Female-to-male top surgery in San Francisco is performed under general anesthesia and typically takes between 1 and 3 hours to complete. During chest surgery, Dr. Delgado removes fat and breast tissue from the chest to create a more masculine profile. The exact techniques used depend on how much breast tissue is present and the look they wish to achieve.

Dr. Delgado takes the time to compassionately listen to his patients’ desires and concerns before planning their surgery. The table below compares the three approaches Dr. Delgado uses most often to perform FTM chest surgery. He customizes each surgery to create natural results and meet each patient’s unique goals.

Keyhole Surgery Double Incision with Nipple Grafts Inverted T-Top Surgery Peri-Areolar Top Surgery
Overview Semi-circular or circular incisions are made around the areola and nipples. Breast tissue is then removed and nipples are resized, if desired. Chest skin is then tightened and sutured closed around the nipples. Incisions are made along the top and bottom of the chest muscles and the areola and nipples are removed. Breast tissue is removed and areolas and nipples are grafted from native areola tissue. Incisions are made at top and bottom of chest muscles. Breast tissue is removed. Vertical incisions are made near areola to reduce size of areolas and nipples without severing nerves. Incisions are made to remove a ring of skin bordering the areola. Breast tissue is removed through liposuction and the skin surrounding the areola is connected.
Benefits Creates a realistic male contour Preserves areola and nipple sensitivity Minimal scarring Realistic contour and areola/nipple size Effective on men with low skin elasticity and larger chests. Realistic male contour and proportioned areolas/nipples Preservation of nipple sensitivity Realistic contour and areola/nipple proportions Preserves areola and nipple sensitivity Minimally scarring
Disadvantages Cannot be performed on men with a large amount of chest tissue Additional revisions may be required to achieve desired results Larger incisions may result in more noticeable scarring Areola and nipple sensation will not return Larger incisions may result in more noticeable scarring Extra incisions required Not ideal for men with larger chest size Additional revision may be required
Ideal Candidates Transgendered men with smaller chests and good skin elasticity. Preservation of nipple sensitivity is a top priority. Men with medium to large chests who are not concerned about losing nipple sensitivity. Trans men with medium to large chests who wish to preserve nipple sensitivity. Men with B-sized or smaller chests and good skin elasticity. Preservation of nipple sensitivity is important.

According to Dr. Delgado’s years of FTM experience, many patients do not need double incision procedures. These procedures are more invasive and have large scars. Most patients can achieve beautiful results with a less invasive approach. The benefit of this conservative approach to FTM top surgery in Sonoma County is faster recovery and smaller scars for our patients. It is our goal to provide you with the best results with the least amount of stress, recovery and scarring.


In addition to the techniques listed above, Dr. Delgado is most well-known for his two-stage FTM chest surgery. This minimal incision two-stage procedure is ideal for patients with moderate breast size.


First, Dr. Delgado makes a half-moon shaped incision on the top of the areola. He will then remove breast tissue and fat for maximum skin contracture and shrinkage. The half-moon shape of skin is removed above the areola, achieve a slight lift.


The last stage of this procedure is performed 4 months later, after the blood supply has re-established in the nipple and areola. Dr. Delgado will remove a donut shaped ring of skin around the areola and close the incision in a purse string-like fashion. This will further tighten and lift the skin. This technique removes breast tissue with minimally scarring, preservation of nipple sensitivity, and natural looking results.

Building Facade


Chest surgery is typically the first surgery that trans men undergo to create the masculine appearance that they identify with. The majority of Dr. Delgado’s patients are very happy with the results that they achieve through top surgery and describe the surgery as life changing. Top surgery is a transformative procedure, but it does have some trade-offs, including visible scarring and/or loss of sensitivity. Dr. Delgado ensures that his patients are fully aware of what the procedure entails so they have realistic expectations going into surgery.


Dr. Delgado and his staff are experienced in helping trans men achieve their ideal bodies with FTM top surgery in Marin County. If you’re ready to take the next step in your transformative journey, we encourage you to contact our Novato or San Francisco office today.


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Along with the Golden Gate Bridge, San Francisco Bay stands out as one of the city’s most recognizable features. San Francisco Bay is home to not only San Francisco but also the cities of San Jose and Oakland. The Bay offers many recreational opportunities for watersports, hiking, cycling, and exploration. The shore of the San Francisco Bay is located one and a half miles from the practice of Dr. Miguel Delgado and 23 miles from Dr. Delgado’s secondary office in Novato, Marin County. Novato is a central location for his patients who come from San Francisco, Santa Rosa in Sonoma County, and Napa Valley.

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