Chest masculinization that removes breast tissue and contours the chest to create a flatter, more masculine shape.


Masculinizing chest surgery, sometimes called top surgery, removes breast tissue and excess skin and reshapes the chest to a flatter, more masculine contour. Where needed, the nipple and areola are resized and repositioned to suit the new chest shape.
The technique is chosen around your anatomy. Smaller chests with good skin elasticity may suit a periareolar or keyhole approach that preserves the nipple on its own blood supply. Larger chests or skin with less elasticity usually suit a double-incision approach, often with free nipple grafting. Dr. Amoroso recommends the method that gives the best contour with the most reliable healing for you.
It does not change underlying bone structure and cannot guarantee perfect symmetry or scar-free healing. Scars are permanent, though placed and cared for to fade over time.
You will receive individualized instructions covering medication, supplements, smoking, alcohol, and fasting. The approach, nipple position, and realistic outcomes are planned together, and timing within your wider care is discussed. A compression garment is arranged for recovery.
Breast tissue and excess skin are removed and the chest is contoured. Depending on the technique, the nipple and areola are reshaped and repositioned, either preserved on a pedicle or placed as a graft. Drains may be used to reduce fluid collection.
Swelling, bruising, and tightness are normal and settle gradually. A compression garment is worn as advised, light walking is encouraged early, and chest exercise is reintroduced gradually. Scars continue to soften and fade over many months.
A flatter, more masculine chest contour is achievable. Surgery cannot guarantee perfect symmetry, cannot remove the need for permanent scars, and cannot change sensation in every case, since nipple sensation may be reduced, particularly after grafting. Your surgeon explains what is realistic for your anatomy.
Chest surgery is generally safe in experienced hands, but all surgery carries risks. Possible risks include:
Smoking and impaired circulation raise the risk of healing problems and wound complications, so honest assessment and smoking cessation are essential.
Gender-affirming surgery at Skulpturkliniken is performed by Dr. Matteo Amoroso, a specialist plastic and reconstructive surgeon experienced in both masculinizing and feminizing procedures (MTF and FTM).
Dr. Amoroso plans every procedure around your anatomy and goals, with respect for the fact that gender-affirming care is deeply personal. The aim is a result that feels like you.
From the first consultation, Dr. Amoroso helps you understand which technique suits your anatomy, what is realistic, and how the procedure fits into your broader care.
Every procedure begins with a thorough, respectful assessment. We evaluate:
Safety is central to every step of the surgical journey. Your treatment includes:
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