Gender-Affirming Top Surgery with Breast Augmentation in Bend, Oregon

Size is a collaborative decision, not a formula. The starting points are your goals — the silhouette you envision — and your anatomy: chest width, existing breast development from hormone therapy, and tissue characteristics all shape what different implants will actually look like on your frame. At your consultation, Dr. Carboy uses sizers and measurement-based planning so you can see options rather than guess at numbers, and she'll give you her honest read on what will achieve the proportions you're looking for. The right size is the one that matches your vision of yourself.

That's the aim of the entire surgical plan. Implant selection, placement, and pocket position are all chosen to work with your chest anatomy and the breast tissue hormone therapy has developed, creating a natural slope and proportion rather than an obviously augmented look. Dr. Carboy's aesthetic consistently favors results that read as simply you — though if your goals lean fuller, that's your call to make, and the plan follows your vision.

Sometimes — coverage for gender-affirming chest surgery varies significantly by insurer and plan. Plans that do cover it typically require documentation consistent with recognized standards of care, such as a letter of support from a mental health or medical provider and records of your gender-affirming care to date. Oregon requires many state-regulated plans to cover medically necessary gender-affirming treatment, which improves the picture for Oregon-based patients. Our team can help you understand what your specific plan requires and what documentation to gather; where coverage isn't available, self-pay pricing and financing options are offered.

Often, yes. Depending on your goals and overall health, augmentation can sometimes be combined with procedures such as facial feminization or body contouring in a coordinated plan — either in a single operative session when appropriate or staged in a sequence that makes sense medically and practically. Combining or sequencing is a case-by-case decision balancing operative time, recovery, and your priorities; Dr. Carboy will map out the options with you so your broader affirmation goals inform the plan from the start.

Plan on being in Bend for about five to seven days for surgery: a pre-operative visit, the procedure itself, and at least one follow-up before you travel home. Virtual consultations handle much of the planning before you ever make the trip, and our team helps traveling patients with timing, lodging suggestions, and aftercare coordination — many of our gender-affirming surgery patients come from across Oregon and the wider Northwest. Our Traveling Patients page covers the details, and we'll build your visit schedule around your travel realities.