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Top Surgery

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To realize one’s own identity fully is one of the primary aims of life. For transgender individuals, this path of self-realization can often involve one or more gender confirmation surgeries.

Transgender patients born with breasts who were assigned female at birth frequently undergo a double mastectomy in order to create a more masculine chest form, a process informally known as top surgery.

Board-certified plastic surgeon Dr. Anthony Wilson offers personalized female-to-male chest reconstruction surgery suitable for every body type.

  • What is Top Surgery?

    Top surgery is a gender-affirming surgery that typically involves the removal of most of the patient’s existing breast tissue and excess skin. In some cases, a nipple graft is also performed to reshape the nipples and position them correctly. Though the purpose of top surgery is straightforward, the techniques used to perform this operation vary considerably depending on the patient’s unique anatomy.

    Female-to-male surgery (FTM top surgery) on the chest ranges from being a minimally invasive operation to a more complex procedure that requires substantial recovery time. Top Surgery is performed as a double incision mastectomy reduction.

    Insurance carriers now frequently cover top surgery. Prior to your consultation with Dr. Wilson, we recommend you contact your insurance carrier to discuss the requirements for approval. Many carriers require significant documentation from other health providers prior to any approval.

  • Who is a Good Candidate for Top Surgery?

    Top surgery is recommended for patients with a history of gender dysphoria. If you feel that your current physical shape does not reflect your identity, and this fact causes you great discomfort, female-to-male surgery can help you feel more at home in your body.

    To have top surgery, you will need to be in good overall health and be a current nonsmoker. Smoking greatly increases your risk of surgical complications and can delay healing.

    Certain medications, like blood thinners, can also interfere with your ability to have surgery. When you come in for a consultation, Dr. Wilson will carefully review your complete medical history, including any medications or supplements you take. He will then work with your primary physician and mental health provider to develop a safe surgical plan for you.  All patients who would like to go through with top surgery must obtain a letter of clearance from their mental health provider.

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BOARD-CERTIFIED PLASTIC SURGEON

Dr. Anthony Wilson

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When you are seeking a qualified and talented plastic surgeon, look no further than board-certified Dr. Anthony Wilson with AW Plastic Surgery. Dr. Wilson has a passion for both aesthetic and reconstructive surgery of the face and the body. He takes deep satisfaction in giving his patients the tools they need to feel confident, whole, and beautiful, no matter where they are in their aesthetic journey.

Dr. Wilson is recognized as an expert in cosmetic facial enhancement through both surgical and non-surgical measures. He is a national trainer for Revance and attends industry training to stay on top of the latest techniques. He conducts a multi-layered approach to aging and aesthetics, combining skincare and surgery to achieve a customized, natural result. Part of AW Plastic Surgery’s positive patient results stem from a stellar supporting group of aesthetic professionals. Dr. Wilson is backed by a strong team of injectors, nurses, and aestheticians at AW Plastic Surgery who ensure a high level of service.

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REAL PATIENTS. REAL RESULTS.

Before & Afters

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Patient
Reviews

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Dr. Wilson and the entire AW Plastic surgery team are absolutely amazing. No matter what you are there for they provide you with the best service. The attention to detail and honest options give come from the experience the entire team has. They get to know you as a person not a patient and show genuine interest in your care and treatment. I went to this team for breast cancer reconstruction and they deserve more than 5 stars! The best of the best! Keep it up

– Corina K.

From my first call to book my appointment and scheduling post op visits and calls in between, with Taylor, who could not have been more accommodating and kind, to my consult, with Dr. Wilson, who is so sweet, and honest, to my actual procedure, with Rossli and Monica, who were the best! This entire staff was nothing but helpful, friendly, knowledgeable and kind. I had the CO2 laser procedure and was so nervous, these ladies put me at ease and made the experience more than tolerable, LOL! I highly recommend AW Plastic surgery!!

– Cheryl J.

I had a fantastic experience in my breast augmentation with Dr. Wilson and the whole team at AW Plastic. I made serval appointments to chose and then double check that the implant size I wanted was really the size I wanted. Everyone was so patient and knowledgeable when I felt so uncertain about sizing. In the end, I felt extremely comfortable and confident that Dr. Wilson heard my concerns and was going to do everything he could to give me the results I wanted. I couldn’t be happier with my outcome and I would recommend this practice to everyone I know! Thank you, Dr. Wilson and all of the nurses at AWPS!

– Sarah W.

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Schedule a Consultation

Are you ready to finally feel at home in your body? Top surgery can help your body match your gender. To take the first step, call AW Plastic Surgery at our Portsmouth, NH office or use our online contact form.

When you come in for a consultation, Dr. Wilson will thoroughly examine your chest and let you know which top surgery method will create the best results for you.

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