THE LIFE-CHANGING GUIDE TO GENDER-AFFIRMING TOP SURGERY HOW DR. SOLOMON’S 30+ YEARS OF EXPERTISE CAN HELP YOU FINALLY FEEL AT HOME IN YOUR BODY
SEE AND DISCOVER
THE LIFE-CHANGING GUIDE TO GENDER-AFFIRMING TOP SURGERY HOW DR. SOLOMON’S 30+ YEARS OF EXPERTISE CAN HELP YOU FINALLY FEEL AT HOME IN YOUR BODY
Why Choose Dr. Mark Solomon as Your Ally:
- Over 30 years of dedicated work in plastic and reconstructive surgery.
- Board-certified by the American Board of Plastic Surgery for nearly 40 years.
- Has successfully performed more than 1,000 breast reconstruction procedures, many of which are FTM (female-to-male) and MTF (male-to-female) top surgeries.
- Specializes in gender-affirming surgical techniques, such as keyhole top surgery and breast augmentation.
- Authored more than 35 peer-reviewed papers in acclaimed academic journals.
Dr Solomon is brutally honest and extremely thorough. I met with 19 doctors, including those in Philly and New York City, and was most impressed by Dr Solomon. Read more
Dr. Heather
MOST PEOPLE GET DRESSED FOR THE WEATHER OR SELF-EXPRESSION.
But if you’re transgender or nonbinary, getting dressed can also be about something much deeper: survival.
Imagine waking up each morning, looking in the mirror, and seeing someone who doesn’t feel like you. You bind tightly, layer strategically, or pad carefully—not to make a fashion statement but to silence the disconnect between your body and your identity.
This daily struggle isn’t just uncomfortable—it’s linked to serious mental health issues like anxiety, depression, and even self-harm, according to research.
If you feel the constant pressure to “perform your identity” just to feel like yourself and avoid being misread, Dr. Mark Solomon can help.
With decades of experience performing top surgeries like breast augmentation and the keyhole method, Dr. Solomon brings deep, valuable insight into both chest feminization and masculinization.
Since 1996, he has performed gender-affirming procedures that have contributed to improved well-being and reduced gender dysphoria in his patients, as assessed by the Gender Preoccupation and Stability Questionnaire.
A globally recognized authority in plastic and reconstructive surgery, Dr. Solomon is on a mission to transform lives, one gender-affirming procedure at a time.
Ready to see the real, beautiful you in the mirror? Discover what’s possible with Dr. Solomon.
UNDERSTANDING GENDER DYSPHORIA:
YOU’RE NOT ALONE — WE SEE YOU
Many transgender and nonbinary people carry a silent weight on their chests. The medical term for this often invisible burden is gender dysphoria.
If you’re living with this condition, you know it’s more than just discomfort—it’s a deep, emotional struggle that comes from a misalignment between your gender identity and assigned sex at birth (ASAB).
It’s the psychosocial distress that can quietly affect every part of your life, from how you dress to how safe you feel in your own skin.
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Say your ASAB is “female,” but you identify as male or transmasculine. That can come with deep, daily discomfort and distress (chest dysphoria)—especially when it comes to the size and shape of your breasts.
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On the other hand, if you’re a trans woman or transfeminine, having a flat chest might feel just as painful. It can leave you feeling like your body isn’t reflecting who you truly are.
And let’s be clear—gender dysphoria isn’t just a temporary or surface-level dislike of one’s physical presentation. It’s often a persistent, overwhelming feeling that your body doesn’t belong to you. That disconnect—known as gender incongruence—can take a serious toll on your well-being.
While Dr. Solomon will never claim to understand exactly how it feels to live with gender dysphoria, he has held the hands of those who do. Throughout his career, he has listened, learned, and gained a unique perspective on the best ways to help transgender and nonbinary people, including those who are dissatisfied with the appearance of their chests.
That’s why Dr. Solomon’s approach to FTM and MTF top surgery emphasizes personalization. He always ensures that his surgical plan directly addresses his patients’ specific needs.
Hoping to connect with a trusted surgeon for your transition journey? Explore your options with Dr. Solomon.
