From £9,995
Female-to-Male (FTM) Top Surgery
- Removal of chest tissue for a flatter, more contoured chest
- Alleviates physical and social dysphoria
- Modern private hospital
- Comprehensive aftercare programme
What is FTM Top Surgery?
FTM Top Surgery is a gender-affirming procedure that involves the surgical removal of chest tissue and contouring of the chest to help align a person's physical appearance with their gender identity. It involves the removal of excess fat and skin, followed by a repositioning of the nipples and areolas to create a naturally flat chest appearance. Multiple surgical methods are used in Top Surgery procedures, depending on factors such as the patient’s chest size and skin elasticity.
Proven to alleviate the effects of gender dysphoria and complications from regular chest binding, Top Surgery is a deeply personal and transformative procedure which requires serious consideration and the highest standards of patient care. Pall Mall delivers safe and high-quality gender-affirming care, mirroring the established pathways that currently exist in the NHS. From your initial consultation to the procedure itself, our surgeons will engage in open, respectful communication that prioritises your personal goals and desired care outcomes.
Tops Surgery Before & Afters
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 Gender-Affirming and Oncoplastic surgeon
Meet Our Surgeon 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, Gender and Oncoplastic Surgeon
Meet Our Surgeon 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
Meet Our Dedicated Patient liaison Mamuna
Mamuna is a dedicated professional with extensive experience in Gender-Affirming surgery. At Pall Mall Medical, she is committed to providing exceptional care and support for individuals considering gender-affirming surgery.
Mamuna’s approach to care is compassionate and patient-focused, ensuring each individual receives personalised attention and thorough support throughout their surgical journey. She is deeply aware of the unique challenges faced by the LGBTQ+ community and their families. Mamuna works closely with a network of professionals, partners, and allies to offer a comprehensive and inclusive healthcare experience.
Her work in gender-affirming surgery goes beyond the technical aspects, as she is dedicated to advocating for the rights and well-being of all. Mamuna understands that gender-affirming surgery is a deeply personal and transformative decision, and she strives to create a safe and welcoming space for every patient, where they can feel heard, valued, and supported. Through her unwavering commitment, Mamuna has helped many individuals embark on their journey of self-empowerment.
Spread the cost!
We know that the cost of a procedure can feel overwhelming, especially when you’re juggling other financial commitments. That’s why we offer flexible payment options designed to make your treatment more accessible, no matter your situation.
Monthly payments as low as £225 per month*
Whether you have limited or no credit history, or a low credit score, we’re here to help make your surgery achievable.
Take the first step towards your surgery today, with a simple, affordable plan that works for you.
What we offer:
- 0% Options available
- Pay over 2–5 years with 16.9% APR
Representative Example*
Subject to status. Conditions apply. Cash price £9,995; Fixed Deposit £675; 60 monthly payments of £225.35; Total amount repayable £13,521; Representative 16.9% APR variable.
FTM Top Surgery procedures
Various surgical techniques can be used when performing Female to Male Top Surgery. The appropriate procedure is advised by the operating surgeon, based on the amount of chest/breast tissue to be removed, the elasticity of the surrounding skin and the desired outcomes. Surgeries are performed under general anaesthetic and take 3-4 hours to complete.
Periareolar
Periareolar Top Surgery involves making a circular incision around the border of the areola, followed by a second incision around the first one. Chest/breast tissue is extracted through these incisions and excess fat is removed through liposuction. The larger incision is then reclosed and the areola is resized accordingly.
The Periareolar procedure is generally performed on patients with smaller chests and low levels of excess skin. It is best-suited to patients who desire minimal skin incision during their Top Surgery.
Double incision
The Double Incision is the most common surgical technique used in FTM Top Surgery procedures. It involves complete removal and resizing of the nipples and areolas. Long horizontal incisions are used to remove the breast tissue, and excess fat is extracted through liposuction. Excess skin is removed if necessary, and the incisions are closed using specialised sutures to prevent skin puckering.
Double Incision Top Surgery is typically performed on patients with larger amounts of chest tissue which can not be sufficiently removed with a periareolar procedure. As nerves are severed during the removal of the nipple and areola, patients may not regain full sensation in this area. For patients with larger chests who are hoping to retain nipple sensation, our dermal flap surgery technique repositions the areolae while leaving them attached to their nerve supply.
Chest (breast) reduction
This is a surgical procedure aimed at reducing chest/breast size to align an individual's physical appearance with their gender identity. This procedure is particularly significant for individuals who may experience gender dysphoria related to chest/breast tissue. This procedure also offers a choice to the individual who may want to have some chest/breast tissue.
Revision surgery
We also offer revision surgery for people who have previously undergone a Top Surgery procedure elsewhere that did not meet their expectations or resulted in complications.
Revision surgery aims to correct aesthetic or functional issues from the initial procedure. This can include reshaping the chest/breasts, correcting asymmetry, or addressing complications such as scarring or changes in nipple sensation.
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 Top Surgery, 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
Maxine, Pall Mall Nurse
Comprehensive aftercare
Your care doesn’t stop when your surgery is over. We’re here to support you every step of the way with a full aftercare programme designed to help you feel safe, comfortable, and confident throughout your recovery. As one of the few clinically-led providers of gender-affirming surgery in the UK, Pall Mall ensures you’re always looked after by experienced professionals who put your wellbeing first.
Your aftercare includes:
24/7 emergency contact details- reach us anytime, day or night
Dressing appointment- around 9–10 days after your procedure
Follow-up reviews- with your surgeon throughout the first 12 months
Everything you need is included in your surgery package — there are no hidden costs and nothing extra to worry about while you heal.
Enquire About Our Services
A member of our team will be in touch with you to discuss your requirements.