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Surgical Expertise Rooted in Respectful, Individualized Care

Gold Coast Plastic Surgery offers FTM top surgery as part of our commitment to providing thoughtful, evidence-informed, and patient-centered gender-affirming care. Board-certified plastic surgeon Dr. Robert J. Lukavsky brings advanced surgical training, meticulous technique, and a compassionate, collaborative approach to each procedure. Every surgical plan is developed around your unique anatomy, goals, and long-term comfort—never a one-size-fits-all model—ensuring outcomes that feel balanced and truly tailored to you.

What Is FTM Top Surgery?

Transgender Man

FTM (female-to-male) top surgery (or chest masculinization surgery) is a gender-affirming procedure designed to create a flatter, more traditionally masculine chest contour. The surgery involves:

  • Removing breast tissue
  • Reshaping the chest wall
  • When appropriate, resizing and repositioning the nipples and areolae

Modern top surgery techniques emphasize preserving chest contour harmony, minimizing visible scarring when possible, and optimizing long-term results as the body heals and matures.

FTM Top Surgery Techniques

Depending on anatomy and goals, techniques may include:

  • Double Incision Technique: Common for larger chests; allows significant tissue removal and contouring.
  • Periareolar Technique: Suitable for smaller chests with minimal excess skin.
  • Keyhole Technique: For select candidates with very small chest volume.
  • Inverted-T Technique: Used in specific cases requiring additional reshaping.

The most appropriate method is determined collaboratively during consultation.

Dr. Lukavsky Discusses FTM Top Surgery Details

Dr. Lukavsky

Benefits of FTM Top Surgery

  • A chest appearance that aligns more closely with your gender identity
  • Reduction of gender dysphoria related to chest anatomy
  • Increased comfort in clothing and social settings
  • Elimination of the need for chest binders
  • Improved self-confidence and body autonomy
  • Long-term, stable chest contouring results

Are You a Good Candidate for FTM Top Surgery?

You may be a good candidate for FTM top surgery in Chicago if you:

  • Experience persistent chest-related gender dysphoria
  • Are in generally good physical health
  • Are a non-smoker or willing to stop nicotine use before and after surgery, as nicotine can impair wound healing
  • Maintain a stable body weight, which supports predictable surgical outcomes and scar healing
  • Have realistic expectations regarding chest contour, scarring, and recovery
  • Have a reliable support system to assist during early post-operative healing
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Top Surgery Patient Testimonials

Dr. Lukavsky and the rest of the staff at Gold Coast Plastic Surgery truly care about their patients and their actions prove it.

I received gender-affirming top surgery from Dr. Lukavsky in mid-May and am extremely happy with both the results and the experience as a whole. There are many surgeons that offer top surgery in Chicago, but I would highly recommend anyone considering this to schedule a consultation with Dr. Lukavsky. I have never before had such easy communication and undivided attention in a healthcare setting. Appointments never felt rushed (and always started on time) and Dr. L went out of his way to ensure all questions were answered. Dr. L explained the pros and cons of different surgical techniques and made space for me to choose what felt right for myself. After surgery, Dr. L called multiple times to check in, he was incredibly easy to get in contact with and would call back immediately after receiving a text message to answer any questions. This alone alleviated so much of my stress during my recovery. I am incredibly happy with the results so far look forward to seeing the final outcome once fully healed. Dr. L and the rest of the staff at Gold Coast Plastic Surgery truly care about their patients and their actions prove it. I would highly recommend anyone planning on scheduling top surgery, or other plastic surgery, to choose Dr. Lukavsky.

J.D.

I'm so grateful for such a positive experience, and would I would highly recommend them to anyone seeking ftm top surgery!!

Dr. Lukavsky is such a warm and clearly knowledgeable surgeon, as was his entire team. Everyone I came into contact with at Gold Coast was incredibly kind and welcoming. This being my first major surgery, and a gender-affirming one at that, I could not have asked for a better team to work with pre-op and post-op. Dr. Lukavsky is personable, and contacted me directly post-op to check in. You can tell he genuinely loves what he does, and cares about his patients! Sarah, Tanis, and Dr. Lukavsky were all extremely easy to contact, and super helpful and reassuring when I did so. I'm so grateful for such a positive experience, and would I would highly recommend them to anyone seeking ftm top surgery!!

