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Performing top surgery for the transgender community is one of Dr. Larson’s greatest passions. It’s an incredible procedure that transforms bodies and changes lives.

Compassionate care you can trust

When planning your top surgery, Dr. Larson’s goal is to educate and empower. He invests a substantial amount of time and effort discussing the options, anticipated results, and potential issues that may arise. He wants you to be fully informed to ensure that you make the right decisions for you.

During all of your experiences with Dr. Larson, you can expect to be treated with the utmost compassion and respect. Relatable and easy to talk to, he will put you at ease throughout your entire journey with our Tucson office.

FTM Top Surgery The procedure

During FTM top surgery, Dr. Larson will remove breast tissue and sculpt a masculine chest appearance. The procedure is done under general anesthesia and involves surgically excising the excess skin and tissue. There are several incision options available, including:


The keyhole incision is a small cut created along the lower border of the areola. It allows Dr. Larson to remove unwanted tissue – but not excess skin. It tends to be the best option for our Tucson patients with small breasts and good skin elasticity.


This approach involves an incision around the areola. Through that opening, Dr. Larson can remove a moderate amount of breast tissue and excess skin.

Double incision

Our Tucson clients with large or sagging breasts tend to require a double incision, which involves an incision along the bottom edge of the pectoral muscle. With this approach, the nipple is often relocated and resized as well. This is one of the more popular techniques, as it is capable of achieving a tight and flat chest appearance.


If you have very large breasts and a significant amount of excess skin, you will likely require an anchor incision. With this approach, the cuts are made around the nipple, down the front of the breast and along the breast crease.

FTM Top Surgery FAQ

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Liposuction: Refining your masculine contours

If you have very small breasts and no sagging skin, your chest may be masculinized via liposuction alone. However, this is quite rare. More often, liposuction is used to refine the results of surgical excision – sculpting a distinctly masculine appearance.

Nipple graft: How Dr. Larson ensures natural-looking nipples

FTM top surgery also involves a procedure to relocate and resize the nipples so they are in a more masculine position on the chest. During a nipple graft, Dr. Larson will remove the nipple and areola, trim the complex to the ideal size, and transfer it to another location. Though nipple sensation will be lost, the final aesthetic outcome is very natural.

Scarring: What to expect

Some scarring is inevitable after FTM top surgery. However, the extent will depend on the quality of your skin and the type of incision used. Dr. Larson places the incisions strategically and closes them with the utmost care to ensure that the resulting scars are as discreet as possible.

Before & After Photos

TG Top Surgery Tucson
TG Top Surgery Tucson
TG Top Surgery Tucson
TG Top Surgery Tucson
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MTF Top Surgery

Dr. Larson offers MTF top surgery, called MTF breast augmentation or augmentation mammoplasty, at Larson Plastic Surgery. We believe you have the right to beautiful, natural-looking breasts. Dr. Larson is proud to offer several options for MTF top surgery at his Tucson, AZ plastic surgery clinic, where we are honored to be part of your journey to achieving a body that matches your true identity.

When it comes to breast growth, hormone therapy can only accomplish so much. Most transwomen find that they also need breast implants – or MTF top surgery – to complete their transformation.

Choosing your breast implants

Among our Tucson transgender surgery clients, silicone implants are the most popular option because they feel softer and look more like natural breast tissue than saline. However, many clients also find the benefits of saline appealing – including the shorter scar and lower cost.

Once you’ve chosen your ideal type of implant, you will need to refine your selection. Prior to surgery, you will have the opportunity to try on different implant sizers to determine the volume, projection and shape that is right for you.

The procedure

If you decide to undergo MTF top surgery with Dr. Larson, your transgender surgery in Tucson will be done under general anesthesia. He will create an incision in your chest, either along the areola (periareolar), beneath the chest muscle (inframammary), or in the armpit (transaxillary) Through that opening, he will place your implant to construct your new chest.

Transgender Surgery Tucson

Start your journey with Larson Plastic Surgery

Dr. Larson is passionate about offering top surgery to the Tucson, Arizona transgender community. Of the many things to consider when planning surgery, the most important is that you achieve the beautiful, feminine curves you envision. Dr. Larson is happy to consult with you about the many decisions involved in a breast augmentation procedure, including:

  • Whether you want saline, silicone, or gummy bear implants
  • The size and shape of your new breasts
  • The best surgical method to achieve the look you envision

Determining these factors will help Dr. Larson help you design a top surgery that will best fit your needs and achieve the curves that reflect your true identity. Other MTF surgeries to create a natural, feminine look can include facial feminization, tracheal shave, butt augmentation and body contouring.

Hormones and your breasts

While it is likely that you are already experiencing changes to your body through the use of hormones, you may feel that the quantity breast tissue is not as much as you envisioned, even after months of taking hormones. But don’t worry, breast augmentation can give you the breasts that bring you happiness and confidence in all the years ahead.

The MTF Top procedure

Dr. Larson will work closely with you and explain the specifics of your top surgery. Some general information about the procedure that is helpful includes:

  • General anesthesia is administered in all cases, so you are sleeping during surgery
  • During the procedure, Dr. Larson will make incisions along the areola, under the armpit, and/or under the fold of skin where your chest and your breast tissue meet in order to insert the breast implants
  • When you wake up from general anesthesia, you will be monitored until given the okay to return home to rest and heal, under the care of a friend or family member
  • When you wake up from your surgery, your new breasts will be bandaged, and you will be wearing a surgical bra
  • Depending on your surgery, you may either go home, or will be asked to stay overnight in some rare cases.

Every person is different, so Dr. Larson will work with you to determine the best plan of action for your top surgery, and ensure you are clear about what to expect.

Recovery after MTF Top surgery

All bodies are different, but in general, you should expect the following recovery from your top surgery:

  • You will have to wear your surgical bra 24/7 for approximately 2 weeks, and then during the night for another 4 weeks
  • The day following your surgery you will be seen by Dr. Larson so he can change your bandages
  • Bedrest is advised for the first few days after your surgery. It is best to have someone stay with you during this time, to help with day-to-day tasks
  • You will not be allowed to drive for one week post-surgery
  • Some patients can return to work after a week, at desk jobs
  • For two weeks you must avoid putting your arms above your head or lifting objects, including pets and children
  • Strenuous exercise must be avoided for six to eight weeks. After two weeks you can resume to resume light exercise for lower body
  • In ten to twelve weeks your breast shape and size will be clearly defined

This surgery offers you lifelong, natural looking results, and your scars will fade after 2 to 3 months, leaving you, at long last, with your body.

Real Patient Experience

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