Top Surgery

Top Surgery (FTM), also known as Female-to-Male chest masculinization surgery, is a gender-affirming procedure designed to create a flatter, firmer, and more masculine-looking chest.

This procedure is one of the most important steps in the transition journey for many transgender men. It helps align physical appearance with gender identity, improving confidence and overall quality of life.

Purpose of FTM Top Surgery

FTM Top Surgery is performed to:

  • Create a flat and masculine chest contour 
  • Remove excess breast tissue, fat, and skin 
  • Reduce gender dysphoria 
  • Enhance confidence and body image 
  • Improve comfort in daily activities and clothing

Who is FTM Top Surgery for?

This procedure is suitable for individuals who wish to achieve a more masculine chest appearance, including:

  • Transgender men (Female-to-Male)
  • Individuals undergoing gender transition
  • Patients with gynecomastia (male breast enlargement) seeking permanent correction

Procedure Overview

FTM Top Surgery is customized for each patient based on body type and desired outcome. The procedure may include:

  • Removal of breast tissue (mastectomy)
  • Liposuction to contour the chest
  • Removal of excess skin
  • Repositioning and resizing of the nipple and areola
  • Chest contouring to achieve a natural male appearance

 

Your surgeon will determine the most appropriate technique to ensure optimal and natural-looking results.

How to Prepare for Surgery

For patients undergoing FTM Top Surgery in Thailand, preparation typically includes:

  • A full medical evaluation
  • Mental health assessment by a licensed psychiatrist 
  • Confirmation of readiness for surgery
  • Understanding of the surgical process and long-term outcomes

According to medical guidelines, patients are usually required to provide psychiatric evaluation documents confirming eligibility and informed decision-making.

Surgery Prices

Surgery list

Staring Prices

 

FTM Top surgery O/U Types
(Peri-Areolar / Keyhole scar types)

95,000 – 200,000

 A – B cups / No sagging

FTM Top surgery Long Type (Double-incision scar type)

150,000 – 300,000

B – D+ cups / Breast Sagging

Note: Surgical costs may vary from case to case, as each patient requires an individual assessment based on their anatomy, the extent of revision needed, and the complexity of the procedure.

The quoted price includes postoperative care and follow-up services for a period of 5 years.

Benefits of FTM Top Surgery

  • A masculine and natural-looking chest
  • Improved self-confidence and body alignment
  • Reduced emotional distress related to gender dysphoria
  • Enhanced quality of life

Why Choose a Specialized Hospital?

FTM Top Surgery should be performed by a board-certified plastic surgeon experienced in gender-affirming procedures. Choosing a qualified medical team ensures:

  • Safe surgical outcomes 
  • Personalized surgical planning 
  • Natural and aesthetically balanced results 
  • Comprehensive pre- and post-operative care
  •  

Recovery After FTM Top Surgery

Post-Operative Care Guidelines

Proper post-operative care is essential to ensure optimal healing, minimize
complications, and achieve the best possible results after
FTM Top Surgery.

Immediate Post-Surgery Care

  • Drain Care Surgical drains are typically required for approximately 7 days,
    or until fluid output significantly decreases.
  • Suture Removal Stitches are usually removed 14 days after surgery.
    Our medical team will schedule your follow-up appointment accordingly.

Wound Care Instructions

  • Keep the Incision Dry
    Avoid exposing the surgical area to water for at least 14 days. During this period, sponge bathing is recommended while keeping the chest area dry. 
  • Chest Compression Garment
    Do not remove the chest bandage or compression garment unless instructed by your surgeon.
    Continuous use is recommended for approximately 3 months to support proper healing and chest contour.

Activity Restrictions

  • Avoid strenuous exercise, heavy lifting, and raising your arms above
    shoulder level for at least
    6 weeks 
  • Gradually return to normal daily activities as advised by your surgeon

Follow-Up Care

  • After suture removal, regular follow-up visits will be scheduled monthly to monitor healing progress
  • For international patients, online follow-up consultations are available for convenience

Lifestyle After Surgery

  • You may resume hormone therapy, alcohol consumption, and smoking
    approximately
    4 weeks after surgery, or as advised by your doctor

Important Notes

To promote optimal healing, please avoid the following during recovery:

  • Pickled or highly processed foods 
  • Vitamins and dietary supplements (unless prescribed) 
  • Raw or undercooked foods
  •  

Recovery Timeline Overview

  • 7 days: Drain removal (approximate) 
  • 14 days: Suture removal 
  • 4 weeks: Resume certain lifestyle activities 
  • 6 weeks: Resume light physical activities 
  • 3 months: Full chest contour support with compression garment
  •  

Related

Surgeries

Female to Male Surgery

Testosterone Therapy

Hysterectomy & Oophorectomy

ALT Phalloplasty

Female to Male Surgery

Testosterone Therapy

Hysterectomy & Oophorectomy

ALT Phalloplasty

FAQ

FAQ

Do I need a drainage tube after chest surgery?
  • In most cases, a surgical drain is placed after FTM Top Surgery to help remove excess fluid and reduce swelling, promoting faster healing. 
  • The patients who prefer not to use a traditional drain system may consult the surgeon about alternatives, such as a short drainage tube, depending on individual suitability.
1. Standard Surgical Drain

This method uses a drainage tube connected to a collection bottle that removes blood and fluid from the surgical area.

Benefits include:

  • Faster reduction of swelling 
  • Lower risk of fluid accumulation (seroma) 
  • Fewer follow-up visits required 

 

This option is ideal for patients with limited time for frequent clinic visits.

2. Short Drainage Tube (No Collection Bottle)

This method uses a small drainage tube without a collection bottle. Fluid is absorbed using medical gauze.

Considerations include:

  • Requires daily wound care and gauze changes
  • More frequent follow-up visits are necessary

 

This option may be suitable for patients who can attend regular post-operative care appointments.

  • Yes, wearing a chest compression garment is an essential part of recovery after FTM Top Surgery.

 

It helps to:

  • Reduce swelling 
  • Support proper tissue healing 
  • Improve chest contour results 

 

For patients prone to scarring or with prolonged redness, the surgeon may recommend extended use to help prevent hypertrophic scars or keloids.

The cost of FTM Top Surgery (Mastectomy) varies depending on several factors, including:

  • Individual body structure
  • Surgical technique required
  • Complexity of the procedure

 

For the most accurate pricing, a personalized consultation with the surgeon is recommended. This allows for a tailored surgical plan that aligns with both medical considerations and the patient’s goals.

Specialists in Female to Male Top Surgery

Specialists in Female to Male Top Surgery

Dr. Ngamcherd Sitpahul
(Dr. Wan)

Medical License: 32013

Review of Female to Male Top Surgery

Review of Female to Male Top Surgery

Other Surgeries at Siamese Hospital

Other Surgeries at Siamese Hospital

Caring for every step of your journey with expertise, understanding, and international standards.

Caring for every step of your journey with expertise, understanding, and international standards.

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