Female to Male & Non-Binary

Top and Bottom Procedures Offered

The following is a list of Female to Male (FTM) and Non-Binary (NB) Gender affirmation surgeries that we currently offer. Each procedure is then described to assist you in choosing the best surgery to fit your needs. You may also find photos and WPATH requirements below the descriptions. **We are not offering options for Phalloplasty or Metoidioplasty at this time.

Top Surgery Procedures Offered

Double incision mastectomy with free nipple graft

In this procedure, the skin on the chest is opened along two horizontal incisions at the bottom of the pectoral muscle. The muscle itself is not disturbed. The nipples, excess skin, and tissue are removed and the top is pulled down to meet the incision at the bottom of the chest. Liposuction is sometimes done to contour and masculinize the chest. Nipples are then resized, reshaped, and placed in the appropriate place on the chest. This is the most common procedure for top surgery.

Procedure Photos

Keyhole mastectomy

A keyhole mastectomy can only be performed on clients  with a small chest, about an A-cup or smaller.A small incision is made at the bottom of the areola of each  nipple and the tissue is removed via liposuction. In this procedure, the nipples are neither removed nor resized.

Procedure Photos

Nipple – free top surgery

We have had several individuals ask for their nipple grafts not to be replaced during their top surgery, and we are happy to accommodate that request.! This procedure would follow the standard double incision or keyhole procedure, but the chest would then be closed with no nipples present.

Revision surgery

If you have previously had top surgery and are unhappy with your results, have severe or painful scarring, or would like for something to be changed, we are happy to consult with you and Dr. Gallagher can offer potential  solutions on a case-by-case basis.

WPATH Requirements for FTM and Non-binary Top Surgery

Details and Requirements for FTM and Non-binary Top Surgery

Bottom Surgery Procedures Offered

Hysterectomy and Salpingo-Oopherectomy

A hysterectomy is the surgical removal of the uterus and cervix. A salpingo-oopherectomy is the surgical removal of the ovaries and fallopian tubes. These procedures can be performed separately or combined based on each patient’s personal choice, medical history, and surgical plan as discussed with the surgeon.

It is important to note  that Dr. Gallagher does not perform this procedure herself as a Plastic and Reconstructive Surgeon. These procedures are performed by Obstetrics and Gynecology (OB/GYN) physicians.

Combining Top Surgery with a Hysterectomy/Salpingo-Oopherctomy

We do have relationships with two OB/GYN’s  in Indianapolis that we can work to refer you to for their services, OR we can sometimes offer to coordinate your Top Surgery with a Hysterectomy so you only have to undergo anesthesia for one larger surgery!

If you are interested in this combined surgery option, please choose the Combined FTM Top & Hysterectomy option when you submit your request through the Contact Us page.

If you are interested in pursuing a Hysterectomy/Salpingo-Oopherectomy separate from Top Surgery, please reach out to our partnering offices. Please click HERE and locate the Gynecology Providers section.