REAL PROBLEMS
THAT NEED AND DESERVE REAL ANSWERS
Living with gender dysphoria can affect every aspect of your life:
Dissatisfaction with the appearance of your chest triggers emotional distress
Chest binding (for trans men & transmasculine persons) & using inserts or padded bras (for trans women & transfeminine persons) cause persistent physical discomfort
Everyday social interactions become complicated when you’re constantly avoiding eye contact, certain clothes, or even conversations
Your overall well-being suffers
“BE TRUE TO YOURSELF.”
Many would not hesitate to nod in agreement when they hear this mantra. After all, authenticity is key to happiness.
But what many don’t understand is that being true to oneself is a daily uphill climb for some.
If you are a transgender or nonbinary person, you know this struggle all too well. Unlike others, you have to exert conscious effort to put yourself on just to be seen.
The clothes you wear, the way you walk, and even the way you talk can all start to feel like a performance. You might find yourself constantly curating how you show up in the world so you don’t have to feel the disconnect or explain yourself to people.
If what you see on the outside doesn’t align with what your mind perceives, Dr. Mark Solomon is here to help.
His safe, precise, and empathetic top surgery techniques cater to your unique identity, goals, and preferences. Looking for an FTM and MTF surgeon who genuinely cares about your identity, goals, and needs? Dr. Solomon is one of the best allies you could have for top surgery.
DOCTOR MESSAGE
MESSAGE FROM DR. SOLOMON
Hi, I’m Dr. Mark Solomon, and I’ve had the privilege of practicing plastic and reconstructive surgery for over 30 years.
I have extensive experience in performing top surgery procedures, such as breast augmentation and keyhole surgery.
As a plastic and reconstructive surgeon who specializes in treating complex plastic surgical problems, it is my belief that my role is to help patients become the best version of themselves. These procedures are part of that philosophy.
Over the years, I have successfully treated hundreds of transgender and nonbinary persons, including those with chest dysphoria.
My approach to working with transgender and non-binary patients is first to understand their individual goals. My experience has taught me that no two patients are alike. I listen attentively to my patients so I can educate them about the possibilities and help them achieve their goals.
This tailored surgical approach blends the patient’s aesthetic goals with their unique medical needs, guided by a detailed physical examination and a clear understanding of their condition. Read more
Dr. Solomon
WHERE EXPERTISE MEETS EMPATHY:
DR. SOLOMON’S APPROACH TO TOP SURGERY
Ever felt a tight knot in your stomach when walking into a clinic—not because you’re nervous about the procedure, but because you’ve been in “that” situation before?
The intake forms that don’t reflect who you are. The staff glances at your ID, then back at you, with that awkward hesitation. And the waiting room? It doesn’t feel welcoming at all.
You won’t ever feel that way when you partner with Dr. Solomon for your transition journey.
The doctor and his team don’t treat patients as mere problems to solve but as unique individuals who deserve to feel seen, respected, and safe.
With Dr. Solomon and his team, you’ll find healthcare providers who will genuinely care for you throughout the process.
We’ll take the time to hear your story, understand your concerns, and ensure you feel valued and supported at all times—from first consultation to post-op recovery.
You’re not just a number on our patient clipboard—you’re family.
Let us guide and support you in your journey to natural beauty and lasting confidence.
STEP-BY-STEP THROUGH FTM AND MTF TOP SURGERY:
WHAT TO EXPECT AND HOW WE’LL SUPPORT YOUR JOURNEY
Living with a body that doesn’t align with how you perceive yourself can be confusing and exhausting in itself.
If you’re planning to undergo a life-changing procedure, such as top surgery, the last thing you want is surprises.
Knowing what to expect can give you a sense of control over your situation.
Dr. Solomon understands this need for clarity. He and his team consistently strive to offer patients essential information regarding their preferred procedures.
Regardless of whether you plan to have an FTM or MTF top surgery, here’s how we’ll ensure your transition journey is safe, smooth, and comfortable:
During your consultation, Dr. Solomon may ask you the following questions:
- How is your transition process going so far?
- What goals do you want to achieve by undergoing the procedure?
