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Good candidates are adults pursuing gender-affirming care who have specific surgical goals for their chest.
Gender-affirming top surgery is one of the most meaningful procedures in plastic surgery, allowing transgender, non-binary, and gender-diverse patients to align their physical body with their identity. At Alpenaura Plastic Surgery in Bend, Oregon, Dr. Jourdan Carboy, MD, offers gender-affirming top surgery and breast augmentation as part of a comprehensive gender-affirming surgical practice serving patients across Central Oregon and the Pacific Northwest.
Top surgery refers to a range of chest procedures pursued as part of gender-affirming care. For transmasculine and non-binary patients seeking a flatter, more masculine chest, top surgery typically involves a double-incision mastectomy with free nipple grafts, a peri-areolar approach for smaller chests, or a keyhole technique for select candidates.
For transfeminine and non-binary patients seeking breast development, gender-affirming breast augmentation provides a fuller, feminine chest contour using silicone or saline implants, with techniques specifically tailored to the anatomy of patients on or considering hormone therapy. Each approach is individualized to the patient’s anatomy, body type, and goals.
Good candidates are adults pursuing gender-affirming care who have specific surgical goals for their chest. Most patients work with a multidisciplinary team that may include mental health professionals, hormone providers, and primary care clinicians. Dr. Carboy’s role is to provide expert surgical care within the context of that broader team.
Healthy non-smokers with realistic expectations are ideal candidates. Many insurance plans now cover gender-affirming chest surgery when the appropriate documentation is in place, and our team helps patients navigate this process.
Access to thoughtful, technically excellent gender-affirming care can be limited in many parts of the country. Patients in Bend, Central Oregon, and across the Pacific Northwest are increasingly seeking surgical care that is both affirming and refined.
Dr. Carboy approaches gender-affirming surgery with the same precision and aesthetic sensibility she brings to any cosmetic procedure, with the added priority of helping each patient achieve a result that aligns with their identity. Patients value the privacy, respect, and individualized planning that define every consultation at Alpenaura.
Gender-affirming chest procedures are performed under general anesthesia as outpatient surgery. The specific recovery depends on the procedure performed. Patients undergoing masculinizing top surgery typically wear a compression vest for several weeks, return to desk work within ten to fourteen days, and resume full activity at six weeks.
Patients undergoing gender-affirming breast augmentation typically return to desk work within five to seven days and resume full activity at six weeks. Final shape and sensation continue to refine over six to twelve months.
Alpenaura Plastic Surgery is proud to provide gender-affirming top surgery and breast augmentation in Bend, Oregon. Dr. Carboy and our team welcome patients across Central Oregon and the Pacific Northwest with care, discretion, and surgical expertise.
No patients or photos available for this procedure.
Good candidates are adults pursuing gender-affirming care who have specific surgical goals for their chest.
Each approach is individualized to the patient's anatomy, body type, and goals.
Gender-affirming chest procedures are performed under general anesthesia as outpatient surgery.
Final shape and sensation continue to refine over six to twelve months.
Gender-affirming chest procedures are performed under general anesthesia as outpatient surgery.
Patients undergoing masculinizing top surgery typically return to desk work within ten to fourteen days.
Patients undergoing gender-affirming breast augmentation typically return to desk work within five to seven days.
Patients undergoing masculinizing top surgery and gender-affirming breast augmentation typically resume full activity at six weeks.
We understand that choosing a procedure is a deeply personal decision. Here are answers to some of the most common questions about treatment, recovery, results, and the overall Alpenaura experience.
Coverage is increasingly common, but it varies between insurance plans. Most plans require documentation from a mental health professional and, in some cases, time on hormone therapy. Our team helps patients understand and navigate their benefits.
The best technique depends on chest size, skin elasticity, and aesthetic goals. Double-incision with free nipple grafts is most common for larger chests, while peri-areolar or keyhole approaches may work for smaller chests with good skin elasticity. Dr. Carboy will help you choose during your consultation.
Sensation changes are common after any chest surgery. Some patients regain significant sensation over months to years, while others experience permanent changes. Dr. Carboy will discuss expectations specific to your procedure.
Most patients return to desk work within ten to fourteen days for masculinizing top surgery and within five to seven days for gender-affirming breast augmentation. Full activity is typically restored at six weeks.
In some cases, yes. Some patients combine chest surgery with other procedures, while others stage them separately. Dr. Carboy will help you plan a safe, effective sequence.
The best way to know is to schedule a consultation. We provide a private, respectful, individualized environment in which to discuss your goals and develop a plan that feels right for you.
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Experience personalized plastic surgery and aesthetic care designed to enhance confidence with natural, refined results.
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Experience personalized plastic surgery and aesthetic care designed to enhance confidence with natural, refined results.