FTM Top Surgery

Our surgeons at The Crane Center for Transgender Surgery (CCTS) have perfected our top surgery technique, following in Dr. Brownstein’s footsteps.

Double Incision

The double incision procedure requires an incision around the lower border of the pectoralis muscle and around the nipple. For large chested patients desiring a masculinized chest, this is the best top surgery option to remove the breast tissue and reposition and reshape the nipple-areola complex.


The keyhole procedure is best for patients that are small breasted. The procedure does not remove any extra skin or re-position the nipple/areola complex. Patients that wear larger than an “A” cup are not a good candidate for the Keyhole procedure.

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