Welcome to the practice of Dr. Saad Alsubaie, your trusted double board-certified plastic surgeon. We understand that considering a gender-affirming mastectomy is a significant and deeply personal decision. We are here to provide you with detailed information and support to help you make an informed choice on your journey to aligning your physical appearance with your gender identity.

What is Gender-Affirming Mastectomy?

Gender-affirming mastectomy, also known as top surgery, is a procedure designed to remove breast tissue to create a more masculine chest contour. This surgery is an important step for many transgender men and non-binary individuals seeking to reduce gender dysphoria and achieve a body that aligns with their gender identity.

Benefits of Gender-Affirming Mastectomy

  • Aligned Physical Appearance: Creates a chest that matches your gender identity.
  • Reduced Gender Dysphoria: Alleviates the distress associated with gender dysphoria.
  • Enhanced Confidence: Boosts self-esteem and body image.
  • Improved Comfort: Eliminates the need for chest binding and enhances comfort.

Who is a Good Candidate?

You may be a good candidate for gender-affirming mastectomy if you:

  • Experience gender dysphoria related to your chest.
  • Are in good overall health and maintain a stable weight.
  • Have realistic expectations about the outcomes of the surgery.
  • Are of legal age and have obtained the necessary psychological assessment and recommendation for surgery, as required by some healthcare guidelines.

The Consultation Process

During your consultation with Dr. Saad Alsubaie, we will:

  • Discuss your medical history, hormone therapy, and any previous surgeries.
  • Evaluate your chest size, skin elasticity, and overall health.
  • Understand your goals and expectations for the surgery.
  • Explain the procedure in detail, including the techniques we will use and what to expect during recovery.
  • Address any questions or concerns you may have.

The Procedure

  1. Anesthesia: The surgery is performed under general anesthesia to ensure your comfort.
  2. Surgical Techniques: Several techniques are used depending on your chest size and skin elasticity:
    • Double Incision with Nipple Grafts: Suitable for larger chests, involves two horizontal incisions and repositioning of the nipples.
    • Periareolar or Keyhole: Suitable for smaller chests, involves an incision around the areola.
    • Inverted T or Anchor: Combines the double incision with a vertical component for additional contouring.
  3. Tissue Removal and Contouring: Breast tissue is removed, and the chest is reshaped to create a flat, masculine contour. Drains may be placed to prevent fluid buildup.
  4. Nipple and Areola Positioning: Nipples and areolas may be resized and repositioned to achieve a natural appearance.
  5. Closing Incisions: Sutures, skin adhesives, or surgical tape are used to close the incisions, ensuring optimal healing.

Recovery and Aftercare

  • Initial Recovery: You will be monitored in our facility before being discharged with detailed aftercare instructions.
  • Pain Management: Mild discomfort and swelling are common, managed with prescribed medications.
  • Activity Restrictions: Avoid strenuous activities for at least four to six weeks.
  • Follow-Up Visits: Regular check-ups with Dr. Alsubaie to monitor your healing process.
  • Scarring: Scars will fade over time but can be minimized with proper care and sun protection.

Risks and Considerations

As with any surgery, gender-affirming mastectomy comes with potential risks, including:

  • Infection
  • Scarring
  • Changes in nipple sensation
  • Asymmetry
  • Hematoma or seroma

Dr. Alsubaie will discuss these risks in detail during your consultation to ensure you are fully informed.

Your Journey to Authenticity

At Dr. Saad Alsubaie’s practice, we are committed to providing you with exceptional care and personalized attention. Our goal is to help you achieve a chest that aligns with your gender identity, enhancing your quality of life and boosting your confidence.

If you have any questions or are ready to schedule your consultation, please contact us today. Let us support you on your journey to a more authentic and confident you.


Dr. Saad Alsubaie, Double Board-Certified Plastic Surgeon