Masculinizing chest reconstruction.
A thoughtful, aesthetic-focused approach to chest masculinization — combining advanced surgical expertise with compassionate, patient-centered care across Canada.
- 15+Years of experience
- 1,200+Procedures performed
- 10Provinces & territories served
A foundational step in chest masculinization
FTM top surgery, or chest masculinization, reshapes the chest to create a flatter, more masculine contour.
For many transmasculine and non-binary patients, top surgery is one of the most affirming steps in their transition. The procedure removes breast tissue and excess skin, repositions and resizes the nipples, and sculpts a chest contour that aligns with your identity.
Every plan is built collaboratively, respecting your anatomy, goals, and comfort. Our surgeons follow internationally recognized, WPATH-aligned standards to ensure safe, ethical, and natural-looking outcomes.
What top surgery can mean for you
More than an aesthetic change — a meaningful step toward comfort, confidence, and self-recognition.
Affirming chest contour
A flatter, more masculine chest that aligns your body with your identity and lasting sense of self.
Freedom in clothing
Move beyond binders and dress with comfort and confidence, free from chest dysphoria.
Improved well-being
Patients consistently report meaningful improvements in confidence, comfort, and quality of life.
Refined aesthetics
Natural nipple positioning, minimized scarring, and harmonious proportions tailored to you.
Reliable recovery
A predictable healing roadmap supported by our team at every stage of your journey.
Technique tailored to you
The surgical approach is matched to your anatomy and goals for the best possible outcome.
FTM top surgery techniques
Your surgeon will recommend the approach best suited to your chest size, skin elasticity, and aesthetic goals.
Double Incision
- Indications
- Medium to large chests, or skin with reduced elasticity.
- Advantages
- Removes the most tissue and excess skin for a flat, defined contour.
- Ideal candidates
- Patients prioritizing a flat chest over scar visibility.
Periareolar
- Indications
- Small chests with good skin elasticity.
- Advantages
- Scar-minimizing — incisions are hidden around the areola.
- Ideal candidates
- Patients with smaller chests seeking subtle scarring.
Keyhole
- Indications
- Very small chests with firm, elastic skin.
- Advantages
- Smallest incision, often preserving nipple sensation.
- Ideal candidates
- Patients with minimal tissue and no skin laxity.
Inverted-T
- Indications
- Larger chests where contour and nipple position both matter.
- Advantages
- Balances tissue removal with refined nipple repositioning.
- Ideal candidates
- Patients wanting a flat chest with optimized aesthetics.
Comparing the techniques
A quick reference to help you understand the trade-offs between scarring, candidacy, and sensation.
| Technique | Scars | Best candidate | Nipple sensation |
|---|---|---|---|
| Keyhole | Minimal | Small chest | Often preserved |
| Periareolar | Low | Small–medium chest | Often preserved |
| Double Incision | Visible | Medium–large chest | Variable |
| Inverted-T | Moderate | Large chest | Variable |
What to expect at a glance
Your healing roadmap
A clear, week-by-week picture of what recovery looks like — so you always know what comes next.
- 1Week 1
Compression & rest
Compression garment in place with active swelling management. Limit movement and follow post-operative care closely.
- 2Weeks 2–4
Return to light activities
Drains are typically removed and you gradually resume light daily activity and desk work under our guidance.
- 3Weeks 4–6
Gradual return to exercise
Light exercise is reintroduced progressively, avoiding chest strain until cleared.
- 4Months 3–6
Scar maturation & contour
Scars soften and fade while the final chest contour continues to develop with scar care.
- 5Month 12
Final result
Swelling fully resolves and the final chest contour and refined scarring become apparent.
Mastectomy results
Real FTM top surgery (mastectomy) outcomes. Use the arrows to browse through the gallery.
What your results will look like
Understanding scars, sensation, and long-term outcomes helps you set clear, realistic expectations.
Expected scars
Scar pattern depends on technique — from a faint periareolar line to horizontal chest scars with double incision.
