Top surgery is a type of gender-affirming surgery that involves modifying the breast tissue to reflect a patient’s gender identity. At Cultura Dermatology and Plastic Surgery in Washington, DC, Dr. Kelly Bolden, FACS specializes in FTM (female-to-male) and MTF (male-to-female) top surgery. Our approach is welcoming and customized, focusing on helping our patients look and feel more like their true selves.
20+ years
of experience & counting
100,000+
laser hair removal treatments performed
32+
culturally aware doctors
Who is a Good Candidate for Top Surgery?
Good candidates for top surgery are transgender patients looking to make their physical appearance more congruent with their gender identity. Candidates should be in good overall health, have a stable weight, and clearly understand their goals and what the surgery entails. An initial consultation with Dr. Bolden includes an evaluation and discussion of goals and expectations, ensuring patients are prepared for this life-affirming step.
Top Surgery Benefits
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Gender Affirmation
Helps patients live more comfortably in their gender identity.
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Improved Self-Esteem and Confidence
Creates significant psychological and emotional relief after surgery.
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Permanent Results
Provides enduring changes that support the patient's gender expression.
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Customized Procedures
Offers customization for the patient's unique body and transition goals.
Preparing for Top Surgery
Preparation for top surgery with Dr. Bolden includes a thorough consultation planning stage. Patients may need to undergo medical evaluations and adjust or cease certain medications. Patients will need to stop smoking, along with other specific steps provided by Dr. Bolden.
Top Surgery Procedure
Dr. Bolden performs top surgery using techniques that are best suited to each individual’s needs:
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- FTM Top Surgery: Typically involves breast tissue removal (mastectomy) and male chest contouring.
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- MTF Top Surgery: Often includes breast augmentation using implants to develop a feminine chest contour.
Results of Top Surgery
The final results of top surgery are designed to enhance comfort in one’s body and to affirm gender identity. Patients often see immediate changes, with final results developing as swelling decreases.
Read moreCombination Procedures
The cost of top surgery at Cultura Plastic Surgery varies depending on the specific procedures chosen and the complexity of the surgery. During the initial consultation, Dr. Bolden provides a detailed pricing breakdown, discussing all options and associated costs.
Recovery from top surgery varies but generally involves rest and closely following post-operative care instructions. At Cultura, we understand the importance of support during this time. Dr. Bolden and our team offer ongoing assistance, ensuring patients are comfortable and well-informed throughout the healing process.
As with any surgical procedure, top surgery carries potential risks, including infection, adverse reactions to anesthesia, and dissatisfaction with the aesthetic results. Dr. Bolden discusses all possible risks and ensures patients feel confident in moving forward with surgery.
What to Expect From a Top Surgery Consultation
During the consultation, Dr. Bolden conducts a thorough assessment, discusses each patient’s transition goals, and outlines the best surgical options. This session is designed to answer any questions, ensuring that patients feel fully prepared and confident in their decision to proceed with top surgery.
