Gender-Affirming Care
Masculinizing chest surgery
Chest masculinization that removes breast tissue and contours the chest to create a flatter, more masculine shape.
Quick Facts
- Procedure time: Usually 90–105 minutes
- Anesthesia: General anesthesia
- Clinic stay: Same-day or short stay
- Recovery: Around 2 weeks before light daily activity
- Exercise: Strenuous activity and chest exercise from about 6 weeks
- Final result: Settles over 6–12 months as scars mature
- Minimum age: From 18 years
What it is
Masculinizing chest surgery, sometimes called top surgery, removes breast tissue and excess skin and reshapes the chest to a flatter, more masculine contour. Where needed, the nipple and areola are resized and repositioned to suit the new chest shape.
The technique is chosen around your anatomy. Smaller chests with good skin elasticity may suit a periareolar or keyhole approach that preserves the nipple on its own blood supply. Larger chests or skin with less elasticity usually suit a double-incision approach, often with free nipple grafting. Dr. Amoroso recommends the method that gives the best contour with the most reliable healing for you.
What it can improve
- A flatter, firmer, more masculine chest contour
- Removal of breast tissue and excess skin
- Nipple and areola size and position to match the chest
- Comfort and confidence in clothing and daily life
It does not change underlying bone structure and cannot guarantee perfect symmetry or scar-free healing. Scars are permanent, though placed and cared for to fade over time.
Before the procedure
You will receive individualized instructions covering medication, supplements, smoking, alcohol, and fasting. The approach, nipple position, and realistic outcomes are planned together, and timing within your wider care is discussed. A compression garment is arranged for recovery.
During the procedure
Breast tissue and excess skin are removed and the chest is contoured. Depending on the technique, the nipple and areola are reshaped and repositioned, either preserved on a pedicle or placed as a graft. Drains may be used to reduce fluid collection.
After the procedure
Swelling, bruising, and tightness are normal and settle gradually. A compression garment is worn as advised, light walking is encouraged early, and chest exercise is reintroduced gradually. Scars continue to soften and fade over many months.
Results: what it can and cannot achieve
A flatter, more masculine chest contour is achievable. Surgery cannot guarantee perfect symmetry, cannot remove the need for permanent scars, and cannot change sensation in every case, since nipple sensation may be reduced, particularly after grafting. Your surgeon explains what is realistic for your anatomy.
Possible risks and complications
Chest surgery is generally safe in experienced hands, but all surgery carries risks. Possible risks include:
- Bleeding, infection, or delayed wound healing
- Fluid collection (seroma) or bruising
- Changes in or loss of nipple sensation
- Partial or, rarely, full loss of a nipple graft
- Asymmetry, contour irregularity, or visible scarring
- Need for minor revision in some cases
Smoking and impaired circulation raise the risk of healing problems and wound complications, so honest assessment and smoking cessation are essential.
Who it suits
Masculinizing chest surgery may suit individuals seeking a flatter, more masculine chest. It is especially suitable for those who:
- Wish to remove breast tissue and masculinize the chest
- Are in good general health with realistic expectations
- Have considered timing within their wider care
- Understand that scars are permanent
- Do not smoke or can stop before and after surgery
It may not suit those who are not yet ready to proceed or who have health factors that increase surgical risk. Eligibility and timing are assessed individually and in line with recognized standards of care.
Why Skulpturkliniken
Gender-affirming surgery by Dr. Matteo Amoroso
Gender-affirming surgery at Skulpturkliniken is performed by Dr. Matteo Amoroso, a specialist plastic and reconstructive surgeon. His reconstructive microsurgical background gives him a detailed command of anatomy, blood supply, and tissue handling, which supports safe, refined, and individualized results. Care is delivered with discretion and respect throughout.
Natural, balanced results
The aim is a result that reflects how you see yourself, planned around your anatomy and goals rather than a single template. Dr. Amoroso plans with restraint and precision so the outcome looks natural and balanced and feels like you.
Reconstructive precision meets aesthetic judgment
Choosing a surgeon is personal, and the relationship should rest on open communication and trust. From the first consultation, Dr. Amoroso helps you understand what is realistic, which approach suits you, and how timing fits into your wider care. Eligibility and timing are assessed individually and in line with recognized standards of care.
Individualized assessment
Every procedure begins with a detailed and respectful assessment. We evaluate:
Your goals and how you wish to be seen
Anatomy, tissue quality, and skin elasticity
General health, medication, and any hormone therapy
Readiness and timing within your wider care
Realistic expectations and recovery planning
What Does Surgery Cost?
The costs of treatments are listed in the price section and often don't change. However, the price depends on the extent of the procedure, the technique used, anesthesia, surgical time, and whether additional procedures are combined.
Every operation is individually planned, and the final price is discussed clearly during consultation after Dr. Matteo Amoroso has assessed your anatomy, goals, and surgical needs.
All surgical prices include one of the most extensive, transparent, and safe warranty programs. The price is designed to be comprehensive and includes everything related to the operation, from consultation and surgical planning to the procedure itself, compression garment when applicable, direct access to Dr. Matteo Amoroso and the medical team, and unlimited follow-up controls during the first year.
Safety and Trust
When considering surgery, price should not be the only factor.
Safety is central to every step of the surgical journey. At Skulpturkliniken, safety isn't a luxury, it's the foundation of everything we do. We have created an environment where accessibility, personal connection, and full transparency are not privileges, but standards. Your Surgeon will be your closest point of contact. We understand that aesthetic surgery is a personal journey, sometimes even life-changing. We have built a model where you don't just meet a surgeon, you build a trust-based, continuous relationship with him. From your first consultation to long after your recovery, your surgeon is personally available to you. You will never find yourself speaking to a call center or an automated message. Need guidance, reassurance, or a second opinion, we will be there not as a favor, but as a part of our philosophy.
Your Treatment Includes:
Choosing Skulpturkliniken means choosing a complete experience with no compromises.
Our pricing is fully transparent and published openly on our website, what you see is what you pay, with no hidden fees or additional charges.
- Extensive first consultation with Dr. Matteo Amoroso
- Eventual additional preoperative consultation with Dr. Matteo Amoroso
- Detailed assessment and individualized surgical planning
- 3D simulation
- Careful evaluation of whether surgery is the right option
- Preoperative preparation guidance
- Surgery in a safe and controlled surgical environment
- Anesthesia
- Compression garments
- Unlimited postoperative follow-up visits during the first year
- Direct access to the surgeon and nursing team
- Digital access to your medical records through Adoreal®
- Aesthetic care program
- Patient insurance through Folksam
- Long-term postoperative support
- One of the most extensive, transparent, and safe warranty programs.
Frequently asked questions
In their words
Patients trust Skulpturkliniken for care.
Trust The Adoreal Experience
The Adoreal Platform gives you complete control of your aesthetic journey. You will be guided throughout your entire process, from consultation to recovery, ensuring an exceptional experience for you as a patient.
You are in control
Complete access to your information, health records and previous journeys.
Unmatched predictability
Manage your expectations with our questionnaire Silhouette, and visualize your ideal outcomes with 3D simulation.
Trusted step-by-step guide
From bookings to payments, logistics and after care, Adoreal will be your companion.
Empowered safety measures
Complimentary health check, careful monitoring, and meticulous preparation.
