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Gender Reassignment Surgery in Melbourne

What is Gender Reassignment Surgery

Gender reassignment surgery is also known as gender confirmation surgery, sex reassignment surgery, or transgender surgery. It is a life-changing surgical procedure in which a surgeon changes the physical and sexual characteristics of transgender men or women. It is commonly used as a treatment of gender dysphoria, which is a psychological condition in which a person is not satisfied with their birth-assigned gender.

Gender Reassignment Surgery

Some of the surgeries involved include:

  • Mammoplasty, orchiectomy, vaginoplasty, facial feminisation surgery for feminisation surgeries.
  • Top surgery (chest masculinisation surgery), scrotoplasty, hysterectomy for masculinisation surgeries or chest sculpting with implants

Top surgery is defined as the surgical procedure which is done on the top part of the body, i.e. chest. It is done to remove the breast tissue from the chest and make the chest look more masculine. It can be combined with a breast reconstruction procedure in which an implant is placed to enhance feminine features in male to female conversion surgery.

Male to Female Transgender Top Surgery (MTF)

It is also known as Transgender Breast Augmentation or feminizing breast surgery – breast mammoplasty which is a surgical procedure in which breast tissue is added or implanted to make a more feminine breast. It is done by the trans women who want to look more feminine and overcome their gender dysphoria by transforming the shape and size of their breasts.

Female to Male Transgender Top Surgery (FTM)

Female to Male top surgery is the reconstructive surgical procedure in which the breast tissue is removed. It is also called masculinising chest surgery or subcutaneous mastectomy. It is done as treatment of gender dysphoria in transgender men. The goal of this surgery is to help transgender men make a physical transformation to their desired gender.

Hormone Therapy & Gender Surgery

Gender Reassignment Surgery

Testosterone an estrogen also called male and female sex hormones, reused for hormone therapy. Hormone therapy is not a necessity before top surgery. However, in some transgender men, hormone therapy can be given for the chest muscle to grow and for women, it can increase the breast tissue before breast augmentation. Hormones before surgery may give an individual a better outcome after the top surgery but it is not a necessity. The doctor often tests your hormone levels before the surgery to ensure if it is within the targeted range.

Your Top Surgery Journey


Before you undergo top surgery, you will be required to have a thorough consultation with your surgeon to fulfil certain prerequisites. Your doctor will screen and diagnose your mental and physical health status and if you have any medical comorbidities. It includes:

  • Evaluate your personal and family medical history
  • A general physical examination that includes all your reproductive system assessment, cardiac, respiratory, or gastrointestinal system assessment.
  • Various lab investigations of your blood, urine, or X rays.
  • Along with physical assessment, your doctor will also require a mental health examination. That will include your gender identity and dysphoria.
  • How your gender identity has made an effect on your school, home, office, and all your friends and family.
  • Mood issues

Consent for Reassignment Surgery

After discussing all the risks, complications and conditions with your doctor, you must give an informed consent that includes:

  • Risks and benefits
  • Expense
  • Alternative method
  • Social and legal implications
  • Complications and irreversibility of the procedure
Gender Reassignment Surgery

If you are nervous or unsure of the procedure, you can always talk with fellow transgender people who have undergone similar procedures.

Recovery and Results

After the surgery, your chest will be wrapped and compressed for several weeks following the surgery. Drains are kept under the site where your breast tissues were removed. These are done to drain the accumulated fluid or blood after the surgery. Some additional precautions you must take after the procedure are:

  • You will need to sleep with your body inclined at an angle with your torso elevated for a few weeks after the surgery.
  • You must avoid heavy chest exercises for 2 to 3 months post-surgery.
  • You may need additional surgery if you need to improve your chest size or shape.
  • You will need to follow up if you desire further hormone replacement therapy

Some Frequently Asked Questions About Gender Reassignment Surgery

Can a female have surgery to become a male?

Yes. Sex reassignment surgery is the surgical procedure that alters the anatomical traits of the women to provide a male character and features

What is the average cost for gender reassignment surgery?