- Do you have any medical conditions, such as allergies? If so, what prescriptions do you currently take?
- Have you undergone any other surgical treatment?
Dr. Solomon will also examine your chest area, measure your breast size and shape, assess your skin quality, and note the position of your nipples and areolas.
He will recommend the optimal way to treat your condition based on your discussion and the results of your examination.
Immediate preop instructions include showering the night before surgery and the morning of surgery. No eating or drinking after midnight before the procedure unless directed by Dr. Solomon.
On the day of the procedure, Dr. Solomon will mark the areas to be operated on to ensure symmetrical and natural-looking outcomes.
Upon arrival at the facility, you’ll be administered anesthesia through an intravenous line or IV (a soft, flexible tube inserted into a vein).
This way, you can sleep through the procedure.
Dr. Solomon only works with a highly skilled anesthesiologist. If you have any concerns regarding anesthesia, feel free to raise them.
He also performs surgeries at the fully accredited K & B Surgical Center, ensuring your safety in a state-of-the-art facility.
From the moment you walk in, you’ll be cared for by a compassionate, gender-affirming team that’s trained to meet your unique needs.
During the procedure, our team will put padding around your arms while you lie on your back on a table.
This precaution ensures you stay still and comfortable.
The duration of surgery depends on the procedure. Generally, MTF surgery lasts about two hours. FTM surgery often takes three to four hours, depending on the extent of surgery needed.
After the procedure, you’ll wake up with stitches, dressings, and a compression garment covering your chest.
The garment helps prevent bleeding and fluid buildup in the surgical areas.
The entire process typically takes two to three hours.
Note that top surgery procedures are usually performed as outpatient surgery, meaning you can return home the same day—no need for an extended hospital stay.
He also performs surgeries at the fully accredited K & B Surgical Center, ensuring your safety in a state-of-the-art facility.
In all these steps, you’ll experience what makes Dr. Solomon’s gender-affirming care uniquely reassuring.
His approach blends efficiency, compassion, and precision to achieve the best possible outcomes.
Are you ready to begin your top surgery transformation? Let Dr. Solomon be your guide and ally.
CHEST MASCULINIZATION:
FEMALE-TO-MALE TOP SURGERY
Keyhole Top Surgery
Buttonhole Technique
Double Incision Mastectomy
CHEST FEMINIZATION:
MALE-TO-FEMALE TOP SURGERY
Implant-based Breast Augmentation
This procedure may be part of a gender-affirming surgical plan for trans women and transfeminine individuals.
An implant-based breast aims to increase breast size and define breast contours through the placement of saline or silicone implants.
If you want breasts that complement your natural proportions and create a more symmetrical, elegant-looking breast shape, this technique may be ideal for you.
Dr. Solomon performs chest feminization surgery with precision and care, creating soft, feminine curves that align with your vision.
During the procedure, Dr. Solomon usually places the implants under the chest muscle through an incision in the crease beneath the breast.
He might make a different incision depending on your anatomy and the size of the implant.
Through personalized consultations, he’ll help you choose the ideal implant type, size, and placement to complement your frame, ensuring results that enhance your confidence and bring you closer to feeling more you.
EXPLORING YOUR OPTIONS:
THE BENEFITS & RISKS OF TOP SURGERY PROCEDURES
Keyhole Top Surgery
Benefits
- Less obvious scars along the border of the areola
- Very flat chest contour
- Provides an option for adjusting the areola and nipple size before closing the incision
Risks
- May remove or reduce nipple sensation
- Limited opportunity for significant areola resizing or nipple repositioning
Buttonhole Technique
Benefits
- Preserves nipple sensation (outcomes may vary)
- Areola size can become smaller
- Acceptable chest contour for patients with extra weight
- Minimal nipple aftercare necessary
Risks
- Long horizontal scars placed along the base of the chest
- Possibility of residual tissue remaining in the chest area
- Requires surgical drains during initial healing
Double Incision Mastectomy
Benefits
- Best suited for patients with larger chests or excess skin
- Flatter, more defined chest contour
- Offers flexibility in nipple sizing and placement
Risks
- Drains placed during the recovery period
- Long incisions with visible scarring along the chest base
- Reduced nipple sensation, which may be temporary or permanent
- Minimal risk of partial or total nipple loss
Implant-based Breast Augmentation
Benefits
- A dramatic and instant feminine chest contour
- Less visible scars located underneath the breasts
- Improves body symmetry and proportions
Risks
- Scar tissue forming tightly around the implant (capsular contracture)
Your appearance is a big part of your identity. When your chest’s appearance affirms your inner identity, you become more confident in your own skin.
