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What is Top Surgery?

Top surgery in New Jersey can be performed for both MTF and FTM clients. For trans men, top surgery can achieve a flat, chiseled chest that is conventionally masculine. For trans women, top surgery can provide rounded, feminine breasts that feel natural. Top surgery can also be beneficial for GNC (Gender Non-Conforming) and NB (Non-Binary) individuals. For all patients, top surgery can provide a better sense of congruence between the outer and inner selves. It is a significant step forward on each patient’s journey of transformation.

Female to Male Top Surgery

The goal of FTM top surgery is to sculpt the chest, so it reflects a more masculine aesthetic. Strategic mastectomies are performed to remove breast tissue and redundant skin, and liposuction may be added to further contour the upper body. The nipples and areolas are resized and relocated as well, with special care taken to preserve sensation and minimize scarring. Surgical techniques include the double incisions and keyhole methods. Dr. Parakh will choose the best approach based on the degree of body contouring required and the patient’s individual goals.

Male to Female Top Surgery

With MTF top surgery, Dr. Parakh will create pockets in the chest to house saline or silicone breast implants. Patients will decide on the ideal incision patterns and implant placement (below or above the pec muscles) as part of their confidential consultation with the doctor. Patients may also opt for breast enhancement using a natural fat transfer process to create realistic breast mounds. In all cases, Dr. Parakh will strive to preserve sensation in the breasts and to minimize the appearance of postoperative scarring.

Candidacy

Top surgery is performed for transgender and gender non-conforming patients who meet certain criteria. Patients will need a signed letter of support from their psychiatrist, psychologist, or a licensed social worker who is familiar with the patient’s history. A second letter is also required going over the patient’s surgical evaluation process.

Documentation of several years of hormone therapy or proof that hormone therapy has been contraindicated need also be submitted. As with any other cosmetic treatment, patients should be at or close to their ideal weight, in good health, non-smokers, and realistic in their expectations for their results.

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What is Recovery Like?

Top surgery is performed under general anesthesia and typically takes around 2-4 hours. Swelling, bruising, and soreness will peak during the first week and then gradually subside. Each patient will receive a carefully curated aftercare plan that goes over showering, sleeping, wound care, resuming exercise, and returning to work.

The patient will be fitted with drains to help rid the body of excess fluids, as well as a compression garment to keep the newly sculpted chest contours intact while minimizing swelling.

A photo of pink & white flowers in Dr. Parakh's office.

Why Choose Dr. Parakh?

Dr. Parakh provides a welcoming and inclusive practice environment where patients can achieve their unique image goals and become the people they were always meant to be. From an early age, Dr. Parakh’s physician parents in India instilled in her a dedication to service along with a passion for artistry in the medical field. Today, she delivers natural-looking outcomes that exceed expectations.

Dr. Parakh is certified by The American Board of Plastic Surgery (ABPS), ensuring she has completed exhaustive training and both written and oral examinations covering all aesthetic procedures. She is a Verified Doctor and Top Doctor on RealSelf, and was recognized as one of the Castle Connolly Regional Top Doctors®: 1st Edition and Castle Connolly Top Doctors for the New York Metro Area in 2019, 2020, and 2021. Additionally, Dr. Parakh has been lauded as one of Bergen County’s Top Doctors, and was hand-selected by NewBeauty as a Top Beauty Doctor.

Dr. Parakh graduated from one of the top five medical schools in India before completing her General Surgery training at New York Presbyterian Queens Hospital. She was then accepted to an elite Plastic Surgery training program at Cornell and Columbia Universities at New York Presbyterian Hospital. Additionally, Dr. Parakh trained at the prestigious Manhattan Eye, Ear and Throat Hospital, Lenox Hill Hospital, Memorial Sloan Kettering Cancer Center, and Hospital for Special Surgery.

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Doctor credentials
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Doctor credentials
Doctor credentials
Doctor credentials
Doctor credentials
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Top Surgery FAQs

What are the risks of top surgery?

What happens if I smoke?

What are the risks of top surgery?

Complications after top surgery are rare when performed by a seasoned, board-certified plastic surgeon such as Dr. Parakh, MD, FACS. As long as the patient is a healthy non-smoker and they follow their postoperative instructions carefully, recovery is typically smooth and stress-free. However, all surgeries come with certain inherent risks. These may include asymmetry, pain, scarring, loss of sensation, and poor reactions to anesthesia.

What happens if I smoke?

Patients who smoke or use nicotine products will not qualify for top surgery. Using nicotine (smoking, vaping, patches, lozenges, gum, etc.) can significantly interfere with the healing process and lead to unwanted complications. Patients will need to quit all nicotine products at least 4-6 weeks before surgery and remain nicotine-free for the same amount of time after top surgery.

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