From £9495
Female-to-Male (FTM) Top Surgery
- Gender-affirming FTM Top Surgery
- Removal of chest tissue for a flatter, more contoured chest
- Alleviates physical and social dysphoria
- Modern private hospital
- Comprehensive aftercare programme
Ellie, Pall Mall Medical patient
What is FTM Top Surgery?
FTM Top Surgery is a gender-affirming procedure that involves the surgical removal of chest tissue and contouring of the chest to help align a person's physical appearance with their gender identity. It involves the removal of excess fat and skin, followed by a repositioning of the nipples and areolas to create a naturally flat chest appearance. Multiple surgical methods are used in Top Surgery procedures, depending on factors such as the patient’s chest size and skin elasticity.
Proven to alleviate the effects of gender dysphoria and complications from regular chest binding, Top Surgery is a deeply personal and transformative procedure which requires serious consideration and the highest standards of patient care. Pall Mall delivers safe and high-quality gender-affirming care, mirroring the established pathways that currently exist in the NHS. From your initial consultation to the procedure itself, our surgeons will engage in open, respectful communication that prioritises your personal goals and desired care outcomes.
Kate Williams Gender-Affirming and Oncoplastic surgeon
Meet our surgeons Kate Williams
Kate Williams is a highly accomplished consultant surgeon specialising in gender-affirming and oncoplastic surgery. Her qualifications include:
BSc (First Class Hons) in Clinical Science from the University of Leeds
MBChB Bachelor of Medicine (Surgery) from the University of Leeds
Research Fellow with the Royal College of Surgeons, England
MD Doctor of Medicine from the University of Manchester
Leading NHS consultant in Manchester, performing over 280 surgeries
Clinical Director for breast and chest wall surgical services at NMGH
Chloe Wright, Gender and Oncoplastic Surgeon
Chloe Wright
Chloe Wright is a Consultant Gender and Oncoplastic Breast Surgeon with extensive experience in both gender-affirming and breast cancer surgeries. Her qualifications include:
MBChB Bachelor of Medicine from the University of Manchester
USA Medical Certification
National TIG Oncoplastic Fellowship
Consultant Oncoplastic Breast Surgeon at Bolton NHS FT
Consultant at Manchester Foundation Trust
Specialist advisor to the Care Quality Commission (CQC)
Trained in gender-affirming Top Surgery since 2009, performing over 300 procedures
Spread the cost!
Monthly payments as low as £218.83pm*
We know that the cost of a procedure can feel overwhelming, especially when you're juggling financial concerns. That's why we offer a variety of flexible payment options, designed to make your treatment more accessible, no matter your financial situation. Whether you have limited or no credit history, or a low credit score, we understand that upfront costs can be a major barrier and we're here to help!
Representative Example* Subject to status. Conditions apply. Representative example. Cash price of goods/amount of credit £9050; 60 monthly payments of £218.83; Total amount repayable £13129.81; Representative 16.9% APR variable.
- 0% Finance options available
- Pay over 3 to 5 years with 16.9% APR
- Flexible deposit options
FTM Top Surgery procedures
Various surgical techniques can be used when performing Female to Male Top Surgery. The appropriate procedure is advised by the operating surgeon, based on the amount of chest/breast tissue to be removed, the elasticity of the surrounding skin and the desired outcomes. Surgeries are performed under general anaesthetic and take 3-4 hours to complete.
Periareolar
Periareolar Top Surgery involves making a circular incision around the border of the areola, followed by a second incision around the first one. Chest/breast tissue is extracted through these incisions and excess fat is removed through liposuction. The larger incision is then reclosed and the areola is resized accordingly.
The Periareolar procedure is generally performed on patients with smaller chests and low levels of excess skin. It is best-suited to patients who desire minimal skin incision during their Top Surgery.
Double incision
The Double Incision is the most common surgical technique used in FTM Top Surgery procedures. It involves complete removal and resizing of the nipples and areolas. Long horizontal incisions are used to remove the breast tissue, and excess fat is extracted through liposuction. Excess skin is removed if necessary, and the incisions are closed using specialised sutures to prevent skin puckering.
Double Incision Top Surgery is typically performed on patients with larger amounts of chest tissue which can not be sufficiently removed with a periareolar procedure. As nerves are severed during the removal of the nipple and areola, patients may not regain full sensation in this area. For patients with larger chests who are hoping to retain nipple sensation, our dermal flap surgery technique repositions the areolae while leaving them attached to their nerve supply.
Chest (breast) reduction
This is a surgical procedure aimed at reducing chest/breast size to align an individual's physical appearance with their gender identity. This procedure is particularly significant for individuals who may experience gender dysphoria related to chest/breast tissue. This procedure also offers a choice to the individual who may want to have some chest/breast tissue.
Revision surgery
We also offer revision surgery for people who have previously undergone a Top Surgery procedure elsewhere that did not meet their expectations or resulted in complications.
Revision surgery aims to correct aesthetic or functional issues from the initial procedure. This can include reshaping the chest/breasts, correcting asymmetry, or addressing complications such as scarring or changes in nipple sensation.
Maxine, Pall Mall Nurse
Comprehensive aftercare
Our commitment to patients doesn’t end following surgery, and we provide a comprehensive aftercare programme that has been specially developed with your comfort and best interests in mind. As one of the few clinically-led providers of gender affirming surgery in the UK, Pall Mall puts you in the best possible hands at every stage of the surgery process — ensuring that your safety and comfort are always the top priority.
Before leaving the hospital after your Top Surgery, you will be provided with a post-op leaflet, 24/7 emergency contact information and a booking for your first post-op check-up. Our specific aftercare package for FTM Top Surgery includes a post-op dressing appointment 9-10 days after your procedure, as well as multiple surgeon reviews carried out over the ensuing 12-month period. All aftercare services are provided as part of our surgery packages — leaving no hidden costs or extra charges to worry about during your recovery.
Am I eligible for Top Surgery?
At Pall Mall we’re proud to announce the commencement of our Gender-Affirming surgery and care services at our private hospital located between Manchester and Liverpool and look forward to supporting our patients through this life changing surgery. To register your interest in undergoing Top Surgery, and our dedicated specialist Patient Liaison, Mamuna, will be in touch as soon as possible.
There are some initial requirements that you must meet to be considered for this procedure. In order to be eligible for FTM Top Surgery, you must:
Be over 18
Have a referral letter from a UK-based Gender Specialist
Produce up-to-date GP medical history records.
Maintain a BMI of 18-40 and be in generally good health
Stop smoking for a minimum of four weeks before the procedure, as this may impact healing. This includes any nicotine replacement therapy such as vaping, nicotine patches, gum etc.
Unfortunately Pall Mall cannot proceed to surgery without a referral letter from a licensed UK Gender Specialist as per WPATH and NHS service specifications. There may be other medical conditions or risks, unrelated to your gender status, that prevent you from undergoing this surgery. Our Patient Liaison, Mamuna, can discuss this with you during your consultation.
Enquire About Our Services
A member of our team will be in touch with you to discuss your requirements.
Always here to help, whenever you need us
You can also expect the utmost care from the moment you walk through the entrance of any Pall Mall clinic - not to mention qualified advice from the second you make your initial enquiry.
If you are eager to learn more about the Breast Enlargement services we offer, get in touch using one of the methods below.