Scar evolution
Scars are pink and firm early on, then progressively flatten and fade over 12–18 months with proper care.
Sensation
Sensation may temporarily change after surgery. Many patients regain meaningful sensation over the following months.
Nipple placement
Nipples are resized and repositioned to achieve a natural, masculine, and proportionate chest appearance.
Long-term results
Once healed, results are permanent, delivering a stable, masculine chest contour and lasting confidence.
Chest contour
Tissue is sculpted for a flat, defined contour that harmonizes with your overall body shape.
Surgical Excellence, with Care That Listens.
Every patient deserves compassionate, individualized care throughout their gender-affirming journey. Our team combines advanced surgical expertise with a deeply patient-centered approach to deliver safe, natural, and affirming outcomes tailored to your goals.
“Trusted by patients across Canada seeking compassionate, expert gender-affirming care.”
Fellowship-Trained Surgeons
Our procedures are performed by highly specialized surgeons with advanced training in gender-affirming and reconstructive surgery.
Advanced Microsurgical Care
We utilize modern surgical techniques and precision-focused care to support optimal healing, functionality, and long-term results.
WPATH-Aligned Protocols
Our approach follows internationally recognized standards of care to ensure ethical, safe, and evidence-based treatment.
Patient-Led Decision Making
Every treatment plan is built collaboratively, respecting your identity, goals, comfort level, and personal transition journey.
Aesthetic-Focused Outcomes
We prioritize natural-looking, harmonious results designed to align with each patient's vision and anatomy.
Multidisciplinary Support
From consultation to recovery, our team provides coordinated medical, surgical, and emotional support at every stage.
Meet Dr. Alexis Laungani
A vision of self-affirmation for all
Dr. Alexis Laungani is a plastic surgeon who offers meticulously crafted reconstructive and aesthetic procedures, artfully blending medical practice with personal well-being. With over 20 years of training across Belgium, the United States, and Canada, he harnesses globally recognized techniques to minimize downtime and scarring while achieving naturally beautiful results.
- Over 20 years of training across three continents
- Transparency at the cornerstone of care
- Holistic pre- and post-operative care
- Naturally beautiful, patient-centered results
From First Conversation to Long-Term Follow-Up.
We guide every patient through a personalized and supportive experience designed to prioritize comfort, clarity, safety, and confidence at every stage of the surgical journey.
“Every transition journey deserves thoughtful guidance, clarity, and compassionate support.”
- 1Step 1
Initial Consultation
Meet with our surgical team to discuss your goals, medical history, expectations, and personalized treatment options in a safe and affirming environment.
- 2Step 2
Surgical Planning
Your procedure plan is carefully tailored to your anatomy, transition goals, recovery needs, and desired aesthetic outcomes.
- 3Step 3
Surgery & Inpatient Care
Our team provides expert surgical care with attentive postoperative monitoring, ensuring comfort, safety, and individualized support during recovery.
- 4Step 4
Recovery & Follow-Up
We remain closely involved throughout healing with follow-up appointments, recovery guidance, and long-term support focused on optimal results and well-being.
Patients travel from across Canada
We welcome patients nationwide for gender-affirming top surgery, with coordinated travel and follow-up support.
Trusted by patients across every province and territory in Canada.
Frequently asked questions
More FTM surgical options
Phalloplasty
Advanced masculinizing reconstructive surgery focused on creating natural form, function, and long-term gender affirmation outcomes.
Metoidioplasty
A gender-affirming procedure that enhances existing anatomy to create a natural masculine appearance with shorter recovery times.
Scrotoplasty
A reconstructive procedure designed to create a natural-looking scrotum as part of comprehensive transmasculine surgical care.
Plan your FTM top surgery.
Begin with a private, confidential consultation. Our team will guide you through every step with clarity and care.
Confidential consultations available across Canada.
Dedicated patient coordinators available for Canadian and international patients.
Serving patients across Canada
- WPATH-aligned care
- Fellowship-trained surgeons
- Patients across Canada
