Top Surgery

TOP surgery (often referred to as “TOPS”) at Capizzi MD is a gender-affirming procedure designed to create a chest that aligns with a patient’s identity. Through techniques tailored to each individual, our surgeon reshapes the chest to achieve a natural, affirming result that supports confidence, comfort, and self-expression.

Find Peace In Your New Self

Cosmetic surgery at its best is a means of achieving the vision of your most authentic self. There is a feeling of peace and light when the person you see in the mirror finally matches the one you have conceived in your mind’s eye. For those who desire gender reassignment, this transformation can be especially impactful. Successful transition often results in psychological and social well-being that is so integral to a happy, productive life.

A common first step is cosmetic breast surgery. This can be either a breast augmentation with implants for trans women, or removal of the breast tissue for trans men.

As a board certified plastic surgeon with over 20 years of experience, Dr. Capizzi offers discreet, informed recommendations based on the latest innovations in cosmetic surgery. He is a proud supporter of the trans community, and is honored to assist his patients on this exciting journey.

This process begins with a consultation with Dr. Capizzi. During your appointment he will answer your questions, listen to your goals, take your current measurements and review your medical history. You will be introduced to the doctor’s friendly and caring staff, who will be on hand to support you throughout all phases of your surgery. The Capizzi MD team will go above and beyond your expectations to facilitate an outstanding patient experience.

Top Surgery FAQ

Thinking about top surgery? You’re in the right place. This procedure has been a life-changing step for many transgender and nonbinary individuals, helping them feel more aligned with their true selves. We know you probably have questions about the process, recovery, and what to expect. That’s why we’ve put together this FAQ section.

Here, you’ll find clear answers to some of the most common questions about top surgery. If you don’t see your question covered, we encourage you to reach out to our team—we’re here to support you every step of the way.

have a question?

Quick answers to questions you may have

What is top surgery?

Top surgery is a gender-affirming procedure that reshapes the chest to create a more masculine or feminine appearance, commonly performed as part of a gender transition for transgender and nonbinary individuals.

What types of top surgery are available?

There are several techniques depending on your goals and anatomy. Masculinizing top surgery often involves double incision or periareolar methods, while feminizing top surgery typically includes breast augmentation using implants or fat transfer.

Who is a good candidate for top surgery?

Good candidates are generally in good physical and mental health, have realistic expectations, and are ready for the physical and emotional aspects of the procedure as part of their transition journey.

Does insurance cover top surgery?

Many insurance plans now cover top surgery as a medically necessary procedure, but coverage varies. The team at Capizzi MD can help you navigate pre-authorization and documentation requirements with your provider.