Illustration of an MTF transgender woman with long hair, wearing a yellow top and green pants, representing gender transition and body positivity.

Gender Affirming Breast Augmentation

Create a chest that reflects who you are — with surgical precision, safety, and respect.

MTF top surgery is a specialized form of gender-affirming breast augmentation designed for transgender women seeking a natural, feminine chest contour.

Because transfeminine patients present with unique anatomical characteristics — including wider chest dimensions, thicker pectoral muscle, and variable breast development after hormone therapy — surgical planning requires precision beyond standard cosmetic augmentation.

At Evita Clinic, breast feminization surgery is guided by advanced chest anatomy expertise, refined implant positioning techniques, and a commitment to proportion, symmetry, and long-term aesthetic integrity — delivered in a respectful, privacy-centered environment.

Dr. Francis Jeon
Thoracic & Cardiovascular Surgeon

Dr. Francis Jeon is a board-certified Thoracic & Cardiovascular Surgeon and the Founder of Evita Clinic. He previously trained and practiced at a leading university hospital, where he gained extensive experience in heart, lung, and complex chest surgery.

Since establishing Evita Clinic in 2009, Dr. Jeon has focused exclusively on body contouring procedures, including breast surgery, gynecomastia surgery, and gender-affirming chest surgery. His background in thoracic surgery provides an advanced understanding of chest wall anatomy, muscle structure, vascular systems, and soft tissue dynamics—critical elements in achieving balanced and natural breast contouring results.

In MTF top surgery (breast feminization surgery), Dr. Jeon applies meticulous pocket design, proportion-based implant selection, and precise tissue handling to create harmonious, feminine contours while minimizing scarring and long-term complications.

Today, patients from around the world choose Evita Clinic for breast augmentation and gender-affirming breast surgery performed with surgical precision, safety, and respect.

2025 WPATH Membership Badge

Surgical Approach & Procedure Details

Surgical Techniques

Implant-Based Breast Feminization

Implant-based breast feminization is the primary technique used in MTF top surgery to create a fuller, more feminine chest contour. It is particularly appropriate for patients whose breast development from hormone therapy is limited and who desire additional projection and volume.

The procedure involves careful implant selection based on chest width, soft tissue thickness, and desired breast shape. Strategic pocket creation and balanced positioning are essential to achieve symmetry and long-term stability.

Recovery time: Approximately 1–2 weeks
Cost: Determined by implant type and individualized surgical plan

Implant Placement Options

Dual Plane Approach (Most Common)

The dual plane technique positions the implant partially beneath the pectoral muscle and partially beneath breast tissue. This approach is often recommended for transgender women with limited native breast volume.

By combining muscle coverage with controlled lower pole expansion, the dual plane method helps create a smoother upper contour and more natural slope.

• Improved upper pole transition
• Reduced visibility of implant edges
• Enhanced implant stability

Placement is selected based on anatomical structure and aesthetic goals.

Incision Options

Precision and Scar Management

Incision placement plays a critical role in surgical precision and long-term scar visibility. The most commonly used method is the inframammary fold incision, which allows accurate pocket creation and optimal implant positioning.

In selected cases, a periareolar incision may be considered when anatomy permits and adequate tissue is present.

• Inframammary fold incision (most common)
• Periareolar incision (selected cases)
• Scar placement planned for minimal visibility

Final incision choice is determined by chest anatomy, skin quality, and overall surgical strategy.

Same-Day Procedure

Structured Postoperative Monitoring

MTF top surgery at Evita Clinic is typically performed as a same-day procedure under general anesthesia. After surgery, patients remain under structured monitoring to ensure stable recovery before discharge.

Clear postoperative instructions are provided, including garment use, activity limitations, and follow-up scheduling. Most patients are able to return to their accommodation the same day with minimal assistance.

• Outpatient-based surgical system
• Immediate recovery observation
• Early return to light daily activity

Breast Feminization Approach at Evita Clinic

At Evita Clinic, MTF breast augmentation is guided by structural precision and long-term aesthetic planning.
Each procedure is designed to achieve harmony between chest anatomy and feminine contour.

Personalized Surgical Design

Every surgical plan is customized based on:

  • Chest width
  • Rib cage shape
  • Existing breast tissue
  • Overall body proportions

The goal is to create a balanced, natural-looking feminine silhouette rather than focusing solely on volume.

Precise Implant Selection

Implant size, projection profile, and material are selected collaboratively after careful anatomical evaluation.

This ensures that the chosen implant enhances femininity while maintaining proportion, structural support, and long-term stability.

Meticulous Pocket Creation

Implant pockets are created with careful attention to symmetry, muscle dynamics, and tissue preservation.

