Should You Consider MTF Top Surgery?

Breast enlargement in our male to female transitioning patients is done to enhance the shape and size of the breasts to create a more feminine physique. Although technically similar to “regular” Breast Augmentation using breast implants, there are some particular differences done in this patient group to address specific needs. Differences in chest size and configuration need to be carefully considered to make your breast larger, fuller and suitable for both your overall physical proportions and desired outcome. Often larger breast implants are required, particularly in broader and taller patients. Fuller projection implants are often preferred to make up for the relative deficiency of native breast tissue.

Breast enlargement may be an important part in your transition process. Breast implants will make your breasts fuller, larger and more feminine, improving your body proportions, self-image and confidence.

Breast enlargement is a very commonly performed plastic surgery procedure, and Dr David Boudana is experienced in assisting patients with gender reassignment, to improve your physical proportions, self-image and femininity. At your two preoperative consultations, Dr. Boudana will explain the surgery to you in detail and plan what outcome will give you the best results for your desired goals.

Are you a good candidate for MTF Top Surgery?

MTF breast augmentation is a solution for transwomen or non-binary transgender people who wish to achieve a more feminine looking appearance through a surgical procedure that uses saline or silicone implants to enhance the size and shape of your chest.

MTF breast augmentation requires careful decision making to ensure the result meets the desired outcome. There are a variety of ways to perform the surgery, a variety of sizes and shapes of breast implants to choose from, and nowadays, autologous fat transfer is another option for people who want a more subtle result.

Choosing to undergo surgery is a complex process shaped by internal feelings and philosophies as well as by external circumstances such as your overall health and mental health.

The ultimate goal of the surgery is to make you feel more comfortable with your body by better aligning your physical characteristics with your internal sense of self and the self you’d like to present to the world.

Are You A Candidate?

Our Breast Cosmetic Self Evaluation can help you decide if a top surgery is the right procedure for you.

What are the procedure techniques and scars

The principles of breast augmentation are similar for transgender women and cisgender women. But transgender women typically have broader chests, larger and thicker pectoral muscles, smaller and more lateral nipple and areola positioning, and shorter distances between their nipples and the creases under their breasts (inframammary). Because of their wider chest walls, transgender women often have a wide space between their breasts, even with use of larger implants.

You have several options when it comes to incision location. Your implants can be placed through an incision made along the border of your areola (periareolar), just below the fold of your chest muscle (inframammary), or through your armpit (transaxillary).

Though your incision location will ultimately depend on your personal preference, Dr. Boudana typically recommends the inframammary fold incision. This is because most patients choose silicone implants (which are inserted fully inflated and sealed) and have narrow areolas.

Although scars are present following any surgery, our surgeons will make every effort to keep them as minor and subtle as possible. Scars fade over time, and are positioned to become less noticeable as this occurs.

  • Anaesthesia:
  • Duration:
    1.5 to 2 hours
  • Pain level:
    4 to 6/10
  • Recovery time:
    2 to 4 weeks
  • Resumption of physical activities:
    6 weeks

Why choose Dr. Boudana for your top chest surgery?

With several hundred successful gender reassignment surgeries under his belt, Dr. Boudana is highly experienced in this procedure. If you are considering sex reassignment procedure, Dr. Boudana offers a personalized approach that will meet your expectations.

Procedure details

In the consultation, Dr. Boudana will be attentive to your expectations.

During the consultation, Dr Boudana will discuss your current transition stage, your health and details about the aesthetic outcomes you desire.

It is very important to spend enough time in the first consultation to establish what you consider to be your ideal breast size and shape. It is a good idea to bring in any pictures of breast enlargements that you like. Dr Boudana will carefully examine your breasts, take measurements and show you various implant options to consider. This will include various shapes, sizes and “projections”, to customise the choice specifically for your successful outcome.

Photographs of your chest will be taken and, if suitable, 3D simulation will be done, to show you what breast implants of different shape and size will look like. Dr Boudana aims to choose the best breast implant shape and size for your body to achieve the desired results.

Any potential complications that could arise will also be discussed, and your recovery process explained. Please ask any questions that you may have, and come prepared with a list of these to your consultation.

MTF Top Surgery is “day surgery” procedure and usually takes 1.5 – 2 hours, and you go home a few hours after the surgery.

After you are placed under a general anaesthetic, the implant is inserted through a small incision is made under the breast and enough space made to accommodate the pre-chosen breast implant. Using very strict sterile conditions, the breast implant is then placed and the wounds securely stitched closed, using hidden stitches beneath the skin. There are no stitches that need to be removed. Protective dressings are then placed and you wake up in the recovery ward.

After surgery, you will receive a personalized follow-up. Our nurses will also be available to you. You will be given a postoperative instruction sheet when you are discharged as well as a prescription for pain medication.

All our follow-up appointments are free of charge for the first year after your surgery.

With hundreds of successful top surgeries under his belt, Dr. Boudana will guide and advise you to achieve the desired results.


The results of breast augmentation are immediately visible. Final results will be visible over the course of a few months as swelling dissipates and your tissues relax.

Your implants also need time to settle in order for the results to look more natural. How long it takes to see your final results will depend on the type of implant that was used, where the implant was placed and your body type. The stronger your pectoral muscles are, the faster you will heal. It’s natural to want to see your results as soon as possible but giving your body time to heal is well worth it.

Dr. Boudana is known for his artistic eye, expert hands, experience, and meticulous attention to detail. He is also known for his outstanding breast enhancement results.

Do you want to see your new look before the surgery?

Visualize yourself in 3D & discover your new look with Dr. David Boudana!

See your results BEFORE having a surgery.

Book your 3D Consultation Today!

Ready for feel more comfortable in your body?

Schedule your personal or virtual consultation with Dr. David Boudana.

During your consultation, Dr. Boudana will take the time to address your specific goals and to discuss your treatment options. He will determine if you are a good candidate for top chest surgery and review the results that can be realistically achieved. He will also help you determine which complementary procedures may benefit you the most.