
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 (MTF Top) Surgery?
Gender-affirming breast augmentation is a surgical procedure designed to help individuals achieve a chest appearance that aligns with their gender identity. The surgery typically involves placing breast implants to create a fuller, more feminine contour, and may also include revision procedures to refine previous results. For many people, it is a transformative step that can significantly reduce gender dysphoria and enhance overall wellbeing.
At Pall Mall, we recognise the deeply personal nature of gender-affirming surgery and the meaningful impact it can have on your confidence and quality of life. Our team provides compassionate, personalised support at every stage of your journey. All procedures take place at our state-of-the-art private hospital in Newton-le-Willows, where you’ll be cared for by specialists with extensive experience in gender-affirming healthcare.
The most common approach to gender-affirming breast augmentation uses silicone or saline implants placed beneath the chest muscle to enhance breast size, shape, and projection. Your surgeon will work closely with you to tailor the procedure to your goals, including:
Implant size and shape – selected to achieve your desired look while complementing your body proportions
Implant placement – either under or over the pectoral muscle, depending on your existing chest tissue
Incision location – typically within the breast crease or around the areola to help minimise visible scarring

Your gender-affirming surgeon Mr Ramachandran Prasad
Every surgeon at Pall Mall 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
Mr Prasad is a highly accomplished Consultant Breast Oncoplastic and Aesthetic Surgeon, specialising in breast enlargement, reconstructive surgery, general breast surgery and gender affirming surgery. His credentials include:
- FRCS (Intercollegiate Board, Royal College of Surgeons of Edinburgh, 2006)
- FRCS (Royal College of Physicians and Surgeons of Glasgow, 1993)
- Primary FRCS (Royal College of Surgeons of England, 1993)
- PLAB (1992)
- MS (General Surgery, Bombay University, 1991)
- DNB (General Surgery, National Board of Examinations, New Delhi, 1990)
- MBBS (Mysore University, 1989)

Your 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.

Why choose Pall Mall for your 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

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 Gender-Affirming Services
A member of our team will be in touch with you to discuss your requirements.