However, like any surgery, MTF and FTM top surgery carries risks. The risks depend on the specific procedure you and Dr. Solomon decide is best for you.
Common risks for both MTF and FTM top surgery include bleeding, infection, and nipple asymmetry. If your nipples are already uneven before MTF top surgery, that won’t change unless Dr. Solomon uses specific methods to fix it.
Meanwhile, for FTM top surgery, removing breast tissue can affect blood flow to the nipples, increasing the risk of nipple loss.
Choosing a reputable chest plastic and reconstructive surgeon like Dr. Solomon can help minimize these risks and ensure a safe and comfortable experience.
YOUR CHEST, YOUR VISION
A THOROUGH PREOPERATIVE PREPARATION CENTERED ON YOU
If you feel overwhelmed by the choices you’re presented with, you’re not alone—MTF or FTM top surgery is a life-changing decision, and every detail matters.
Dr. Solomon doesn’t believe in a one-size-fits-all approach.
During consultation and planning, he takes the time to understand your situation, guiding you through each option, whether it’s keyhole or double incision top surgery or breast augmentation.
Dr. Solomon customizes preop testing based on your age and medical history. In most cases, you’ll need a blood test and a basic metabolic panel to ensure you’re ready for surgery.
If you’re over 50, you’ll likely need an EKG (electrocardiogram) for a heart health screening.
The most essential part of your pre-surgery preparation? Photographs. These images help Dr. Solomon understand your unique anatomy and plan your procedure with precision and care.
He is committed to helping you find the procedure that aligns with your vision for your transition. With his guidance, you can feel assured in your choice, knowing the outcomes aim to match your authentic self.
FROM PAIN TO POWER:
HOLISTIC AND COMPASSIONATE AFTERCARE FOR YOUR TOP SURGERY
Undergoing top surgery is a life-altering decision. The results of this procedure are visible, permanent, and irreversible.
Understandably, you may feel weird about your chest’s appearance.
And when you still feel pain days after, you may even start to doubt whether you made the right decision. During this time, you’d want someone who can guide and support you—especially if you have concerns about the operation.
Dr. Solomon’s top surgery care doesn’t end after you leave the operating room.
He and his team will closely and consistently monitor your progress Dr. Solomon’s approach goes beyond just the surgery itself—he offers holistic aftercare to ensure you heal comfortably and effectively.
His approach reduces average recovery time compared to traditional techniques.
Most patients return to almost full activity within one to two weeks. All restrictions are generally lifted four weeks after surgery.
You’ll have direct access to him and his team throughout your recovery, and he’ll personally meet with you the day after your procedure to answer any questions.
Your journey to lasting confidence starts here. Turn your struggle into strength with Dr. Solomon’s help.
WHAT DR. SOLOMON FINDS INCREDIBLY FULFILLING
RESULTS THAT MAKE A POSITIVE DIFFERENCE
Ever heard the saying, “Find a job you love doing and you will never have to work a day in your life”? Dr. Solomon has lived by these words throughout his career.
He loves helping people reclaim their lives with bodies that reflect their natural beauty and confidence.
That’s why Dr. Solomon finds his patients’ before and after transformations very rewarding.
See how Dr. Solomon has helped transform the lives of many individuals here.
Before
After
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After
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After
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After
IS TOP SURGERY FOR YOU?
