Female to Male (FTM) Top Surgery is a surgical procedure that can create a masculine contoured chest.  This procedure includes removing breast tissue and involves skin incisions.  The chest contour present will dictate the location of the incision, the need to reposition or reduce the size of the nipple areola complex or the need to perform a free nipple areola complex graft.  Top Surgery may be covered by a patient’s insurance if it is found to medically necessary.

Dr. Silverman considers you a candidate for Top Surgery if:

  1. You are under the care of a qualified mental health professional
  2. You have a letter from the above professional recommending Top Surgery
  3. You have been on hormonal replacement medications (this depends on insurance)
  4. You are a healthy patient
  5. You have realistic goals