Transgender breast surgery

As part of gender reassignment surgery, we offer compassionate and expert breast surgery – individually tailored, medically substantiated and aesthetically high-quality.
Person holding a transgender symbol

The key facts

  • Duration of surgery: 60–120 mins  
  • Necessary time off work: Approx. 2 weeks  
  • Anaesthesia: General anaesthetic  
  • Necessary time off sporting activities: 4–6 weeks  
  • Type of care: Outpatient or inpatient  
 

Breast surgery for trans people

Breast surgery as part of gender reassignment surgery for trans people is an integral part of our range of services. Our aim is to accompany you on your personal journey with compassion and expertise – offering medically substantiated and aesthetically sophisticated solutions. 

About the treatment

During gender reassignment surgery, the breasts are enlarged using implants or the patient's own fat (male-to-female transition) or reduced by means of removing the mammary gland or liposuction (female-to-male transition), depending on the planned treatment. 

 

Male-to-female transition 

In a transition to female, breast augmentation is usually performed using silicone implants. Depending on your physique, these can be positioned above or below the pectoral muscle to achieve a harmonious, natural result. In some cases, a repeat fat transfer (lipofilling) can also be performed to shape a feminine breast, especially if a moderate increase in volume is desired. 

 

Female-to-male transition 

When transitioning to male, the main surgical step is to remove the mammary gland (subcutaneous mastectomy). Depending on the initial shape and size of the chest, we use various techniques to create a flat, masculine chest contour. In some cases, skin tightening is also necessary. We often combine subcutaneous mastectomy with liposuction to achieve the most natural and defined appearance of the upper body possible.   

“We set the highest standards for breast reconstruction and develop a treatment plan tailored to your individual needs. This is the only way to achieve the best possible result and the highest possible quality of life.” 

Prof. J. Farhadi
Treatment stages
1
Before the operation
Following detailed diagnostics and consultation, we plan your individual surgical procedure and perform any necessary psychiatric or endocrinological examinations.
2
During the operation
Depending on the desired gender, breast augmentation is performed using implants or fat transfer (male to female) or subcutaneous mastectomy with or without skin resection and liposuction (female to male).
3
After the operation
A hospital stay of 1 to 2 days is usually advisable, but in principle the operation can be performed on an outpatient basis. After the operation, you will need to wear special compression underwear. Rest, wound care and regular check-ups are important.
4
Possible risks and complications
Possible side effects typically include swelling, bruising, wound healing complications, temporary changes in sensation or unattractive scarring.
FAQs

FAQs

What cup size can I expect?  

The cup size that can be achieved depends on your starting situation and the method chosen. With implants, an increase of 1–2 cup sizes is usually possible – or more, if desired. With a fat transfer, approximately half to one cup size can be achieved per session. The exact plan is tailored to your individual wishes and proportions.  

Will I still have sensation in my nipples? 

In most cases, sensation in the nipple remains intact. However, temporary changes in sensitivity may occur, which usually subside over time. Certain surgical methods or complications may also lead to permanent changes in sensation – we will explain this in detail during your consultation.  

Is augmentation using my own fatty tissue (lipofilling) an option for me?  

Whether or not a fat transfer breast augmentation is suitable for you depends on various factors, such as your body fat percentage, breast shape and desired result. In a personal consultation, we will examine your individual situation and advise you in detail on the options available.  

Group photo of the doctors of the PSG

Our team

Our team includes specialised consultants in facial, breast, body, and dermatological surgery, as well as nursing professionals and supporting specialists. Together, we accompany you with understanding and expertise. 

Why choose us
Entrance to Affidea PSG Zurich
Specialists in plastic breast surgery
Our experienced team of doctors offers the most advanced reconstructive and aesthetic techniques to shape the breast with harmonious and natural form and symmetry.
Comprehensive care
We support patients throughout the entire process – from diagnosis and surgical treatment to personalised aftercare and rehabilitation.
Modern infrastructure
Our state-of-the-art practice facilities are equipped with the latest technology, creating a pleasant and safe atmosphere for your treatment.
Integrated patient care
We provide interdisciplinary and coordinated support – from the first consultation through to aftercare, ensuring a smooth treatment journey.