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DeutschTop surgery: a chest that feels like yours, with people who listen
Clear information on FTM mastectomy, non-binary top surgery and breast augmentation. We help you understand the techniques, review a transparent quote and support you from the first question to your post-operative check-up.
- Multilingual support
- Written, transparent quote
- Follow-up after you return
no obligation
English and German
Privacy, respect and no pressure: you decide, in your own time.
Honest information and personal support for your top surgery
TopSurgery.it provides clear information and personal top surgery support for people who want to arrange their surgery with partner surgeons in Istanbul.
- Information based on medical sources
- Board-certified plastic surgeons
- Detailed written quote
- Multilingual support
- Respectful, inclusive language
- Follow-up coordination
Top surgery techniques, clearly explained
Double Incision Top Surgery with Free Nipple Grafts
The most common technique for medium and larger chests
Double incision top surgery with free nipple grafts is the most widely used technique for medium and larger chests. It removes glandular tissue and excess skin and usually achieves the flattest chest contour.
Periareolar Top Surgery (Concentric Circle Technique)
A scar around the areola for small to medium chests
Periareolar top surgery, also called the concentric circle or donut technique, removes tissue through an incision around the areola. It suits small to medium chests with good skin elasticity and leaves less scarring than double incision.
Keyhole Top Surgery for Very Small Chests
A small incision below the areola, minimal scarring
Keyhole top surgery removes breast tissue through a small incision along the lower edge of the areola, often combined with liposuction. It leaves the least visible scars but is only suitable for a small number of people with a very small chest and elastic skin.
Buttonhole Top Surgery and Inverted T: Nipple on a Pedicle
For people with a medium or larger chest who want to keep nipple sensation
In buttonhole top surgery and the inverted-T technique the nipple is not removed but stays attached to a tissue pedicle that preserves its blood supply and nerves. These options suit medium or larger chests when sensation is a priority, at the cost of more scarring and some trade-offs.
Non-binary top surgery: planned around your goals
Flat, reduced or nipple-free: a chest that fits your own goals
Non-binary top surgery shapes the chest around your own goals: completely flat, reduced or nipple-free. The techniques are the same as in subcutaneous mastectomy, but the plan is made together with your surgeon.
MTF breast augmentation for trans women
Feminizing chest surgery with implants, fat grafting or a hybrid approach
MTF breast augmentation increases breast volume with implants, fat transfer or a combination of both. It is for adult trans women and transfeminine people who want fuller breasts than hormones alone have achieved.
Top surgery revision: when and how to correct the result
Correcting dog ears, residual tissue, asymmetry and scars
A top surgery revision corrects aspects of the result that are not satisfying after healing, such as dog ears, residual tissue, asymmetry, scars or nipple position. It is usually done once the tissues have settled.
Where to have top surgery: Turkey, Italy, Thailand and more
Indicative costs, length of stay, pros and cons of the most popular top surgery destinations – honestly compared.
An important decision deserves honest support
We do not sell black-box packages: we explain the pros and cons of each technique, tell you exactly what the price includes and stay by your side after you return home.
- Individual assessment
- Surgeon named in advance
- No hidden costs
- Transfers and hotel arranged
- Interpreter during your stay
- Photo and video check-ins
- Confidential data handling
- No sales pressure
Any questions?
+90 212 963 09 02Listening first
We start from your goals: flat chest, reduction, nipples or not.
Transparent quote
You always know what is and isn't included – in writing.
Support in your language
From the first chat to the final check-up, without language barriers.
Follow-up after you return
Remote check-ins and clear guidance on when to see a doctor.
From your first question to your result, step by step
Send your request
Fill in the form or message us on WhatsApp – even just with a question.
Free consultation
We talk about your goals, your health and the possible techniques.
Written quote
You receive a detailed offer naming the surgeon, technique and included services.
Travel and surgery
We arrange dates, hotel and transfers; the surgeon examines you before surgery.
Recovery and follow-up
We follow up remotely until your final result.
The questions we hear most often
Short, honest answers. For your specific situation, the surgeon is always the reference.
All questionsThe main ones are double incision, periareolar, keyhole and buttonhole/inverted T; there are also non-binary approaches and breast augmentation for trans women. The technique is chosen with the surgeon based on chest size, skin elasticity, nipple position and goals.
Adults with marked and sustained gender incongruence who can give informed consent and whose other health conditions are reasonably well controlled, as set out in the WPATH SOC8 standards. Some surgeons may ask for a letter from a mental health or health professional. Details in our guide to requirements.
Not for chest masculinization: hormone therapy is not a prerequisite. For breast augmentation in trans women a period of feminizing hormone therapy, often around 12 months, is generally suggested so that breast growth can develop – this is a recommendation, not an absolute rule.
Yes. Our services and any surgery arranged through TopSurgery.it are exclusively for people aged 18 or over.
Surgery is performed under general anaesthesia, so you feel no pain during the operation. In the following days tightness, soreness and discomfort are common and are usually well managed with the prescribed pain relief. How it feels varies from person to person.
As a rough guide, many people return to desk work after about 2 weeks. Heavy lifting, raising the arms high and intense exercise are generally avoided for 4–6 weeks, and a compression vest is often worn for several weeks. Scars mature over 12–18 months. Read our recovery guide.
Request your free consultation
Tell us briefly what you are looking for: we usually reply within 24 hours, with no obligation.
- No obligation and no cost
- Reply usually within 24 hours
- Photos only if and when you want
Your data is handled confidentially and used only to answer your request.
Everything you need to know about top surgery
Choosing a technique
Double incision, periareolar, keyhole or buttonhole? How chest size, skin elasticity and nipple position guide the choice of FTM top surgery technique.
Top surgery requirements
Who can have top surgery? WPATH SOC8 criteria, age, informed consent, pre-op tests, smoking, BMI and the letters some clinics ask for – explained clearly.
Preparing for top surgery
Preparing for FTM top surgery: quitting nicotine, medications to discuss with your doctor, help at home, what to pack, travel planning and mental preparation.
Top surgery recovery
Top surgery recovery: drains, compression vest, showering, returning to work, exercise, swelling, flying home and the warning signs you should never ignore.
Top surgery scars
Top surgery scars: where they sit for each technique, how long they take to mature, silicone, sun protection, massage, keloids and tattoos over scars.
How much does top surgery cost?
Top surgery cost compared: indicative prices in Turkey, Italy, Germany, Spain, Thailand and the USA, what drives the price, hidden costs and how to read quotes.
Choosing a technique
Among top surgery techniques there is no single best option: the right choice depends on your chest and your goals. This guide explains the…
Top surgery requirements
Top surgery requirements do not include hormone therapy: what matters is being an adult, informed consent, stable health and a careful asse…
Preparing for top surgery
Preparing for top surgery well in advance makes recovery smoother and reduces some avoidable risks. Here is a practical checklist for the w…
Top surgery recovery
Top surgery recovery usually follows predictable stages, but every body heals at its own pace. Here is an indicative overview – your surgeo…
Top surgery scars
Top surgery scars are unavoidable, but how you care for them in the months that follow can influence how they look. Here is what to expect …
How much does top surgery cost?
Top surgery cost varies widely depending on country, technique, surgeon and what is included. Here are indicative price ranges by destinati…
