For many transmasculine individuals, top surgery is a deeply personal step toward living authentically. At the Transgender Surgery Institute of Southern California, Dr. Mark Youssef brings more than two decades of surgical experience and a calm, compassionate approach to every patient he meets. Board-certified and widely recognized for his refined technique in gender-affirming chest reconstruction, Dr. Youssef has guided countless patients through their FTM top surgery journey with discretion, dignity, and genuine care. His practice is grounded in a simple belief: every patient deserves expert surgical care delivered in a space that feels safe, supportive, and free from pressure.
What Is FTM Top Surgery?
FTM top surgery — also called masculinizing chest reconstruction — is a gender-affirming procedure designed to create a flatter, more contoured chest that reflects who you are. The right technique depends on your anatomy, chest size, skin elasticity, and personal goals. Dr. Youssef takes time during each consultation to clearly walk you through every option, answer your questions thoroughly, and help you feel confident about the path forward.
Surgical Techniques We Offer
Peri-Areolar Approach: For patients with smaller chests and good skin elasticity, a minimally invasive peri-areolar incision combined with liposuction can remove breast tissue while preserving the natural nipple position and minimizing visible scarring.
Double Incision with Nipple Grafting: For patients with larger chests or significant skin laxity, this technique uses an incision along the inframammary fold to remove tissue. The nipple-areolar complex is then reshaped — typically made smaller and more elliptical — and repositioned higher and more laterally for a natural, masculine contour.
Liposuction Contouring: Often combined with primary techniques to refine the chest wall, soften transitions, and achieve smooth, athletic results.
Scar Care & Aesthetic Refinement
Dr. Youssef prioritizes minimal, well-placed scarring at every stage of surgery. Following your procedure, our team supports your healing with options such as silicone sheeting, medical-grade scar creams, and laser treatments to help you achieve the most refined possible final appearance.
Recovery & Aftercare
Most patients return to light daily activities within 1 to 2 weeks, with continued healing over several months. We provide individualized aftercare instructions, attentive follow-up visits, and ongoing guidance so you feel supported at every milestone. While Dr. Youssef takes every measure during the primary procedure to avoid revisions, occasional touch-ups for contour, scarring, or nipple symmetry can be performed when desired.
Why Choose the Transgender Surgery Institute of Southern California?
- Specialized Focus: Top surgery and gender-affirming chest procedures are at the heart of our practice — not an add-on.
- Expert Leadership: Dr. Mark Youssef brings advanced training, refined technique, and decades of experience to every patient.
- Discreet, Welcoming Environment: Our office is designed to feel safe, private, and grounded — a place where you can simply be yourself.
- Personalized Surgical Planning: No two bodies or journeys are alike. Your surgical plan is tailored to your anatomy, identity, and goals.
- Multidisciplinary Support: From your first consultation through recovery, a coordinated team is here to support you with clarity and compassion.
- Trusted Across Southern California: Patients travel from across Los Angeles, Santa Monica, Oxnard, and beyond for our gender-affirming care.
Begin Your Journey With Confidence
You deserve gender-affirming care that feels as thoughtful as it is expert. If you are considering FTM top surgery, we invite you to schedule a private consultation with Dr. Youssef and our team. Together, we will listen, answer your questions, and help you move forward at a pace that feels right for you.
Contact us at 424.622.1123 today to take the next step toward becoming your most authentic self.