Gender-Affirming Breast Augmentation (MTF Top Surgery)

Placement of implants to create a fuller chest contour
Aligns physical appearance with gender identity
Modern private hospital
Comprehensive aftercare programme

What is Gender-Affirming Breast Augmentation?

Gender-Affirming Breast Augmentation is a surgical procedure that helps people align their physical appearance with their gender identity. The surgery typically involves placing implants under the skin in the chest area to create a more feminised appearance. It is a transformative, life-changing procedure that has been proven to alleviate gender dysphoria in those who undergo it.

At Pall Mall, we understand the deeply personal nature of gender-affirming procedures and the positive impact they can have on the health and wellbeing of people who undergo them. We are dedicated to providing compassionate, personalised care, and we have experts on hand to support you every step of the way. Your surgery will take place at our modern, state-of-the-art private hospital in Newton-le-Willows, where you will be cared for by specialists with years of experience in gender-affirming healthcare.

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Gender-Affirming Breast Augmentation at a glance

Compression Bra: You will be fitted with a compression bra post-op to help recovery - we recommend wearing this for 6 weeks.
Exercise: You will need to refrain from exercise for 6-8 weeks to help your body recover.
Time off Work: We advise you to take 1-2 weeks off work following your surgery.
Time in Hospital: You’ll be able to go home the same day as your surgery.
Driving: Please avoid driving for a week - you will need to arrange transport home from hospital.
Final Results: You will see the final results of your surgery within 6 to 12 months.

Am I eligible for MTF Top Surgery?

To undergo Gender-Affirming Top Surgery, you must have a referral letter from a UK-based Gender Specialist and:

Be over 18
Produce up-to-date GP medical history records.
Maintain a BMI of 18-40 and be in generally good health
Stop smoking for a minimum of four weeks before the procedure, as this may impact healing. This includes any nicotine replacement therapy such as vaping, nicotine patches, gum etc.

Pall Mall cannot proceed to surgery without a referral letter from a licensed UK Gender Specialist. This is to ensure that a person has had the benefit of exploring their gender affirmation goals with a specialist in transgender health. There may be other medical conditions or risks, unrelated to your gender status, that prevent you from undergoing this surgery. Our Patient Liaison, Mamuna, can discuss this with you during your consultation.

Meet our surgeons

Every surgeon at Pall Mall Medical is fully accredited to practice as a plastic or general surgery specialist in the UK, comes from a relevant medical organisation and has accredited qualifications in aesthetic plastic surgery.

We are privileged to work with two leading surgeons and clinical experts in the field of gender-affirming care - Kate Williams and Chloe Wright. With over 20 years’ experience and more than 800 successfully-completed procedures between them, you can feel confident that you are receiving quality treatment and care from two of the UK’s foremost gender-related surgery specialists.

Kate Williams

Kate Williams is a highly accomplished consultant surgeon specialising in gender-affirming and oncoplastic surgery. Her credentials include:

BSc (First Class Hons) in Clinical Science from the University of Leeds
MBChB Bachelor of Medicine (Surgery) from the University of Leeds
Research Fellow with the Royal College of Surgeons, England
MD Doctor of Medicine from the University of Manchester
Leading NHS consultant in Manchester, performing over 280 surgeries
Clinical Director for breast and chest wall surgical services at NMGH

Chloe Wright

Chloe Wright is a Consultant Gender and Oncoplastic Breast Surgeon with extensive experience in both gender-affirming and breast cancer surgeries. Her credentials include:

MBChB Bachelor of Medicine from the University of Manchester
USA Medical Certification
National TIG Oncoplastic Fellowship
Consultant Oncoplastic Breast Surgeon at Bolton NHS FT
Consultant at Manchester Foundation Trust
Specialist advisor to the Care Quality Commission (CQC)
Trained in gender-affirming Top Surgery since 2009, performing over 500 procedures

What’s involved with the procedure?

Gender-Affirming Breast Augmentation is a significant procedure that involves a lot of planning and patient care.

We’ll be on hand at every stage to ensure your procedure goes smoothly and to answer any questions or concerns you may have along the way.

Find out more about what’s involved at each stage of the procedure:

Pre-op

Before your surgery, we’ll ask you to attend some consultations so we can check you meet all the necessary medical requirements and so you have all the details you need to make an informed decision about proceeding.

The first consultation will be a virtual one with our dedicated gender surgery Patient Adviser, Mamuna, who will ask for some further information and make sure that you’re happy to move forward with the procedure. Our surgeons will then review information from your Gender Identity Clinic and make a decision on whether to proceed.

The next step is a video consultation with your surgeon. This will give you a chance to discuss your gender affirmation goals and ask any questions you have about the surgery. It is helpful if you can show your chest for a few seconds during this consultation, but if you’re not comfortable doing so, your surgeon will ask you some questions to describe your chest instead.

You will receive a Patient Information Guide after your first consultation, which will provide all the details you need about the procedure. You then have a two-week cooling off period in which you have time to decide whether you want to proceed.

If you’re happy to move forward with the surgery, we’ll arrange a face-to-face consultation four weeks after your virtual meeting and then we’ll schedule the surgery for a date that’s convenient for you.

The day of your surgery

Your surgery will be scheduled on a date up to six weeks after your initial consultation, and once all the pre-op stages have been completed. On the day of your surgery, our friendly team will welcome you to our hospital, where you will be shown to your own private room to prepare for the procedure.

Your surgeon will visit you before the operation to check in and get your final consent to proceed. You will then meet with the Consultant Anaesthetist to agree on a plan for your pain control and ask any relevant questions.

