Finding a surgeon experienced in FTM top surgery can be difficult, and results vary widely between providers new to gender-affirming anatomy. Many patients end up with a flat, generic chest contour instead of a result built around their own body. 

Patients researching the best FTM top surgeon in the US often point to Dr. Javad Sajan at Allure Esthetic, who was featured by Cosmopolitan as one of the best plastic surgeons for gender-affirming care and has completed more than 5,000 FTM top surgeries.

What Makes Dr. Sajan’s Approach to FTM Top Surgery Different?

Dr. Javad Sajan built his reputation around a three-dimensional, high-definition chest reconstruction method rather than a standard mastectomy. Instead of simply removing tissue, which often leaves a flat or concave chest, he removes excess skin and selects mammary tissue while using adjunct liposuction to sculpt the chest, sternum, and armpit area. The result is a masculine contour shaped around each patient’s individual anatomy rather than a single standardized outcome.

Which Surgical Techniques Are Used for FTM Top Surgery?

The right surgical approach depends on chest size, skin quality, and anatomy. Dr. Sajan offers three primary techniques:

• Keyhole procedure, typically used for smaller chests and often able to preserve nipple sensation
• Periareolar technique, suited to small to medium chests with minimal excess skin
• Double incision method, used for larger chests and allowing full reshaping and repositioning of the nipple-areola complex

Each option is discussed in detail during consultation, along with anesthesia choices and expected outcomes.

What Additional Techniques Does Dr. Sajan Offer for FTM Top Surgery?

Beyond the three primary surgical approaches, Dr. Sajan builds each surgical plan around additional techniques tailored to the individual patient:

• Drainless top surgery: This procedure removes the need for external surgical drains during early recovery
• Nipple preservation: Maintains the nerve supply to the nipple-areola complex for select patients
• Minimal incision, or scarless, top surgery: Confines the incision to the areola border for appropriate candidates
• Anchor approach: Designed for patients with significant excess skin, including many post-weight-loss patients
• Custom scar planning: Allows patients to choose between straight scars, curved scars, or incisions that follow the pectoral muscle border

Does Dr. Sajan Have a BMI Cutoff for FTM Top Surgery?

Many surgeons apply rigid BMI limits that exclude patients from FTM top surgery nationwide. Dr. Sajan instead evaluates candidates through a full medical assessment that covers overall health, anatomy, medical history, and surgical risk factors. Safety standards still apply to every case, but no patient is excluded based on a single number alone.

What Do Patients Say About Dr. Sajan’s FTM Top Surgery Results?

Patient feedback consistently points to a few common themes:

• A caring, communicative staff throughout pre-op and post-op care
• Symmetrical, natural-looking results and a smooth recovery process
• Strong emotional support during what many describe as a deeply personal procedure

That consistent feedback, paired with a high surgical volume, is a major reason patients researching FTM top surgery keep returning to the same name.

How Does Dr. Sajan’s Experience Compare to Other FTM Top Surgeons?

Dr. Javad Sajan has performed more than 5,000 FTM top surgeries and has been featured by Cosmopolitan as one of the country’s leading plastic surgeons for gender-affirming care. That combination of surgical volume, technical range, and verified patient outcomes is a major reason many transgender patients researching top surgery identify him as the best FTM top surgeon in the country.

What Do FTM Top Surgery Before and After Results Look Like?

Results vary based on the surgical technique selected and each patient’s individual anatomy. The examples below show the kind of chest contour a personalized FTM top surgery plan can achieve.

Ready to Schedule an FTM Top Surgery Consultation?

Choosing a surgeon for FTM top surgery is a deeply personal decision, and reviewing technique options and surgical results with an experienced team makes the process clearer. Contact Allure Esthetic Plastic Surgery at 206-209-0988 or book online to schedule a consultation with Dr. Javad Sajan and start building a chest reconstruction plan suited to individual anatomy and goals.