At Evita Clinic, top surgery is approached as a gender-affirming procedure, and there is no single method that fits everyone. Surgical options are carefully tailored based on chest size, skin elasticity, body structure, and most importantly, each patient’s personal goals and priorities.
Choosing a surgical method is a collaborative process. The surgeon and patient engage in open and respectful discussion to determine the approach that best aligns with the patient’s needs. For example, some patients with a C cup or larger chest may still prefer keyhole surgery due to considerations such as minimizing visible scars, reducing cost, or preserving nipple sensation.
In these situations, we make sure to explain all potential outcomes in advance, including the possibility of skin laxity or uneven chest contour after surgery. This allows patients to make fully informed decisions with a clear understanding of both benefits and limitations.
Ultimately, the final surgical plan is based on shared decision-making, with the patient’s identity, comfort, and clearly expressed wishes placed at the center of care.
