Personalised breast augmentation for trans women and transfeminine patients, delivered by an experienced gender-affirming surgical team at our CQC-regulated private hospital.
Gender-Affirming Breast Augmentation (MTF Top Surgery)
- Personalised implant sizing and placement
- Dedicated Gender Affirming Patient Liaison
- Comprehensive aftercare included
- 0% finance options available
- From £5995
Private gender-affirming surgery referrals
Following changes to the NHS Wales pathway, NHS referrals for gender-affirming surgery are currently not being accepted. Our private service continues to accept referrals for gender-affirming surgery.
If you would like to explore treatment through our private service, please complete the referral form below. This provides us with some initial information about your needs and treatment history, allowing our team to review your referral and advise you on the next steps.
Complete the referral form below to begin the private referral process.
Gender-Affirming Breast Augmentation at a glance
What is MTF breast augmentation?
Gender-affirming breast augmentation is a surgical procedure using breast implants to create a fuller, more feminine chest contour and help align your physical appearance with your gender identity.
How much does it cost?
Gender-affirming breast augmentation at Pall Mall Medical starts from £5,995.
Who can have the surgery?
Pall Mall Medical provides this procedure to patients aged 18 and over who meet the relevant medical and referral requirements.
Where is the surgery performed?
Surgery takes place at Pall Mall Medical's private hospital in Newton-le-Willows, UK.
How long is recovery?
Most patients can return to work and light activities within 1–2 weeks, although exercise should generally be avoided for 6–8 weeks following surgery.
Are you eligible for Gender Affirming breast augmentation?
To be considered for Top Surgery, you must meet the following eligibility requirements:
Be over 18
Patients seeking a referral letter from a UK-based accredited and registered specialist for gender-affirming surgery must be residing in the UK.
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 initial virtual consultation.
Your specialist Breast Surgeon
Your MTF top surgery will be carried out by Mr Ramachandran Prasad, a Consultant Breast Oncoplastic and Aesthetic Surgeon with over 20 years of experience in breast surgery.
Mr Prasad specialises in breast enlargement, reconstructive and general breast surgery, having trained extensively in Manchester hospitals and worked at leading NHS and private institutions across the UK. He has been a Consultant General Surgeon since 2006 and holds fellowships from the Royal Colleges of Surgeons of England, Edinburgh and Glasgow, alongside memberships with the British Association of Surgical Oncology.
Patients consistently describe Mr Prasad as approachable, warm, and reassuring - someone who puts you at ease from your very first consultation. His deep technical expertise, combined with a genuine, down-to-earth manner, means you can feel confident you're in safe, experienced hands throughout your journey.
GMC Number: 4406813
What your journey looks like
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. You can find out more about what’s involved at each stage of the procedure below.
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 - including your referral letter - and make sure that you’re happy to move forward with the procedure.
The next step is a face-to-face consultation with your surgeon, Mr. Prasad. This will give you a chance to discuss your gender affirmation goals and ask any questions you have about the surgery.
Mr. Prasad will also examine your chest and discuss implant sizing with you. It is helpful if you can show your chest for a few seconds during this consultation, but if you’re not comfortable doing so, you will be asked some questions to describe your chest instead.
Following your surgeon consultation, you’ll 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 pre-operative appointment with a nurse, at which point we’ll take payment for the surgery, and then we’ll schedule the procedure 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.
Why choose Pall Mall for your MTF top surgery?
Pall Mall is one of the UK's only private providers owned and led by doctors - meaning your care is never compromised, and patient safety is held to the highest clinical standards throughout. Our surgical team brings genuine expertise in MTF top surgery, understanding the unique anatomical considerations and personal goals involved in gender-affirming breast augmentation.
From your first call to your comprehensive aftercare, we're committed to helping you feel confident, respected, and fully supported at every stage of your journey.
- CQC Registered Private Hospital
- GMC Consultant Breast Oncoplastic surgeon
- Private En-suite recovery room
- Rated Excellent on Trustpilot
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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.
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.
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.
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.
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
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.
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.
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.
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.
Enquire About Our Services
A member of our team will be in touch with you to discuss your requirements.