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Surgical Solutions Intentionally Designed

Non-binary identities encompass a broad spectrum of experiences and aesthetic goals. As such, non-binary top surgery is offered as part of our commitment to 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 collaborative approach that prioritizes listening first. Every surgical plan is built to feel intentional, affirming, and authentic.

What Is Non-Binary Top Surgery?

Non-binary top surgery refers to customized chest surgery designed for individuals whose gender identity does not align exclusively with “male” or “female” categories. Unlike traditional FTM or MTF top surgery, non-binary top surgery does not aim for a single standard outcome. Instead, it focuses on achieving a chest appearance that aligns with how you experience and express your identity.

Depending on your goals, non-binary top surgery may involve:

  • Partial removal of breast tissue
  • Preservation of some breast volume
  • Subtle chest contouring for an androgynous appearance
  • Breast reduction rather than full removal
  • Small-volume breast augmentation or shaping
  • Customized nipple size, placement, or preservation choices

Surgical planning is highly individualized and informed by your anatomy, skin characteristics, and desired balance between flatness, volume, and contour. Our clinical approach aligns with modern principles of gender-affirming care, emphasizing autonomy, flexibility, and shared decision-making.

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Benefits of Non-Binary Top Surgery

  • Improved alignment between physical appearance and gender identity
  • Reduction of chest-related dysphoria or discomfort
  • Greater comfort in clothing and daily life
  • Enhanced sense of agency and body autonomy
  • Improved emotional well-being and confidence
  • Long-term satisfaction with a personalized outcome
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Are You a Good Candidate for Non-Binary Top Surgery?

You may be a good candidate for non-binary top surgery in Chicago if you:

  • Experience chest-related dysphoria or discomfort that surgery may help address
  • Are in generally good physical health
  • Are a non-smoker or willing to stop nicotine use before and after surgery
  • Have realistic expectations about outcomes, scarring, and recovery
  • Are psychologically prepared for surgery and recovery
  • Can provide informed consent
  • Have support available during early healing
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Why Choose Gold Coast Plastic Surgery for Non-Binary Top Surgery?

Non-binary top surgery requires nuance and respect for individuality. When you partner with Gold Coast Plastic Surgery, your care is led by Dr. Robert J. Lukavsky, a board-certified plastic surgeon with advanced expertise in breast and chest surgery, as well as a strong foundation in complex tissue reshaping. All procedures are performed in our AAAASF-accredited onsite surgical facility, ensuring the highest standards of safety, privacy, and discretion.

Our patient-first philosophy emphasizes collaboration, education, and shared decision-making. We take the time to understand your goals without assumptions or pressure, providing attentive pre- and post-operative care in a calm, supportive environment. Every detail of your experience is designed to honor both surgical excellence and the personal significance of gender-affirming care.

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.

What to Expect Before, During, and After Non-Binary Top Surgery

Consultation

  • Dr. Lukavsky will discuss your goals in detail, review surgical options, and outline what outcomes are realistically achievable
  • Pricing is individualized based on surgical approach and complexity
  • We do not currently accept insurance; financing options may be available

Procedure

  • Surgery is performed under general anesthesia
  • Breast tissue may be partially removed, reshaped, or preserved depending on goals
  • The chest is contoured to achieve the desired balance of flatness, volume, and shape
  • Nipple size, placement, or preservation is customized when applicable
  • Incisions are closed with careful attention to scar placement

Recovery and Results

  • Most patients return to light activities within 1–2 weeks
  • Compression garments may be recommended during early healing
  • Strenuous activity is restricted for approximately 4–6 weeks
  • Swelling gradually subsides over several months
  • Final results continue to refine as tissues settle and scars mature
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You Deserve Care That Reflects Who You Are

Your identity is worthy of thoughtful, precise care, delivered with respect. Schedule a private consultation with Dr. Robert J. Lukavsky at Gold Coast Plastic Surgery to explore non-binary top surgery in a supportive, discreet environment.

FAQs

Is non-binary top surgery the same as a “partial” FTM or MTF procedure?

Can I change my goals during the consultation process?

How do you plan for an outcome that doesn’t fit a standard aesthetic?

Will non-binary top surgery limit future surgical options?

How does scarring differ from non-binary top surgery?

Do non-binary patients always need nipple resizing or repositioning?

What are the risks and possible side effects of non-binary top surgery?

How private is the experience at Gold Coast Plastic Surgery?

How long should I wait before evaluating whether I’m happy with my results?

What if I’m unsure whether surgery is the right step for me?

Is non-binary top surgery the same as a “partial” FTM or MTF procedure?

Not necessarily. While some techniques may overlap, non-binary top surgery is not defined by a preset surgical endpoint. The approach is customized to your specific goals and may involve partial tissue removal, preservation of volume, or hybrid techniques that do not align with traditional FTM or MTF outcomes.

Can I change my goals during the consultation process?

Yes. Many patients refine or clarify their goals through discussion and visualization during consultation. Dr. Lukavsky encourages open dialogue and takes time to ensure the surgical plan reflects your most current preferences before moving forward.

How do you plan for an outcome that doesn’t fit a standard aesthetic?

Planning begins with listening. Reference photos, measurements, and detailed conversations help guide surgical decision-making. Rather than aiming for a standardized look, Dr. Lukavsky focuses on proportion, balance, and tissue behavior to achieve an outcome aligned with your vision.

Will non-binary top surgery limit future surgical options?

In most cases, future surgical options remain available. Some patients later choose additional contouring, further reduction, or augmentation. Dr. Lukavsky considers long-term flexibility when planning surgery and will discuss how today’s choices may affect future options.

How does scarring differ from non-binary top surgery?

Scarring varies depending on the technique used, incision placement, and the amount of tissue altered. Some non-binary approaches may result in less extensive scarring than full chest masculinization, while others may be similar. Scar expectations and management are discussed in detail during consultation.

Do non-binary patients always need nipple resizing or repositioning?

No. Nipple treatment is entirely optional and based on your preferences. Some patients choose to preserve nipple size and position, while others opt for resizing, repositioning, or grafting. These choices are part of the collaborative planning process.

What are the risks and possible side effects of non-binary top surgery?

As with any surgical procedure, non-binary top surgery carries potential risks. These may include bleeding, infection, delayed wound healing, fluid accumulation, unfavorable scarring, asymmetry, or changes in nipple or skin sensation. The likelihood of specific risks depends on the surgical approach used. All potential risks and side effects are thoroughly reviewed during consultation, allowing you to make an informed decision.

How private is the experience at Gold Coast Plastic Surgery?

Privacy and discretion are central to the patient experience. Consultations are confidential, procedures are performed in an on-site accredited facility, and care is delivered with respect and professionalism at every stage—from your first visit through recovery.

How long should I wait before evaluating whether I’m happy with my results?

Initial results are visible early, but swelling and tissue settling can take several months to resolve. Most patients are encouraged to wait at least 3–6 months before assessing final outcomes, as scars soften and contours continue to refine during this time.

What if I’m unsure whether surgery is the right step for me?

It’s completely valid to take time to decide. A consultation does not obligate you to proceed with surgery. Many patients use the visit as an opportunity to ask questions, explore options, and better understand whether surgical care aligns with their needs and comfort.

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