The journal

Top Surgery

Top surgery is one of the most personal steps in a transition, and these articles are here to walk you through it unhurriedly — from understanding the tech

Double Incision vs Keyhole Top SurgeryTop Surgery
7 min read

Double Incision vs Keyhole Top Surgery

Choosing between double incision vs keyhole top surgery is rarely a straightforward decision, and it shouldn't be. These are the two most established approaches to masculinising chest surgery, and while…

Dr. David N. Sayah, MD
Top Surgery Recovery: The First Six WeeksTop Surgery
7 min read

Top Surgery Recovery: The First Six Weeks

Understanding the top surgery recovery timeline is less about counting days on a calendar and more about knowing what your body is quietly working through at each stage. Recovery unfolds…

Dr. David N. Sayah, MD
Top Surgery Scars and How They HealTop Surgery
7 min read

Top Surgery Scars and How They Heal

Top surgery scars are a lasting part of gender-affirming chest reconstruction, and how they settle matters more than most people are told before the operation. The incisions themselves are planned…

Dr. David N. Sayah, MD
How Hormone Therapy Affects Top Surgery TimingTop Surgery
7 min read

How Hormone Therapy Affects Top Surgery Timing

Considering hormone replacement therapy before top surgery is one of the more personal decisions in a masculinizing or non-binary transition, and it deserves a thoughtful, unhurried look. There is no…

Dr. David N. Sayah, MD
Nipple Grafts and Sensation After Top SurgeryTop Surgery
7 min read

Nipple Grafts and Sensation After Top Surgery

Choosing how your chest looks after masculinizing surgery is deeply personal, and for many people, that decision includes what happens to the nipple-areola complex. Nipple grafts top surgery is a…

Dr. David N. Sayah, MD
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