At VPSI, we take pride in offering a safe and welcoming space for members of the gender expansive community. Our surgeons have specialized training in transfeminine and transmasculine top surgeries, and they can provide FTM or MTF transitions through natural-looking breast augmentation and masculine-looking chests.


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FTM Top Surgery

As part of our commitment to individualized, head-to-toe care, VPSI specializes in chest masculinization surgeries in the Las Vegas area.

Who is FTM Top Surgery For?

FTM top surgery is ideal if you were assigned female at birth, but self-identify as either male or nonbinary and are prepared to take the next step in your transition process.

The best candidates are in good overall health and have realistic expectations about the procedure. Additionally, they have received a commendation of sound mental health from at least one qualified mental health professional.

The Benefits of Chest Masculinization Surgery

Transmasculine top surgery offers several benefits:

  • Top surgery can provide a physical appearance more closely aligned with your gender self-identification.
  • Gender affirming surgeries can boost your sense of self-confidence and assurance.
  • Gender affirming surgeries may also increase overall mental health and happiness.
  • You can combine chest masculinization surgery with other procedures for more comprehensive results, including facial feminization surgery.

This Way To Your Best Self.
See Our Results.

VPSI can help you achieve the best version of yourself with plastic surgery options to enhance your face, breasts, and body. View our gallery to see how we are redefining plastic surgery.

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Taking the First Steps

The first step in the FTM top surgery process is meeting with one of our doctors in our judgment-free practice. No matter where you are in your transition or your specific cosmetic goals, we are happy to discuss your different options.

During the consultation, your doctor will perform a physical examination and review your medical history, verifying that you are a good candidate for a safe and successful procedure.

In keeping with WPATH guidelines, we require patients to have at least one note of sound mental health from a qualified mental health provider.

Female to Male Chest Surgery Explained

The specifics of your surgery may vary depending on your expectations. We customize each surgery to adequately address your need, whether you wish to appear masculine or nonbinary. Regardless of the surgical method used, our team will provide you with anesthesia options to promote your safety and comfort throughout the surgery.

Chest Masculinization Surgery: Peri-Areolar Mastectomy, AKA Key-hole Technique

One option involves a minimally invasive technique using small incisions, where we make an incision around the nipple only. We then directly remove the breast tissue through the tiny hole. This is often the best option if you have small breasts, good quality skin, and not a lot of excess or sagging skin.

Double Incision Mastectomy

Alternatively, some patients benefit from a double mastectomy with free nipple grafting, and Dr. Brosious has coined “cosmetic mastectomy” to describe this procedure. It is a mastectomy in that breast tissue is removed, but unlike breast cancer, where a doctor removes the disease, chest masculinization aims to create a masculine chest. This requires a heightened awareness of where the scars and nipples will be and how much tissue will be left or taken away.

Recovery and Aftercare

Following any surgical procedure, it is vital to allow your body time to rest and recover. The recovery time for top procedures is typically around a month, after which you should feel ready to resume your normal activities. Many patients are able to return to desk jobs, or light duty, after one week.  We advise you to avoid vigorous exercise for four to six weeks.

While swelling is a common side effect of chest surgery, compression garments can moderate the swelling. Your doctor will also provide pain management tools in advance of the surgery.


Meet Our Board-Certified Plastic Surgeons

At VPSI, our surgeons distinguish themselves by their excellent technical skills and artistic eye. Both Dr. Brosious and Dr. Goldman have the versatile experience that allows them to say “yes” to nearly every patient who walks through the door. 

Dr. John Brosious is a full-scope plastic and reconstructive surgeon offering head-to-toe surgeries. His background includes experience in Level I Trauma centers and academic institutions, equipping him to take on the most advanced reconstruction cases. Dr. Brosious performs over 200 chest surgeries a year for both transfeminine and transmasculine patients, and he is also the only surgeon in Nevada performing male to female genital gender affirmation surgery. 

Likewise, Dr. Joshua Goldman is a comprehensive plastic and reconstructive surgeon, well-known in the breast cancer community for his specialization in breast microsurgery. He single-handedly has the highest number of microsurgery cases in the State of Nevada and has been named by Vegas Inc’s Las Vegas Weekly as “Las Vegas 40 Under 40” and a “2021 Top Doctor.” 

To Dr. Brosious and Dr. Goldman, you are family, and they are here to help guide you through your journey to enhance your natural beauty.

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Josh Goldman, MD

John Brosious, MD


Chest Feminization Surgery

Our practice also offers male-to-female breast surgery if you were born with more masculine features but desire feminine-looking curves.

Who is MTF Breast Augmentation Surgery For?

The best candidates for MTF breast augmentation are those born with more traditionally masculine features but who self-identify as female and wish to have a body shape more closely aligned with their gender identity.

Ideal candidates are in good health overall and have realistic expectations about the procedure. Additionally, they have received a commendation of sound mental health from at least one qualified mental health professional.

The Benefits of Chest Feminization Surgery

Choosing to have transgender breast augmentation may yield several benefits:

  • MTF top surgery can provide a physical appearance more closely aligned with your gender self-identification.
  • Gender affirming surgeries can boost your sense of self-confidence and assurance.
  • Gender affirming surgeries may also increase overall mental health and happiness.
  • Breast augmentation may be combined with other procedures, including facial feminization surgery and bottom surgery, for more comprehensive results.
Vegas Website Top surgery procedure page image3

This Way To Your Best Self.
See Our Results.

VPSI can help you achieve the best version of yourself with plastic surgery options to enhance your face, breasts, and body. View our gallery to see how we are redefining plastic surgery.

Taking the First Steps

Regardless of where you are in your transition or your specific cosmetic goals, we are happy to discuss different options.

During your consultation, your doctor will perform a physical examination and review your medical history, verifying that you are a good candidate for the procedure.

In keeping with WPATH guidelines, we require patients to have at least one note of sound mental health from a qualified mental health professional.


Want To Know About Pricing?


Male to Female Breast Surgery Explained

In many ways, transgender breast surgery is similar to breast augmentation for cisgender patients. We can create natural-looking and proportional breasts using implants, fat grafting, or a combination. However, some unique difficulties are associated with gender breast surgery, including a lack of existing breast tissue and large pectoral muscles. Our doctors can advise you on implant type and implant positioning. 

Recovery and Aftercare

Following any surgical procedure, it is essential to allow your body time to rest and heal. The recovery time for breast augmentation procedures is typically between one and two weeks, after which you should feel ready to resume your normal activities. We advise you to avoid vigorous exercise for four to six weeks.

While swelling is a common side effect of chest surgery, compression garments can moderate the swelling. Our team will also provide pain management tools in advance of the surgery.


You’re in Good Hands With VPSI

Vegas Plastic Surgery Institute is a full-scope plastic and reconstructive surgery practice, offering both head-to-toe reconstruction and cosmetic surgery. Our doctors and team abide by uncompromising standards to provide you with a high level of care and a positive experience in a judgment-free zone. Schedule a consultation at our Las Vegas office today at (702) 727-8500.