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Dr. Larson is a member of the World Professional Association for Transgender Health. 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.

Chest Masculinization Surgery - FTM Top Surgery

Dr. Larson’s pronouns are he/him, and he is passionate about providing gender-affirming care. His goal is to sculpt a natural and lasting chest appearance that best embodies each patient’s self-image and aesthetic desires. He has performed over 500 top surgeries and created a surgical instrument for more consistent and accurate masculine nipple creation, making him one of the most experienced top surgeons in the country.

Patients travel worldwide to experience Dr. Larson’s unique, kind, and thoughtful surgical approach. When you trust your chest to the best:

  • You don’t have to worry about looking “scooped out” or overdone
  • Dr. Larson’s surgical complication rate is extremely low
  • Nipple loss is almost unheard of in his practice
  • Dog ears are thoughtfully addressed based on individual anatomy
  • Selective liposuction is frequently employed to create the most masculine chest possible and remove unwanted lumps and bulges in the armpits or elsewhere
  • The entire staff is committed to making your total experience as warm and personal as possible

What is FTM Top Surgery?

FTM top surgery, or Female-to-Male top surgery, is a gender-affirming procedure designed to help transgender individuals align their physical appearance with their gender identity. Top Surgery in Phoenix with Dr. Larson typically involves the removal of breast tissue and reshaping the chest to create a more masculine contour. The specific techniques used can vary, but the goal is to provide a chest that is flat and more in line with the patient's gender expression, improving their overall well-being and quality of life.

Who is a Candidate for Top Surgery?

Candidates for FTM top surgery should generally meet certain criteria to ensure a safe and effective procedure. These criteria may include:

  • Being in good physical and mental health, with medical conditions under control.
  • Reaching a stable point in their gender transition process.
  • Must be at least 18 years old.
  • Demonstrating a realistic understanding of the surgery and its outcomes.
  • Providing informed consent for the procedure.
  • Following any pre-surgery recommendations, such as hormone therapy or counseling, if advised by their healthcare provider.

Compassionate care you can trust

When planning your FTM top surgery in Tucson, 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.

Patient Testimonial

FTM Top Surgery The procedure

During your FTM top surgery in Tucson, 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.

Low Lateral Incision

For patients with A or B cup breasts, with good skin elasticity, and a smaller nipple and areola, a low lateral incision can be made. The scar is about 3-4 inches long and runs from the 6 o’clock position on the inframammary fold out laterally. This allows for removal of a moderate amount of excess skin while repositioning the nipple into a more masculine position (lower and more lateral.) This procedure is slightly more risky because we have to hope the remaining skin retracts and doesn’t end up loose. If that happens, additional surgery may be necessary to correct the problem. As with all top surgery, the results are greatly improved by working out to enhance pectoral development. This helps to keep the final scars off of the masculine chest (scars look more like a rib surgery, not top surgery.)

Pedicled Nipple, Double Incision Technique

This technique combines the double incision with keeping the nipple alive on its own blood and nerve supply. It is Best for B or C cup breasts. This is the surgery for people who really want a chance to preserve nipple sensation but it’s not for everybody. The bulk of the extra tissue needed to keep the nipple alive can add a bulge to the final result so this is better for more stocky people. This is also more risky in terms of nipple survival than the free nipple graft. If this interests you, I will have take some measurements of your chest to make sure that this is a safe option. We will also need to have a long discussion about the pros and cons to make sure that this is right for you.

Drainless FTM Top Surgery

Experience a more comfortable and hassle-free recovery with our innovative drainless FTM top surgery procedure. While traditional techniques typically require post-surgery drains, this method eliminates that inconvenience. Using precision suturing and tailored tissue adjustments, we ensure a smooth contour without requiring any external drains. Your body naturally reabsorbs excess fluids, allowing you to heal more comfortably and quickly. This method comes with a slight increase in cost, which patients can learn more about during the consultation. With our drainless approach, you can look forward to a smoother recovery and the confidence you deserve.

FTM Top Surgery FAQ

Read more FAQs about Transgender Top Surgery

Top Surgery FAQs
Areola Cutter

Can Liposuction Be Used for Top Surgery?

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.

How Does Dr. Larson Ensure 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.

What Should I Expect From Scarring?

Some scarring is inevitable after FTM top surgery in Phoenix. 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.

Plastic Surgery in Tucson Our Office

Located in the central courtyard of the historic Casas Adobes Plaza, our office is charming, relaxing, and has plenty of space for our advanced, cutting-edge devices. Our office is an oasis where patients receive exceptional care in a comfortable atmosphere, with the best technology available. This wonderful refuge is our offering to craft experience where the ease and satisfaction of our patients and clients are the highest priority.

Larson Plastic Surgery Office
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