally done by a family member, close friend, or intimate partner. A compression garment will
be worn for several weeks after surgery. Comfort is initially managed with prescription pain medication
and progresses to over-the-counter medication within the first week after surgery. The ability to shower
after surgery depends on the technique used. In some cases, drain tubes are placed, and will stay in
place for 1-2 weeks.

While walking is encouraged after surgery, it is important to limit activities
requiring upper body motion. In most cases, light physical activity can be resumed 1 week after surgery,
and vigorous activity must be avoided for at least 1 month after surgery. Most people are excited to see
that within 3 weeks after surgery, your result will start to be clear.

Real FTM Patient Review

“Highly recommend to all FTM – 5 Stars

I would recommend Dr. Fisher to anyone looking for a plastic surgeon. She was very helpful and was able to
give me a lot of information on FTM. She made me feel so comfortable at our consolation that I didn’t feel
the need to meet with anyone else. My results were better then I could have imagined and I’m very thankful
that I was able to find a doctor who is so excellent at their profession. If I could rate her higher then a
5 I would! I genuinely enjoyed this experience thanks to Dr. Fisher and I would recommend her to any of my
family and friends.”

Male to Female Breast Augmentation

Transgender women and transfeminine gender non-conforming individuals on hormone
therapy may not obtain their desired degree of breast development with hormones alone. MTF breast
augmentation is surgical breast enhancement using saline or silicone gel breast implants. This
procedure allows for both increase in size and fullness of the breasts to create a much more feminine
contour.

There are multiple implant options, and the implant choice depends on multiple
factors. Patients may choose between saline and silicone gel implants, each of which is made in varying
projections, sizes. Silicone breast implants in general have a more natural feel and are preferred when
there is little natural breast tissue to cover them. Saline implants allow for the most volume at their
largest.

Each one may have advantages and/or disadvantages for any given person. In your
consultation with Dr. Fisher, the type of implant that will best suit your desired outcome will be
selected.

For Transgender Breast Implants Do I Have to
Go On Hormones?

In general, most do go on hormones prior to getting breast augmentation. One reason to consider taking hormones
is in order to develop increased breast tissue. By having more of your own breast tissue, the result of breast
augmentation is far better.

Recovery from MTF Breast Augmentation

Patients should have a personal care assistant during the first 48 hours after
surgery, if not longer. Physical activity including lifting objects and strenuous exercise will need to
be avoided for several weeks no matter how good you feel. Walking is resumed and encouraged immediately
after surgery. It will take several months for your final outcome, oftentimes longer than that for
cis women, and Dr. Fisher will prepare you for that progression.

Swelling and bruising are normal side effects of breast augmentation surgery. Discomfort and
swelling are managed with prescription medications and ice packs initially, and later, over-the-counter
medications and proper wear of the recommended garment or bra.

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