top surgery NYC

Gender Affirming
“Top Surgery” —
Masculinization & Feminization

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Welcome to Pearlman Aesthetic Surgery for gender affirming surgery in NYC on Park Avenue.

Dr. Bassiri-Tehrani provides chest masculinization and feminization surgeries for patients seeking gender affirmation. Our practice provides breast surgery tailored to each patient’s individual goals to deliver the most optimal results

Gender Affirming Breast Surgery

At Pearlman Aesthetic Surgery, we follow the Guidelines and Standards of Care published by the World Professional Association for Transgender Health (WPATH).

Female to Male (FTM) and non-binary patients seek “top surgery” to remove breast tissue and masculinize the chest. Multiple techniques are used based on the breast size. These include a “Keyhole” technique that uses liposuction and a small incision in the areola to remove breast tissue, and the “Double Incision and Free Nipple grafting” technique the removes excess skin and fat to contour the chest. 


Male to Female (MTF) and nonbinary patients seek breast augmentation to feminize the chest wall. Incision placement and type of implant vary based on specific patient anatomy.   

Chest Feminization

Breast Augmentation

Chest Masculinization

Periareolar incision with liposuction

Double incision and free nipple grafting

Nipple reduction & Areola reduction


The Benefits of Gender Affirming Top Surgery in NYC at Pearlman Aesthetic Surgery

Individualized consultation and treatment for your unique concerns and goals with 3D Vectra imaging

Procedure takes place in our state-of-the-art OR at our Park Avenue office

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Surgery Process

How it Works


For trans-feminine patients:

For trans-masculine patients:


You’ll visit our Park Avenue office for a confidential consultation with Dr. Bassiri-Tehrani. They will listen to your concerns and goals and will provide a personalized care plan to specifically address your needs.

We highly encourage you to ask questions during your consultation for gender affirming top surgery. Our team will walk you through every step of the procedure and recovery process so you can feel comfortable and confident with your decision.

Dr. Bassiri-Tehrani will make a small incision in the inframammary fold and dissect breast pockets underneath the muscle.

This is to make the breast augmentation look as natural as possible. He then places the appropriately sized implants, followed by a layered closure of the small incision.

Dr. Bassiri-Tehrani will tailor the surgical approach to your specific anatomy. In cases where there is minimal skin and breast tissue redundancy, they can contour the chest through a small incision under your areola to remove breast tissue with liposuction.

If there is a more significant amount of tissue, they will place the incision along the inframammary folds and graft the nipple/areola onto the newly contoured chest. This procedure is often paired with nipple or areola reduction to achieve a more masculine look.

The surgery will last 2-3 hours. Dr. Bassiri-Tehrani, our Patient Care Coordinator, and the rest of our team will provide ample guidance and support around your surgery.

Recovery is typically 1-2 weeks. We advise that you do not do any upper body exercises for 4 weeks. We will schedule follow-up appointments to assess your recovery and results.

Frequently Asked Questions

Gender Affirming Surgery

Do I need to do mammograms after a double incision and free nipple graft?

Yes. This procedure is not equivalent to a mastectomy for breast cancer. Breast tissue may be leftover and must be monitored.

How much is top surgery in New York?

Top surgery in New York at Pearlman Aesthetic Surgery is between $9,000 to $20,000.

What are the criteria to be eligible for gender affirming “top surgery”?

Pearlman Aesthetic Surgery follows the World WPATH criteria for gender affirming surgery. As per the “WPATH Standards of Care for the Health of Transsexual, Transgender, and Gender Nonconforming People” a referral letter from a qualified mental health professional with specific content is needed for breast/chest surgery.

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Persistent in the Pursuit of Perfection

For years, Pearlman Aesthetic Surgery has been persistent in our search for perfection as the best plastic surgeons in New York. We bring evolution, experience, expertise, and uniqueness to our top surgery patients in our Manhattan office. The goal of Pearlman Aesthetic Surgery is to help patients to actualize their ideal self-image for the highest level of personal authenticity and attractiveness possible. Our surgeons couple an attentive bedside manner with genuine concern for their patients’ welfare to deliver the best top surgery results possible.

Our Approach

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