S.V.

Please do yourselves a favor and book your consultation ASAP.

Dr. Lukavsky is beyond 5 Stars AMAZING!! He delivers exceptional patient care and has extensive expertise in the field. There is no doubt, that he is passionate about what he does; he executed the job, and it was well done. I am beyond thankful for the entire staff and Dr. L, because they made everything so easy from beginning to end. If you are doubting getting work done, DON’T. Please do yourselves a favor and book your consultation ASAP. You have nothing but to gain from it. They are highly skilled and professional. I loved my results! THANK YOU!!!!!

A.C.

Dr. Lukavsky has such a genuine care for his patients that is truly needed when you are considering surgery.

Dr. Lukavsky and his team at GCPS exceeded my expectations in every way. The entire process from consult, to surgery, to recovery has gone smooth, and I feel supported every step of the way. Dr. L is extremely knowledgeable in his craft, but takes his time to carefully explain the process/nuances, and seeks to reconfirm your understanding to always ensure transparency. I was prepared with so much info ahead of time which I really appreciated. Dr. L has such a genuine care for his patients that is truly needed when you are considering surgery. I am so happy with my results! Tanis and Sarah are so helpful and efficient.

M.M.

You’ll be so happy with the results and service you get!

Gold Coast PS has been amazing from my first consultation with Dr. Moynihan. He’s so professional yet personable at the same time. He treats you like family and he wouldn’t do anything to put you in harms way or do anything you’re not comfortable with. His staff also deserves the highest praises. They are the sweetest people with the best bed side manner. They STILL check up on me and tell me about specials going on at GCPS. Huge shout out to Nicole and Susan for all the help and answering all of my questions. Seriously, you can’t go wrong with Gold Coast! You’ll be so happy with the results and service you get!

M.J.

I would definitely recommend anyone interested to check out Gold Coast Plastic Surgery!

I had a great experience with Dr. Moynihan and his team! From communicating with team members about setting up a consultation, to talking through what the procedure would entail and getting mock up photos created, I was very excited to move forward with my surgery. All of the instructions throughout the process were explained very clearly so I never felt like I was missing information. Surgery itself went great, the facility is very well organized and you have a whole team (nurses, the doctor and anesthesiologist) meeting with you beforehand to talk through as much information as you would like. Recovery went just as I had expected and was explained to me, and I love my results. I would definitely recommend anyone interested to check out Gold Coast Plastic Surgery!

N.R.

Best part about my experience is the results are natural and helps achieve the best version of myself.

Dr. Moynihan is an amazing doctor. At first I felt uncomfortable talking about my insecurities and how I felt but sitting down with the Dr. I felt very good opening up to him with my issues and he listens and cares. Any concerns I had whether it is big/small he took his time with me to understand my situation and then come up with a plan to help achieve the results I desire. Best part about my experience is the results are natural and helps achieve the best version of myself. Would definitely recommend!

A.T.

Female to Male Top Surgery Before & After

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Why Choose Gold Coast Plastic Surgery for FTM Top Surgery?

Choosing the right surgical team for FTM top surgery is an important and personal decision. At Gold Coast Plastic Surgery, your care is led by Dr. Robert J. Lukavsky, a board-certified plastic surgeon with advanced training in breast and body surgery, as well as extensive experience in complex tissue reshaping and strategic scar planning. Every procedure is performed in our AAAASF-accredited onsite surgical facility, ensuring the highest standards of safety, privacy, and discretion.

Equally important is our patient-first philosophy. We prioritize informed consent and shared decision-making, empowering you with education and transparency at every step. Our highly responsive care team provides attentive pre- and post-operative support so you feel heard, seen, and supported throughout your recovery. We understand the emotional significance of gender-affirming surgery, and we are honored to be trusted with this part of your journey.

