Transmasculine Procedures

Chest Contouring

What is Chest Contouring?

Chest contouring, which may also be referred to as transmasculine top surgery, is a procedure designed to alter the shape of an individual’s chest to establish a male contour. Chest contouring is most common among gender confirmation transmasculine patients, as well as men who want to remove excessive fat and tissue deposits.

How is Chest Contouring Performed?

Dr. Loren Schechter performs several different transmasculine top surgery procedures. The specific type of procedure is based upon the individual. Factors which are considered include:

  • The amount and elasticity of skin
  • The amount of tissue
  • The position and size of the nipple and areola

This procedure, performed through a limited incision in the areola, is designed for individuals with minimal tissue who do not require skin removal or repositioning of the nipple and areola.

Types of Chest Contouring Surgeries

Purse-String Procedure:

This procedure is designed for individuals with mild to moderate amounts of tissue who require a moderate degree of skin removal as well as repositioning and reduction of the nipple and areola. This procedure is performed through an incision located around the nipple and areola.

Double Incision:

This procedure is designed for individuals with significant amounts of tissue and skin requiring removal, as well as repositioning and reducing the nipple and areola. The incision is designed along the chest wall.


Liposuction may be performed as part of the chest contouring procedure.

The surgery is typically performed under general anesthesia, as an outpatient. A drain is placed on each side of the chest, and a compression wrap (ie ace wrap) is worn for approximately 3 weeks.

What are the Advantages of Chest Contouring?

With chest contouring, one can reduce, shape, define and possibly tighten their chest exactly as they want.

Restrictions and Coverage of Chest Contouring

Activity Restrictions: We recommend that you limit lifting to less than 10 pounds for the first three weeks after surgery. Following this, activity may be increased on a gradual basis. Unrestricted activity (and exercise) may resume 6 weeks following surgery.

To learn more about this procedure and schedule a consultation at Loren S. Schechter Plastic Surgery, located in Chicago, contact us today at (847) 967-5122.