The price usually depends on the type of surgery you are doing. The typical cost of gender reassignment top surgery ranges from $12,000 to $20,000 or more. The costs depend on the different techniques done. The hormone therapy and further follow-up require additional charges as well depending upon the doctor you visit.

Is gender reassignment surgery painful?

The surgery is done under general anesthesia so you won’t feel pain at all during the procedure.

How do you pay for gender reassignment surgery?

Since your insurance does not always cover this surgery, you may have a variety of options to pay for surgery.

  • Personal loan
  • Credit cards
  • Family loan
  • Crowdfunding and fundraising

Is gender reassignment surgery considered cosmetic?

Although gender reassignment surgery is done as a management of a medical condition called gender dysphoria, it is considered cosmetic. It is considered as a medical necessity only under the following conditions:

  • You are above 16 years of age and are legally approved to choose whatever gender you want.
  • You are in complete well-being with no further medical illness.
  • There is an applicable Medicare item number
  • Your life significantly improves after surgery.

What does gender confirmation surgery mean?

It is another name of gender reassignment surgery where a person who is unsatisfied with their birth-assigned gender undergoes surgery to change their identity.

Do you get scars after FTM or MTF top surgery?

Yes, both MTF and FTM surgery results in some degree of scarring. But they will gradually fade and flatten over time. Most patients have felt their final results are well worth the scars in the beginning.

How do I know which type of top surgery is best for me?

Your surgeon will give you the best professional advice before the procedure. The procedure depends upon your chest size, shape, skin elasticity, your preferences for nipple and areola size and placements

Do I need to take testosterone before I get FTM top surgery?

You do not need testosterone therapy before FTM top surgery. But the testosterone will help develop chest muscle and body hair and this can improve the aesthetic surgery results. But is not necessary.

How long does the top surgery take?

It depends on the procedure and the surgeon. Generally speaking, it may take from 1 hour to 3 hours.

Can breasts grow back after top surgery?

Although a little tissue is left behind to maintain the contour of the chest, 95% of the tissue is removed so, breast tissue will not grow back

Will I need multiple surgeries for the top surgery?

Most patients only require a single surgery however <5% will have to undergo additional surgery which will be a very minimal procedure.

When can I resume my daily work activities after top surgery?

You can leave the hospital the next day after surgery but you can only resume your office job after 2 to 3 weeks. You are recommended to avoid heavy chest work for 2 to 3 months.

Choosing the Best Plastic Surgeon in Australia

There are huge differences between cosmetic surgeons and plastic surgeons concerning their education, training, qualifications, operating rights and more. Dr Patrick Briggs is a highly experienced plastic surgery expert and member of FRCS, ISAPS, ASAPS and ASPS, all of which are protected medical titles and ensure a certain (minimum) level of expertise and experience. Moreover, he is a specialist plastic surgeon that is qualified to operate in accredited hospitals around Australia.

Plastic Versus Cosmetic Surgeons

There are definite benefits to choosing a plastic surgeon over a cosmetic surgeon, and it is important for you to know who your surgeon really is. Advertising is often deceptive, and “cosmetic surgeons” are NOT specialist plastic surgeons. A cosmetic surgeon could just be a regular GP who has decided to perform body surgery, whereas a qualified specialist plastic surgeon will have years of study and membership from their governing body (ASAPS, ASPS, ASPS-USA, ISAPS).

Unfortunately, it doesn’t require much training to become a ‘cosmetic surgeon’ in Australia, the existing medical laws allow almost any doctor with basic qualifications to perform these surgeries, should they choose to. Not all surgeons who perform all body surgeries in Melbourne have extensive training.

Why Choose Dr Briggs?

Dr Briggs is a highly skilled and well-trained Specialist Plastic Surgeon with experience in all fields of plastic and cosmetic surgery. He has worked in the field of cosmetic and plastic surgery for over 20 years and is specialised in breast procedures.

He performs surgeries with extreme precision and up-to-date approaches. Book a consultation now to begin your journey.

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