What to Expect Before, During, and After FTM Top Surgery

Consultation

  • Dr. Lukavsky will discuss your goals, review surgical options, explain potential outcomes, and answer all questions thoroughly
  • Pricing is individualized based on technique and surgical complexity
  • We do not currently accept insurance; however, financing options may be available

Procedure

  • Surgery is performed under general anesthesia
  • Breast tissue is removed using the most appropriate incision method
  • The chest is sculpted for a masculine contour
  • Nipples may be resized and repositioned, depending on the technique
  • Incisions are closed with meticulous attention to scar placement

Recovery and Results

  • Most patients return to light activities within 1–2 weeks
  • Compression garments are typically worn during early healing
  • Strenuous activity is restricted for approximately 4–6 weeks
  • Swelling gradually subsides over several months
  • Final chest contour continues to refine as healing progresses
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You Deserve a Refined Surgical Experience

Your identity is worthy of care that is attuned, elevated, and transformative. Schedule a private consultation with Dr. Robert Lukavsky at Gold Coast Plastic Surgery to explore FTM top surgery today.

FAQs

Will FTM top surgery affect nipple sensation permanently?

Can FTM top surgery be combined with other procedures?

How visible are scars long-term?

Do I need to stop testosterone therapy before surgery?

How long should I plan to take off work or school?

What are the risks and potential side effects of FTM top surgery?

Will I need drains after surgery?

When can I return to exercise or weight training?

How long does it take to see the final results?

What if I want revisions or refinements in the future?

Will FTM top surgery affect nipple sensation permanently?

Changes in nipple sensation are possible after top surgery and vary depending on the surgical technique used. Some patients experience temporary numbness that improves over time, while others may have partial or permanent changes in sensation. During your consultation, Dr. Lukavsky will discuss how various techniques may affect sensation, taking into account your anatomy and goals.

Can FTM top surgery be combined with other procedures?

In some cases, FTM top surgery can be safely combined with other procedures, such as liposuction for contour refinement. Combining procedures depends on overall health, surgical complexity, and safety considerations, which will be carefully evaluated during consultation.

How visible are scars long-term?

All surgical procedures result in some degree of scarring; however, scars typically fade significantly over time. Dr. Lukavsky places incisions strategically to optimize healing and ensure a long-term, optimal appearance. Scar management strategies, including silicone therapy and sun protection, are discussed to support optimal outcomes.

Do I need to stop testosterone therapy before surgery?

In most cases, testosterone therapy does not need to be stopped before FTM top surgery. However, every patient’s medical history is reviewed individually. Dr. Lukavsky will coordinate recommendations based on current medications, overall health, and surgical safety.

How long should I plan to take off work or school?

Most patients plan for 1–2 weeks away from work or school, depending on the physical demands of their role. Jobs that require heavy lifting or strenuous activity may necessitate additional time off from work. This is reviewed in detail so you can plan appropriately.

What are the risks and potential side effects of FTM top surgery?

As with any surgical procedure, FTM top surgery carries potential risks. These may include bleeding, infection, delayed wound healing, unfavorable scarring, asymmetry, fluid accumulation, or changes in nipple sensation. Serious complications are uncommon when surgery is performed by a board-certified plastic surgeon in an accredited facility. All risks are thoroughly reviewed during consultation, allowing you to make an informed decision.

Will I need drains after surgery?

Some surgical techniques require the use of temporary surgical drains to help reduce fluid buildup during the early stages of healing, while others may not. If drains are used, they are typically removed within the first week. Dr. Lukavsky will explain whether drains are likely to be part of your surgical plan.

When can I return to exercise or weight training?

Light movement is encouraged early in recovery, but strenuous exercise and upper-body weight training are typically restricted for 4 to 6 weeks after surgery. A gradual return to activity helps protect healing tissues and maintain an optimal chest contour.

How long does it take to see the final results?

Initial improvements are visible soon after surgery, but swelling and tissue settling continue for several months. Most patients experience more refined and stable results between 3 and 6 months, with continued scar maturation over the course of a year.

What if I want revisions or refinements in the future?

While most patients are very satisfied with their results, revision surgery is occasionally requested to address issues such as scar appearance, contour refinement, or nipple positioning. If needed, Dr. Lukavsky will discuss options once healing is complete and tissues have fully stabilized.

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