WHAT IS NON-BINARY TOP SURGERY?

Non-binary top surgery refers to a range of chest-contouring procedures customized to an individual’s gender identity and aesthetic goals. Unlike binary trans surgeries that aim strictly for a “male” or “female” chest, non-binary top surgery is highly flexible.

The goal is your desired chest shape, whether that’s a traditionally masculine flat chest, a distinctly feminine bust, or something in between.

For AFAB Patients (Assigned Female at Birth)

Non-binary top surgery often involves chest masculinization or reduction. This can range from a full mastectomy (removing most or all breast tissue for a flat chest) to a radical reduction that leaves some breast tissue for a smaller, more androgynous chest contour. Dr. Schwartz will discuss incision options (such as peri-areolar “keyhole” techniques for small reductions or double-incision mastectomy for larger chests) and whether to resize or reposition the nipples. Some patients choose minimal nipple grafting or even opt out of nipples entirely for a neutral look. Every detail is tailored to your preferences.

For AMAB Patients (Assigned Male at Birth)

Non-binary top surgery can include chest enhancement or sculpting. For those desiring a feminine or androgynous chest, surgery may involve a breast augmentation using implants or fat transfer. Dr. Schwartz typically uses smaller implants or a conservative augmentation approach to achieve a subtle, proportional chest rather than a fully pronounced bust, depending on what feels right for you. In other cases, an AMAB non-binary patient might want breast tissue removed (similar to gynecomastia surgery) to eliminate any unwanted fullness from hormones or genetics while maintaining a neutral, non-masculine appearance.

Regardless of anatomy, Dr. Schwartz plans each non-binary top surgery with precision and artistry.

The procedure is performed under general anesthesia (in many cases using a gentle method called TIVA for a smoother experience). Surgery time varies by technique. For example, a straightforward tissue removal might take 1–3 hours, while augmentation with implants can be about 1–2 hours.

Dr. Schwartz places incisions strategically to keep scars as discreet as possible, often hiding them along the chest contour or areola border. If nipples are being resized or repositioned, their placement will be decided based on your desired aesthetic (whether traditionally masculine placement or a more centered, feminine position).

Non-binary top surgery is typically an outpatient surgery, meaning you’ll go home the same day.

BENEFITS OF NON-BINARY TOP SURGERY

Choosing non-binary top surgery can offer life-changing benefits, both emotional and physical. While everyone’s reasons are personal, some common benefits include:

• Confidence in Your Appearance - Many patients report a surge in confidence after surgery. You may feel more comfortable in your skin, whether wearing form-fitting clothes, going shirtless, or simply seeing yourself in the mirror. This confidence can positively impact social interactions, dating, and overall quality of life.
• Physical Comfort & Freedom - For AFAB individuals, removing or reducing breast tissue means freedom from daily binding, bras, or chest compression, allowing easier breathing, improved posture, and more comfort during exercise or everyday activities. For AMAB individuals, an augmented chest that feels right can eliminate the need for prosthetics or padding. In all cases, you can enjoy activities (from swimming to working out) without discomfort or fear of misgendering.
• Personalized Authentic Expression - Non-binary top surgery lets you choose how you want your chest to look. This autonomy and personal expression lead to a deeper sense of authenticity. With a chest that matches your identity, things like shopping for clothes or being in public become far more affirming experiences.

Ultimately, the greatest benefit is often the emotional liberation patients feel. It’s about looking in the mirror and finally seeing your real self — comfortable, confident, and whole.

WHAT TO EXPECT

Undergoing non-binary top surgery with Dr. Jaime Schwartz is a comprehensive, supportive journey. We want you to feel informed and at ease every step of the way.

Here’s what you can expect on the path to your new chest:

Consultation & Personalized Planning

Your journey begins with a private one-on-one consultation with Dr. Schwartz at our Beverly Hills office (or via virtual consultation for those traveling from out of town). During this meeting, you’ll discuss your goals in detail – how do you envision your chest?

You can even bring reference photos or review our portfolio of past patient results, including other non-binary top surgeries, to help communicate your preferences.

Dr. Schwartz will perform a gentle exam to evaluate your chest skin, existing tissue, and anatomy. Using this information and your input, he will recommend a surgical plan tailored to you. This plan covers the surgical technique (type of incision, how much tissue to remove or whether to use implants, nipple resizing/placement, etc.) and expected results.

No two surgeries are alike – your plan is truly made for your body and vision.

During the consultation, we also review practical considerations to ensure you are ready for surgery. Dr. Schwartz follows widely accepted guidelines (such as WPATH standards) to prioritize your safety and well-being. You may be asked to provide a referral letter from a licensed therapist or health professional affirming that top surgery is an appropriate and positive step for you. Our office can guide you through this process if needed.

Once a surgical plan and any prerequisites are in place, we’ll schedule your procedure. You’ll receive comprehensive instructions for pre-operative care, such as avoiding certain medications or supplements, quitting smoking to aid healing, and arranging for a friend or family member to help on surgery day.

Our team is always available to answer questions that come up as you prepare. We want you to head into surgery day feeling prepared and excited for the positive change ahead.