Consider top surgery as part of your gender-affirming treatment if you:
- Have been on hormone therapy for at least a year and living as a female during the duration
- Are age 18 or older, except for MTF top surgery, which can be considered at age 16
- Have a documented gender incongruence or dysphoria diagnosis
- Are mentally able to make informed medical decisions for yourself
- Are successfully addressing other psychological and physical health concerns
MEET DR. SOLOMON
A REPUTABLE, EXPERIENCED, AND EMPATHETIC ALLY FOR YOUR TRANSITION JOURNEY
Dr. Mark Solomon is a highly respected, board-certified plastic surgeon with extensive experience in performing gender-affirming procedures, including top surgery for transgender and nonbinary patients.
With over three decades of surgical experience, he is known for combining technical precision with individualized care.
Dr. Solomon earned his medical degree from the prestigious New York University School of Medicine.
He completed his general surgery training at Thomas Jefferson University Hospital and the Hospital of the University of Pennsylvania, followed by a fellowship in plastic surgery at the Hospital of the University of Pennsylvania.
He further advanced his training in Paris, France, under internationally renowned mentors in reconstructive and aesthetic surgery.
He is certified by the American Board of Plastic Surgery and is a proud member of the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery.
Dr. Solomon has been featured in national media for his expertise and is the author of foundational publications in breast plastic and reconstruction surgery. Read more
VOICES THAT MATTER:
REAL STORIES FROM PEOPLE WE’VE HELPED
“Hello! Ok, let me start by saying that Dr. Solomon is THE BEST. The reason I stand behind 5 stars is simple. I received a breast Augmentation 17 years ago, and everything went beyond well. Not only did my breasts look fabulous, [but] they still look fabulous after 17 years.
I just left his offices for my [2nd] checkup in the past 17 years, and they look and feel like they did when they were new.
“I had cosmetic filler removed from my penis. [Most] plastic surgeons and urologists said [this] couldn’t be done with good cosmetic results. I found Dr. Solomon and messaged him regarding my situation.
He called me personally that same day, and I had a consultation set up within a couple of weeks. He was knowledgeable about the product I had injected and confident he could remove most of it.
“I had surgery with [Dr.] Solomon…[when I] had a true buried penis. Just want to say that surgery changed my life. I wouldn’t let anyone see me…
I’m happy to share my experience with anyone who asks privately…[With Dr.] Solomon…you get your money’s worth.”
OUT OF TOWN FOR TOP SURGERY?
WE PROVIDE THE SAME STANDARD OF CARE NO MATTER WHERE YOU’RE FROM
We offer the same high standard of care to both local and traveling patients.
Our patient care manager can help arrange your surgery, assist with travel plans, and guide your recovery logistics.
Most out-of-town patients stay in an aftercare facility for a few days, then transition to a hotel.
Expect to remain in the area for about one week, with a follow-up appointment before returning home.
CONSULTATION
EMBRACE YOUR AUTHENTIC SELF WITH FREEDOM AND CONFIDENCE
Embrace your truth and live confidently with a chest that reflects who you are inside. Contact Dr. Mark Solomon today to start your journey and see how compassionate and exceptional gender-affirming care can make a difference.
FAQs
FREQUENTLY ASKED QUESTIONS
Does insurance cover top surgery?
While insurance coverage for top surgery varies, our team can help check your benefits and guide you through the process. We are happy to submit information to insurance companies on your behalf.
Once we receive a determination from the insurance company, we will provide the patient with information about any required copays and deductibles.
If coverage isn’t available, we offer flexible financing options to make your procedure more manageable.
How much does top surgery cost?
The cost of top surgery varies depending on various factors, including the following:
- Doctor’s fee
- Facility fee
- The cost of prescription medications
- Expenses related to post-surgery care
If cost is standing in your way, we’re here to help. During your consultation, Dr. Solomon will outline the best approach for your goals, and we’ll work with you to create a payment plan that fits your financial situation.
CONTACT US
GET IN TOUCH WITH US
Dr. Mark Solomon is a board-certified plastic surgeon with expertise in penile revision surgery based in Beverly Hills, California. To discuss your specific concerns or learn more about our treatment options, please fill out the form below or call our office at (424) 424-1745 to schedule a consultation.
Please Note: Pricing varies with each patient’s individual issue, so a consultation is required before providing any cost information. As a note, we are unable to provide cost information via email. Dr. Solomon’s consultation fee is $350.
Christie B.