FTM Top Surgery in Los Angeles, Shaped Around You
A chest that finally feels like your own, shaped unhurriedly by surgeons who focus solely on gender-affirming care — nothing else.
About FTM Top Surgery in Los Angeles
FTM top surgery is rarely a single procedure — it is a set of techniques, and the right one depends on your chest tissue, skin elasticity, nipple position and the result you want to see in the mirror a year from now. At Chrysalis Surgery, we offer double incision, periareolar and keyhole chest reconstruction, and we take the time to match the approach to you rather than fit you to the approach. That decision is made unhurriedly, in conversation, with a surgeon who does this work and only this work.
Double incision typically suits larger chests or looser skin and allows the flattest contour with resized, repositioned grafts. Periareolar preserves the natural nipple-areola complex and works well for moderate tissue with good skin quality. Keyhole is reserved for smaller chests with strong elasticity, leaving the most discreet scar. In every case we plan for contour, scar placement, nipple sensation where possible, and the small details — areolar size, chest wall symmetry, the slope beneath the pectoral edge — that make a result feel like your own rather than a template.
What makes this meaningful is the setting around the surgery itself. Every Chrysalis surgeon is board-certified by the ABPS with FACS fellowship credentials and focuses one hundred percent on gender-affirming care; Dr. David N. Sayah brings more than twenty-six years of surgical experience to that focus. Face, chest, body and genital procedures are all performed here, and our private recovery spa sits under the same roof — so the days after your top surgery are spent somewhere quiet, discreet and cared for, not somewhere unfamiliar. One place, one team, one plan built entirely around you.
Why choose us
Every surgeon focuses exclusively on gender
affirming care never a sideline
Board
certified (ABPS) and FACS fellowship credentials
Facial, chest, body and genital surgery plus a private recovery spa under one roof
Facial, chest, body and genital surgery plus a private recovery spa under one roof
Meticulous, staged, unhurried planning built around one person
Meticulous, staged, unhurried planning built around one person
Frequently asked questions
FTM top surgery is the removal of breast tissue and careful reshaping of the chest — including resizing and repositioning the nipple-areola complex — to create a contour that reads as masculine and settles naturally with your frame. The technique is chosen around you (most often double incision with free nipple grafts, or a periareolar approach for smaller chests), and at Chrysalis it's planned unhurriedly by surgeons who focus solely on gender-affirming care, with recovery quietly supported in our private spa under the same roof.
Cost for FTM top surgery in Los Angeles varies with technique, anatomy, and the level of aesthetic refinement you're looking for, so we prefer to quote a precise figure only after we've met and understood what you want from your chest. Every quote from Chrysalis is itemised end to end — surgeon, anaesthesia, facility, and your stay in our private recovery spa — so nothing about the investment, or what's included, is left unclear.
Most FTM top surgeries at our Beverly Hills practice take between two and four hours in the operating room, depending on the technique planned for your chest and body. The exact timing is something we walk through with you during your unhurried consultation, so nothing about your day — from arrival to recovery in our private suite — feels uncertain.