While the procedure involves techniques used in breast augmentation surgery, there are unique aspects of male-to-female top surgery that must be taken into consideration. When Dr. Miguel Delgado performs chest surgery on a transitioning woman, one of his top priorities is to ensure that the implant used fits naturally and comfortable. This means that the implant must be both proportional to the patient’s physique and that enough skin is present to cover it. In most cases, Dr. Delgado is able to perform MTF chest surgery in Marin County through a single procedure.

In some instances, however, the patient may need to undergo a two-stage process in which the skin on the chest area is stretched before the implant is inserted. When choosing a surgeon for MTF top surgery, it is important to pick a plastic surgeon like Dr. Delgado who is highly skilled in performing breast augmentation and has experience working with trans women. This combination of skills and experience will allow for the best result.


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The majority of Dr. Delgado’s patients are thrilled with the enhanced size and shape of their breasts following top surgery in San Francisco. In most cases, scarring following breast enlargement is minimal. The extent of scarring depends largely upon the incisions created to insert the implants. Dr. Delgado chooses from one of the following incision patterns when performing chest surgery:

  • Periareolar: incision is made along the edge of the areola
  • Inframammary: incision is made within the horizontal crease below the chest muscle
  • Transaxillary: incision is made through the armpit

An important goal during chest surgery is to create incisions that will not be readily apparent. Dr. Delgado chooses the best location for the incision with this goal in mind, while taking into consideration the patient’s unique anatomy and desired breast size. While scars will be noticeable during the first few months after surgery, they tend to fade and flatten in time. Within 2 years of surgery, Dr. Delgado’s patients will see their scars have significantly faded.


Dr. Delgado’s two offices provide accessible treatment for patients in the San Francisco area as well as Napa Valley and Santa Rosa, Sonoma County. If you are ready to take the next step in your transformative journey by enhancing the size and shape of your bust, we encourage you to contact our Novato or San Francisco office today. Dr. Delgado will discuss the surgery with you in detail and help you determine if this is the right step for you.

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San Francisco’s dedication to the arts is displayed at the San Francisco Museum of Modern Arts, located on Third Street. Relocated and re-established in 1995, it has a collection of over 33,000 works of art from the 20th and 21st centuries. It’s one of the largest museums for modern and contemporary art in the United States and worldwide. The San Francisco Museum of Modern Art is located less than one mile from the practice of Dr. Miguel Delgado and 28 miles from Novato, Marin County, Dr. Delgado’s secondary location.

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