Dr. Javad Sajan of Allure Esthetic in Seattle, Washington, is the surgeon many patients call the best FTM top surgeon in the world. FTM top surgery can come with a flat or uneven chest, weeks of surgical drains, lost nipple sensation, and BMI cutoffs that turn people away. Any one of these can make choosing a surgeon feel risky. He has built his practice around fixing each of them, with more than 4,000 FTM top surgeries performed.

Why Do Patients Call This Surgeon the Best FTM Top Surgeon?

What separates an experienced FTM top surgeon from the best one? Volume, technique, outcomes, and transparency. He delivers on all four.

Dr. Sajan has performed over 4,000 FTM top surgeries, a case volume that places him among the most experienced gender-affirming chest surgeons practicing anywhere. That experience shows up in his surgical judgment: knowing where to place incisions for a given chest, how to position and resize the nipple-areola complex for a masculine look, and how to handle complex anatomy that other surgeons turn away.

He holds three board certifications, from the American Board of Cosmetic Surgery, the American Board of Facial Cosmetic Surgery, and in head and neck surgery. He treats patients from across the U.S. and around the world.

“Top surgery is not just removing tissue. It is building a chest that looks like it was always meant to be there,” said Dr. Javad Sajan.

What Is 3D FTM Top Surgery?

Many surgeons treat FTM top surgery as a removal procedure: take out the breast tissue, close the incision, and finish. This surgeon treats it as sculpting.

His 3D high-definition FTM top surgery technique shapes the whole chest wall in three dimensions. Instead of leaving a flat or concave result, he removes extra skin and breast tissue, then uses adjunct liposuction to sculpt the chest, sternum, and armpit areas. He follows the pectoral border, refines the sides of the chest, and places the nipples to match male proportions. The result is a chest that looks naturally masculine from every angle, in clothing and without it. Key parts of the 3D approach include:

• Pectoral contouring: shaping tissue to follow the natural line of the chest muscle
• Lateral chest refinement: removing “dog ears” and side fullness that get in the way of a masculine look
• Adjunct liposuction: removing feminine fat deposits from the chest, sternum, and armpits
• Proportional nipple placement: sizing and positioning the nipple-areola complex to male standards
• Incision planning for the individual: a keyhole, periareolar, or double-incision approach chosen for each patient’s build, skin quality, and goals

Why Does Drain-Free FTM Top Surgery Matter?

A common frustration after top surgery with other surgeons is managing surgical drains for a week or more. Dr. Sajan performs FTM top surgery with no drains.

A drain-free approach means a cleaner recovery, less discomfort, fewer follow-up trips, and a faster return to daily life. It also reflects the control that comes with thousands of cases, since careful handling of the surgical field is what makes drains unnecessary. 

Here is how the approach compares with traditional FTM top surgery:

Recovery Factor	Traditional FTM Top Surgery	Dr. Sajan’s Drainless Approach
Surgical drains	Typically 1 to 2 weeks	None
Chest contouring	Flat removal	3D masculine sculpting with liposuction
Nipple sensation	Often lost	Neurorrhaphy to restore sensation
BMI restrictions	Common cutoffs at 30 to 35	No BMI limits for good candidates
Insurance	Varies	All private insurances accepted
Procedure time	Varies	2 to 3 hours, outpatient

What Is Neurorrhaphy, and Can It Restore Nipple Sensation?

Losing nipple sensation is one of the most common and least talked about trade-offs of FTM top surgery, especially with the double-incision technique used for larger chests. Dr. Sajan addresses this directly by including neurorrhaphy as part of his FTM top surgery.

Neurorrhaphy is a microsurgical technique that preserves sensory nerves and reconnects them to the nipple-areola complex during surgery. The goal is to restore sensation, so the chest feels masculine, not just the look. For many patients, that is what makes the result feel like their own. 

Watch a patient testimonial:

Sensation matters. Including neurorrhaphy reflects a belief that the best FTM top surgeon should deliver function along with form.

Can Patients With a High BMI Still Have FTM Top Surgery?

Many surgeons set strict BMI cutoffs for FTM top surgery, which leaves higher-weight patients without access to gender-affirming care. This surgeon has no BMI limits. He has safely performed FTM top surgery on patients with BMIs over 60 when the patient is a good candidate.

Candidacy comes from a thorough medical evaluation that follows WPATH guidelines, not from a number on a scale. His 3D sculpting technique suits higher-BMI chests well, because contouring and refining the sides of the chest are key to a masculine result. That commitment to access is a core reason patients across the country and around the world travel to Seattle for surgery. Hear from the patients in the Plastic Surgeon Podcast episode on this topic.

Does Allure Esthetic Accept Insurance for FTM Top Surgery?

Yes. Allure Esthetic accepts all private insurance for FTM top surgery, and the team helps patients work through authorization and coverage. For self-pay patients, FTM top surgery starts at $8,500, with instant quotes available online. Patients do not have to choose between expertise and affordability.

Can Patients See Real FTM Top Surgery Journeys Before Booking?

Few surgeons let the public follow their results from the day before surgery through full recovery. This one does.

Through his documentary series realdrseattle®, he has filmed the real stories of his FTM top surgery patients. The episode “I Never Wanted These Scars” follows a transgender patient who had thought about top surgery since high school, from consultation through surgery and nearly two months of recovery.

He also hosts the Plastic Surgeon Podcast, where he interviews FTM top surgery patients about their journeys. In Episode 23, “I Was Meant To Be a Boy,” he talks with a transgender man who had top surgery at Allure Esthetic and shares his story from childhood through coming out and completing surgery.

That openness, with real patients, real surgeries, and real recoveries on camera and on mic, is rare in plastic surgery. It is one more reason patients trust him.

What Is the Bottom Line on the Best FTM Top Surgeon?

When patients ask who the best FTM top surgeon is, the answer comes down to experience, technique, access, and honesty. With over 4,000 FTM top surgeries, 3D masculine chest sculpting, no drains, neurorrhaphy for nipple sensation, no BMI limits for qualified candidates, acceptance of all private insurances, and a documented track record of real patient outcomes, many patients consider this Seattle surgeon the best FTM top surgeon in the U.S. and in the world.

Ready to Schedule an FTM Top Surgery Consultation in Seattle?

Patients interested in FTM top surgery with Dr. Sajan can schedule a consultation at Allure Esthetic in Seattle, Washington. Virtual consultations are available for out-of-state and international patients.

Visit the FTM top surgery to learn more and get an instant quote online. A chest that feels like their own can start with one conversation.

FAQs

How long is recovery after FTM top surgery?

Recovery varies from person to person. Many patients are ready for light daily activity within the first week or two, while heavy lifting and hard workouts wait until the surgeon says it is safe.

Will FTM top surgery leave scars?

Yes. Any chest surgery leaves scars, and where they sit depends on the technique chosen. They fade slowly over time.

Do insurance plans require a letter for FTM top surgery?

Many plans do ask for supporting letters, and the rules differ from plan to plan. The Allure Esthetic team helps patients with authorization.

Can non-binary patients have top surgery?

Yes. Top surgery can be planned around each person’s goals, including how flat or contoured they want the chest to look.

Do patients need to stop nicotine before top surgery?

Usually, yes. Nicotine slows healing, so surgeons generally ask patients to stop before and after surgery.