Plastic Surgery & Cosmetic Center

Gender Surgery

What is Gender Surgery?

For transmen and some nonbinary people, the chest can be a source of gender dysphoria, leading to significant emotional and psychological distress. Gender surgery, otherwise known as FTM (female-to-male) top surgery, is a gender-affirming surgery which alleviates this problem by removing the breast tissue and creating a more masculine-appearing chest. Dr. Timothy Janiga is a board-certified plastic surgeon who has trained at prestigious institutions and is experienced in a variety of procedures including FTM top surgery.

The Procedure

Top surgery is performed under general anesthesia. First, an incision or incisions will be made in one of several techniques that best suit your anatomy and minimizes scarring. These may include periareloar incisions, which are made around the nipple, or double incisions (DI) along the bottom of each breast. Dr. Tim Janiga will help advise which incision technique will be most effective for your surgery.

After the incisions have been made, the breast tissue will be removed. In addition to all internal breast tissue, excess skin may be removed if necessary.

Following this step, the chest will be shaped and contoured for a more masculine appearance. The nipple and areola will also be placed in a natural-looking position.

Finally, the area will be sutured. Drains will likely be put in place for a day or two to aid in proper healing.

FTM Recovery and Results

After your procedure, you will wear a compression garment to minimize swelling. To ease discomfort as you heal, you may take pain medications, which may be over the counter or prescribed by Dr. Janiga.

Following top surgery, most patients require about two weeks to rest and recover before returning to work or school. Swelling and bruising are common; you may use ice packs to relieve swelling, which usually subsides within two weeks. Be sure to follow all of Dr. Janiga’s directions carefully to ensure proper healing. Once you have healed, you will be left with a masculine chest contour.


To schedule a top surgery consultation with Dr. Janiga, call our Reno, Nevada office at (775)364-0224 or request an appointment online.

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