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FTM Top Surgery
in Novi, Michigan

Our practice in Novi offers transformative female-to-male (FTM) 
top surgery, a procedure that sculpts a masculine chest shape 
for transgender patients. Performed by board-certified plastic surgeon Dr. Lakin, this operation involves the removal of breast tissue to create a flatter, more contoured appearance. With 20 years of experience and 20,000 procedures conducted, our surgical team helps patients affirm their gender and receive the best care in the state. We support each person at every step of the journey towards their dream body.
FTM Top Surgery in Novi, Michigan Banner

What Is a Female-to-Male
Top Surgery?

FTM top surgery is a procedure that masculinizes the chest 
of a female-bodied person. The goal of this treatment is to create 
a male-typical chest shape. It involves removing breast tissue 
and reshaping that area. FTM top surgery takes approximately 
2 to 4 hours to complete. Dr. Lakin performs this procedure using 
the latest and safest technology and techniques.
What Is a Female-to-Male Top Surgery? Banner

FTM Top Surgery Before & After

Consultation & Preparation for Facial Masculinization Surgery Banner

Consultation & Preparation
for FTM Top Surgery

Consultation & Preparation for Facial Masculinization Surgery Banner

Transgender procedures are usually done in concert with a multidisciplinary team, including a counselor, plastic surgeon, and transgender healthcare provider. Patients should be transitioning on hormones to help masculinize the chest prior to undergoing the surgery.

Several important steps are involved in preparing for this operation. First, 
the patient consults with the surgeon to discuss their goals, medical history, and the specifics of the procedure. The doctor evaluates their health 
and anatomy to determine if they are a good candidate for treatment. Additionally, the patient undergoes lab testing and medical clearances 
to ensure safety during surgery.
In the weeks before the operation, the patient is instructed to stop smoking and avoid certain medications and supplements that can increase bleeding risks. Arrangements are also made for the recovery period, including time off work, assistance at home, comfortable resting conditions, and easy-to-prepare meals. Understanding what to expect before, during, and after the operation helps the candidate get ready mentally and physically.

Types of FTM Top Surgery Incisions

Types of FTM Top Surgery Incisions: Keyhole Banner


This technique involves a semi-circular incision under the areola. Its main advantages are less visible scarring and the retention of nipple sensation. However, it generally only
works for those needing a smaller amount of chest tissue removed. This approach is best suited for FTM patients with smaller chests seeking masculinization with minimal scarring.
Types of FTM Top Surgery Incisions: Periareolar or Donut Banner

Periareolar or Donut

In this method, a circular incision is made around the outer edge of the areola. It leaves less scarring and a better nipple sensation. Nevertheless, this incision can be slightly
more visible than the keyhole one. The periareolar technique works well for those needing a moderate amount of chest tissue removed.
Types of FTM Top Surgery Incisions: Double Incision Banner

Double Incision

Two horizontal incisions are made across the chest, typically along the lower border of the pectoral muscles. These openings allow for the extensive removal of tissue and skin.

The nipple-areolar complex is usually resized and repositioned as part of the procedure. Double incision is often preferred for individuals with larger amounts of chest tissue. However, the scarring is more visible, and there is a higher risk of sensation loss.

FTM Top Surgery Procedure

FTM Top Surgery Procedure Banner


The patient is put under general anesthesia so they remain asleep without pain or discomfort during the procedure. We use the best practices to ensure that the entire process is totally effective and safe.

Strategic openings are made to remove tissue and sculpt a masculine chest shape. The location and length of incisions can vary based on the patient’s body type and needs.

Excess skin and tissue is taken out to create a flatter, more contoured masculine chest. The quantity removed depends on the patient’s goals and the surgeon’s real-time assessment.
If needed, the nipples are carefully shifted to a more natural spot on the chest. The surgeon chooses the position that will create the most masculine and realistic appearance. Oversized nipples may also be reduced to the proper proportions. This involves decreasing the areola size and reshaping the nipple.
Once the desired shape is achieved, the incisions are carefully closed using sutures and medical glue to minimize scarring. The team ensures proper alignment and tension of the incision edges to optimize healing.

Recovery After Female-to-Male Top Surgery

Recovery from FTM top surgery involves several weeks of rest and limited activity. Immediately after the operation, patients may experience discomfort, swelling, and bruising, which can be managed with pain medication and ice packs. The first week requires avoiding strenuous activities and wearing a compression garment. Gradually, swelling subsides, and patients can resume light tasks, following our instructions closely for optimal results. Full recovery may take weeks or months. Therefore, it is crucial to be patient and adhere to post-operative care.

Candidates for FTM Top Surgery

In general, FTM top surgery is sought by individuals who were assigned female at birth and desire a more masculine chest appearance. Potential candidates for this operation include:
Benefits of Plastic Surgery Banner

Benefits of Plastic Surgery

Beyond the physical changes, FTM top surgery offers many benefits 
that can significantly improve the quality of life and overall well-being 
of transgender individuals. Here are the main advantages:
Benefits of Plastic Surgery Banner

Cost of FTM Top Surgery in Novi, Michigan

The cost of FTM top surgery in Novi, Michigan, ranges from $5,000 to $20,000. The price varies based on complexity, hospital fees, anesthesia, size of breasts, and many other factors. The lower end represents easier procedures with fewer additional costs. More difficult surgeries or extra care can raise the overall price.

Patients should contact us and schedule an appointment with Dr. Lakin. We will provide a price estimate based on the individual surgical plan and needs. Gender-affirming care is often considered a medical necessity, so it may be covered by insurance. In addition, we work with CareCredit and Alphaeon Credit to make this crucial procedure more affordable for each patient.

Schedule a Consultation
Whether you’re looking for Dr. Lakin’s expert insight or know exactly what you’re looking for, scheduling a consultation is the obvious and easy next step. Sit down with one of Michigan’s premier plastic surgeons and start your journey into illuminating the best version of yourself.
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Katie Wells BSN, RN

Nurse Injector

She received her Bachelor of Science in Nursing from Michigan State University and worked as an operating room nurse at Michigan Medicine for 2 years before transitioning to aesthetics. She
received her certification as a Nurse Injector, and attended further training and certification through Allergan Medical Institute. She absolutely loves being a Nurse Injector and is very passionate about
combining medicine and the creativity and artistry of aesthetics in her practice. It is extremely important to her to remain educated and up to date with the newest and best treatments and injection techniques. Her goal as an Injector is that when you sit in her chair that you feel comfortable, fully educated on your procedure, and confident and happy in your results when we are done. She loves forming connections with her patients and feels truly honored to be a part of your journey to becoming your most confident self, inside and out! She is a great listener and looks forward to creating an individualized plan to meet each of her patient’s unique goals and desires. Some of her favorite treatments include lip filler, Botox, and midface/cheek filler (but there is so much more!). When she is not injecting, you can find her trying new recipes, spending time with family, working out, gardening, or taking a long walk with her dog.

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Heidi Winkler BSN, RN

Director of Nursing & Surgical Services Leadership

Heidi’s goal is to ensure every patient has a positive experience and is satisfied with the high quality of service provided by our clinical staff. Her passion as a caregiver is to impact each person’s life in a positive way.

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Tonya Gilbert BSN, RN

PACU Nurse

Tonya has been a registered nurse for 15 years. She earned her BSN at the University of Michigan. Go Blue!

She started her career as a trauma RN in Detroit. She has been working as a recovery RN for the past 8 years. She loves being part of a team that makes a difference in people’s lives. 

Her passions include lounging with her fur babies, family, and friends, traveling, crunching, and recycling. 

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