The surgery will take around two hours and once it’s complete you will be returned to your room to come round from the anaesthetic. Dressings will be applied to your chest and you will be fitted with a post-surgery compression bra, which you will need to wear for at least six weeks to aid recovery.

Most of our patients return home the same day, but we would recommend packing an overnight bag in case you need to stay in hospital. You will be unable to drive for a week after your surgery, so you will need to arrange transportation home from the hospital.

Post-op

After your surgery, we will give you all the information you need to manage your recovery and ensure the best possible results from the procedure. We would advise you to ask any questions you may have about your recovery while you’re in hospital, and we will also give you details for contacting us out of hours in the event of any urgent concerns.

Following your surgery, you may be provided with medicines to take home. Please take these medicines as prescribed, and continue taking any pain relief or HRT medicines as prescribed.

Comprehensive aftercare

Our commitment to patients doesn’t end following surgery, and we provide a comprehensive aftercare programme that has been specially developed with your comfort and best interests in mind. As one of the few clinically-led providers of gender affirming surgery in the UK, Pall Mall puts you in the best possible hands at every stage of the surgery process — ensuring that your safety and comfort are always the top priority.

Before leaving the hospital, you will be provided with a post-op leaflet, 24/7 emergency contact information and a booking for your first post-op check-up. Our specific aftercare package for Gender-Affirming Breast Augmentation includes a post-op dressing appointment 9-10 days after your procedure, as well as multiple surgeon reviews carried out over the ensuing 12-month period. All aftercare services are provided as part of our surgery packages — leaving no hidden costs or extra charges to worry about during your recovery.

Why choose Pall Mall for your top surgery?

Pall Mall is one of the UK’s only private providers that is owned and led by doctors. This means that you receive quality care without compromise, and patient safety is prioritised to the highest clinical standards. We pride ourselves on delivering gender-affirming care that makes you feel confident about yourself at every stage of your journey — from that very first call to our comprehensive aftercare service.

When you choose Pall Mall for your Gender-Affirming Breast Augmentation, you benefit from:

Care Quality Commission (CQC) regulated service
General Medical Council (GMC) registered surgeons
State-of-the-art theatre facilities
The comfort of our privately-owned hospital
Comprehensive aftercare from our dedicated patient experience team
A dedicated team of gender affirming medical professionals who will be there to support you every step of the way

State-of-the-art private hospital

Our Newton-le-Willows hospital is a state-of-the-art private facility where we provide gender-affirming medical care in a safe and welcoming environment.

Our expert team of consultants, clinicians and surgeons provides a range of gender affirmation services, from diagnostics and consultancy to specialised Top Surgery procedures. With two modern theatres and industry-leading care, we cater to the individual needs of our patients in an environment of world-class medical standards.

Our discreet and compassionate CQC-registered hospital ensures a supportive space for all gender identities, where your wellbeing is always our highest priority.

Experience the difference of a privately-owned hospital and pioneering patient care when you choose Pall Mall for your Top Surgery.

Common questions about Top Surgery

We understand the importance of having all the information you need before undergoing a deeply personal procedure like this. Throughout your journey, we will endeavour to answer any questions you may have and are on hand to provide all help and support you need.

You can find answers to some of the most common questions about Gender-Affirming Breast Augmentation below. Please contact our dedicated Patient Advisor for more information on our gender affirmation services.

Q: What type of implants are used for Gender-Affirming Top Surgery?

We offer a choice between saline and silicone implants. Saline implants are filled with a sterile saline solution and silicone implants are filled with a silicone gel that replicates the feel of natural breast tissue.

Our surgeons will discuss the size, shape, and material of implants with you and advise which may be best for your specific goals during your pre-op consultation.

Q: Will this surgery leave scars?

Yes, you will have permanent scars after this procedure. The scars will fade over time and their visibility can be reduced with proper scar care.

Q: Are there any risks involved with his surgery?

Breast Augmentation is an invasive procedure and as such does carry the possibility of complications. Some swelling and bruising is expected, but there is also the risk, in rare cases, of bleeding, infection, implant rupture or leakage, or loss of sensitivity in the chest area.

If you have any concerns about the potential risks or you’re experiencing any worrying pain or discomfort after the surgery, get in touch with our team via the contact details provided so we can help.

Q: What is the recovery process like?

Recovery can vary for each individual, but in all cases it’s important to follow your surgeon’s advice to aid the recovery process.

You can usually expect to return to work and light activities 1-2 weeks after the procedure
You will need to refrain from exercise for 6-8 weeks
You will need to wear a post-op bra for 6 weeks following the surgery
Avoid sleeping on your stomach during the recovery process, as this will place pressure on the implants

Q: How soon will I see results?

You will start to notice visible results around one month after your surgery, once the majority of the swelling and bruising has subsided. You can expect full recovery to take up to 12 months, at which point your implants will have fully settled into their new shape and position.

Q: How painful is the surgery?

Patients of Top Surgery commonly experience some level of discomfort and pain in the weeks following their procedure. While thresholds for pain vary from person to person, you are likely to feel sharp, short-term discomfort which can be relieved with pain medication.

Q: How old do you have to be to undergo Gender-Affirming Breast Augmentation?

The minimum age for any Top Surgery consultation or procedure with Pall Mall Medical is 18.

Q: Can you undergo this without a referral?

It is best to discuss with our Patient Liaison in the first instance. In most cases we cannot proceed without a referral letter from a licensed UK Gender Specialist, as per WPATH and NHS service specifications.

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