Surgery Day

On the day of your top surgery, you will arrive at our accredited surgical facility in the morning. You’ll meet with Dr. Schwartz again to review the plan and make any final markings on your chest while you’re upright (to guide incision placement or implant positioning).

Afterwards, you’ll be gently placed under anesthesia by our expert anesthesiologist. Dr. Schwartz utilizes his Schwartz Rapid Recuperation protocols from the very start. This includes using a refined form of general anesthesia called TIVA (Total Intravenous Anesthesia). TIVA is a gentler anesthesia method that often results in a quicker wake-up and less post-operative nausea compared to traditional anesthesia. Throughout the procedure, your comfort and safety are our top priorities.

The surgery itself will follow the customized plan we designed together.

After the surgical work is complete, Dr. Schwartz will close all incisions with fine sutures. In many cases, he uses techniques that do not require post-surgical drains, but if a drain is needed (more common in double-incision mastectomies), it will be a small tube placed temporarily to prevent fluid buildup and will be removed in a few days. Finally, your chest will be dressed with a specialized compression garment or bandages to support healing and minimize swelling.

You will wake up in our recovery area under the care of our attentive nursing staff. Most patients feel groggy but comfortable as the anesthesia wears off.

Thanks to the TIVA approach, you’ll likely feel clear-headed faster and with minimal nausea. Once you’re fully awake and stable (usually within an hour or two), you’ll be discharged to continue recovering in the comfort of your home or hotel.

We’ll review all your aftercare instructions with your support person, ensure you have any prescribed medications and schedule your first follow-up visit. You’ll leave the surgical center knowing exactly how to care for your chest and when to contact us with any questions or concerns.

Recovery & Follow-Up Care

Recovering from non-binary top surgery is a very manageable process, especially with Dr. Schwartz’s Rapid Recuperation protocols aiding your healing. In the first few days at home, you’ll need to get plenty of rest and avoid any strenuous activity. However, we encourage gentle movements as soon as you’re able: simple things like walking around your home for a few minutes at a time can boost circulation and help you feel better.

By the end of the first week, many patients are up and about doing light daily activities. You might feel comfortable returning to non-physical work (like desk jobs or school) in about 7-10 days, depending on how you feel.

It’s important to avoid heavy lifting or vigorous exercise for around 4-6 weeks to protect your healing chest, but Dr. Schwartz will clear you for incremental increases in activity as appropriate. We will schedule regular follow-up visits to monitor your healing progress. Dr. Schwartz and our staff remain available 24/7 during your recovery. You will have direct contacts to reach us any time if you have concerns or questions. Your peace of mind is a priority.

Over the next few months, swelling will continue to go down, and your incision lines will fade. We will provide tips for scar care (such as topical silicone or massage techniques) to help your scars heal as subtly as possible.

By about 3-6 months post-surgery, you’ll see the true results: a chest that looks and feels much closer to the way you always envisioned. Many non-binary patients describe a tremendous sense of relief and joy during this period as they become more active and live daily life with their affirmed chest.

Our team will celebrate these milestones with you and ensure you’re happy with your outcome. Remember, we’re always just a phone call away even long after you’ve healed, should you need us.

WHY CHOOSE DR. JAIME SCHWARTZ MD FACS?

Choosing the right surgeon for your top surgery is an important decision. Dr. Jaime S. Schwartz stands out as a leader in gender-affirming chest surgery.

Our entire practice is committed to providing the highest level of care for transgender and non-binary patients. Here’s why patients trust Dr. Schwartz for their non-binary top surgery:

• Expertise and Credentials - Dr. Schwartz is a board-certified plastic and reconstructive surgeon with over 20 years of experience. As a Fellow of the American College of Surgeons (FACS) and an award-winning surgeon, he has demonstrated the highest standards in surgical skill and patient care. He has performed numerous top surgeries (FTM, MTF, and non-binary), honing techniques that yield exceptional results with an artistic eye for detail.
• Personalized, Patient-Centered Care - No two individuals are the same, and Dr. Schwartz rejects any one-size-fits-all approach. He takes the time to truly listen to your needs, dysphoria triggers, and aesthetic goals. Non-binary patients often have distinct visions for their bodies, and Dr. Schwartz embraces this creativity and individuality. He will collaborate with you to design a surgical plan that honors your definition of a perfect chest.
• Compassionate Support & Inclusive Environment - Undergoing gender-affirming surgery can be emotionally intense. Dr. Schwartz is known not only for his surgical precision but also for his genuine compassion. He fosters a safe, welcoming environment where you will be treated with respect, understanding, and dignity at every visit.

When you choose Dr. Jaime Schwartz for non-binary top surgery, you’re choosing a surgeon who genuinely cares about you. Our mission is to help you achieve the chest – and the confidence – that allows you to live authentically.

From our initial consultation to long after your scars have healed, we are honored to be part of your journey and committed to making your experience positive, affirming, and empowering.

Our clinic is conveniently located off Wilshire and La Cienega in Beverly Hills.

240 S La Cienega Blvd #200
Beverly Hills, CA 90211

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