Transgender Breast Augmentation

For many transgender women, breast augmentation is vital to gender affirmation. We specialize in transgender breast augmentations that allow patients to live as their most authentic selves and achieve a physical appearance that reflects their true identity.

Is Transgender Breast Augmentation right for you ?

Pre and Post Operative Instructions

Breast augmentation is an excellent choice for many patients ready to take the next step in their transition. You may be a good candidate for this procedure if you have good physical health and specific breast goals. Additionally, since you have likely taken other steps in your transition process, it’s recommended that you also meet the following criteria before your transgender breast augmentation: 

Completed hormonal therapy

Attended at least three months of professional counseling

Received support from a licensed health professional (i.e., a letter of recommendation that our staff can verify)

Discontinued any medication that could pose adverse side effects during surgery (i.e., medications that cause excessive bleeding, such as aspirin and heparin)

Transgender Breast Augmentation Surgery & Insurance Coverage

Gender-affirming operations are one of the few cosmetic procedures that may be covered by health insurance. Obtaining coverage usually requires detailed documentation of your transition and counseling from your primary care doctor and various mental health specialists. We encourage all potential transgender breast augmentation patients to contact their health insurance companies to understand their guidelines for coverage before their initial consultation fully. 


Before surgery

A patient care concierge will guide you through the entire consultation process, which can be attended in person or virtually. During the consultation, your surgeon will learn about your goals, answer any questions, and perform an examination to create a personalized surgical plan. You’ll provide photos representing your breast goals and discuss your implant options. You will then be matched with a surgical coordinator who will walk you through each step of the preoperative process.

Stop smoking
Fill prescriptions
Stop medications and supplements that exacerbate bleeding
Plan time away from work, childcare, and pet care for recovery
Find a family member or friend to bring you home and assist you after surgery

During surgery

To perform this procedure, incisions will be made according to the operative plan created during your consultation.

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Transgender Breast Augmentation Surgery

The surgeon will make incisions according to the operative plan created during your consultation. Incision options vary based on the type of implant used, the placement, and the patient's and the surgeon's preference. Options include:


Inside the armpit


Beneath the breast


Around the areolar

Regardless of the incision technique, the surgeon will carefully perform each pocket dissection to avoid bleeding. Each pocket is irrigated three times with a triple antibiotic solution to help reduce the risk of capsular contracture.

Next, the implant is placed into the breast pocket using a Keller funnel, which has been proven to decrease incision size and the risk of capsular contracture significantly. Implants are placed in two locations: above (subglandular) or below the chest muscle (submuscular).

After the surgeon places the implants, incisions are closed using a five-layer closure technique to minimize tension and decrease inflammation, ensuring minimal scarring and optimal healing.

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Surgery duration
2 hours

After surgery

Patients will experience swelling and soreness for the first few days following a breast augmentation but are often pleased to find this stage of recovery is very short. Most patients begin feeling better within three days and return to work within the week if their job is not overly strenuous. Pain, swelling, and sensitivity will linger for a few weeks but subside enough to allow you to return to most activities. 

Patients are encouraged to walk immediately after surgery to prevent blood clots and improve circulation. Rigorous exercise should be restricted for two weeks, and upper-body activities should be avoided for six weeks. The breasts take about six weeks to drop and fluff and about six months to see their final appearance.

Your surgeon will provide specific instructions for optimal post-operative care, including an advanced scar management protocol after the initial healing period. Your surgical team is always available and will closely monitor your recovery in the weeks and months following surgery.

Breast implants are designed to last for many years, making them an excellent investment of time and money. The FDA and implant manufacturers recommend replacing implants every ten years. Regular monitoring of breast implants after augmentation is also recommended.

Immediate Recovery Period
4 days
Final Results
6 months
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Ready to take the next step?

Start your journey now with a virtual consultation. Have more questions? Fill out the contact form below, and a patient care representative will reach out to you shortly. We look forward to hearing from you!

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