Proper pocket design is critical to:

  • Maintaining implant stability
  • Preventing asymmetry
  • Supporting natural contour development

Scar-Minimizing Technique

Strategic incision placement combined with refined suturing techniques promotes:

  • Discreet scar positioning
  • Smooth healing progression
  • Improved long-term aesthetic outcome


1

Starting Your MTF Top Surgery Journey

Consultation

Choosing MTF top surgery is a significant decision that requires careful planning and professional evaluation.

During your consultation, Dr. Francis Jeon evaluates your chest anatomy, hormone therapy history, skin quality, and aesthetic goals. Based on this assessment, a personalized surgical plan is developed, including implant selection, incision strategy, and recovery preparation.

You will receive clear information about the procedure, expected outcomes, potential risks, and postoperative care to support informed decision-making in a respectful and confidential environment.


2

Enhancing Yourself Through Surgery

Operation

Patients are required to fast for at least 6 hours prior to surgery. The procedure is performed under Monitored Anesthetic Care (MAC) and typically takes approximately 2 to 3 hours.

Throughout the operation, vital signs are continuously monitored to ensure safety and stability. Surgical precision is prioritized to achieve balanced implant positioning and natural contour formation.

After surgery, patients remain in the recovery area for structured observation before discharge. Detailed postoperative instructions and a supportive compression garment are provided to promote healing and implant stabilization.


3

Embrace the Change

Recovery

Recovery is a gradual process focused on stable healing, comfort, and long-term aesthetic refinement.

Mild swelling, tightness, and temporary sensitivity are common during the first few days. Most patients are able to resume light daily activities shortly after surgery while avoiding strenuous movement.

Sutures are typically removed within 1–2 weeks, and structured scar management protocols are introduced early to optimize healing. Final breast shape continues to soften and settle over several months as swelling gradually subsides.

MTF TOP Surgery – Frequently Asked Questions

What is MTF Top Surgery?

MTF Top Surgery, also known as transfeminine breast augmentation, is a gender-affirming surgery designed to create a feminine chest for transgender women and transfeminine individuals.
The procedure is typically performed using breast implants to achieve a natural feminine breast contour.

MTF Top Surgery is suitable for transgender women and transfeminine or non-binary individuals seeking a more feminine chest.
Each patient is evaluated individually based on body structure, chest anatomy, skin quality, and personal goals.

Hormone therapy is not strictly required, but most surgeons recommend at least 12 months of feminizing hormone therapy before surgery.
This allows for natural breast tissue development and skin softening, which can contribute to more natural and stable surgical outcomes.

At Evita Clinic, MTF Top Surgery is performed using breast implants only, without fat grafting.
The surgical plan is customized based on chest width, tissue characteristics, and desired breast shape, with a focus on long-term safety and natural results.

The inframammary fold (under-breast crease) incision is most commonly preferred.
This approach allows precise implant positioning and reliable outcomes.
In select or special cases, periareolar (around the areola) or transaxillary (underarm) incisions may be considered, depending on individual anatomy.

Evita Clinic primarily uses the Dual Plane technique, where the upper portion of the implant is placed under the pectoral muscle, and the lower portion rests under the breast tissue.
This technique helps reduce implant visibility, improves upper-chest coverage, and creates a more natural feminine breast slope—especially important for patients with limited natural breast tissue.

Implant type, size, and placement are carefully planned to achieve the most natural feminine chest possible.
However, results may vary depending on individual rib cage structure, skin elasticity, and soft tissue volume.
The goal is harmony with the body rather than excessive size.

Yes. Choosing an excessively large implant from the start can increase the risk of complications such as implant malposition, rippling, bottoming-out, or tissue strain.
In some cases, a staged approach—starting with a moderate size and increasing later—may be recommended for safety and long-term stability.

Breast implants are designed for long-term use, but they are not considered lifetime devices.
Over time, aging, gravity, and weight changes can affect breast shape and proportion.
As a result, some patients may eventually require implant exchange or revision surgery.

Possible risks include bleeding, infection, implant malposition, asymmetry, and capsular contracture (hardening of scar tissue around the implant).
Following postoperative instructions carefully is essential to reduce these risks.

Smoking significantly impairs blood circulation and wound healing.
Smoking before or after surgery increases the risk of infection, delayed healing, and capsular contracture, which is why strict smoking cessation is strongly advised.

For international patients, it is recommended to stay in Korea for at least 10 days to 2 weeks after MTF Top Surgery.
This allows adequate time for postoperative monitoring, wound checks, and follow-up care before returning home.

Private Consultation in English

Chat with our English coordinator. Replies during Korea business hours (KST).