Cadogan Clinic is a leading specialist cosmetic surgery clinic based in the heart of London. We’re home to the leading specialists in breast augmentation, liposuction, and a comprehensive range of face, breast and body treatments.
View all Cosmetic SurgeryCadogan Clinic is a leading specialist cosmetic surgery clinic based in the heart of London. We’re home to the leading specialists in breast augmentation, liposuction, and a comprehensive range of face, breast and body treatments.
Cadogan Clinic offers a range of cosmetic surgery to help make the changes you want to your body under the guidance of the very best surgeons in the UK.
Cadogan Clinic offers a full range of cosmetic breast surgery to help make the changes you want to your breasts under the guidance of the best surgeons in the UK.
Cadogan Clinic offers a wide range of facial cosmetic surgery procedures to help you make the changes you want, under the guidance of the very best surgeons.
Fat transfer, also referred to as fat grafting and lipofilling, has become widely accepted as the optimal means of soft-tissue filling in all areas of the body, including the face, breasts, hands and buttocks
Cadogan Clinic provides both female and male cosmetic surgery. Almost all of our procedures are suitable for men as well as women.
The Cadogan Clinic Surgical Aftercare and Scar Management Programmes have been developed to optimise patient well-being, recovery and scar management.
Cadogan Clinic is a leading non surgical cosmetic clinic based in the heart of London. We’re home to some of the leading injectable, filler and laser specialists, and are experts in the anti-ageing and skin rejuvenation process.
View all Non-SurgicalCadogan Clinic is a leading non surgical cosmetic clinic based in the heart of London. We’re home to some of the leading injectable, filler and laser specialists, and are experts in the anti-ageing and skin rejuvenation process.
There are many factors which contribute to ageing skin and when deciding on a treatment solution, these are important to consider.
The Cadogan clinic offer a number of treatments focused on improving not only the look of your skin but also your body shape and contours.
At the Cadogan Clinic, we offer a comprehensive range of non-surgical cosmetic treatments, to refresh and rejuvenate your appearance.
Cadogan Clinic is a leading dermatology clinic based in the heart of London. We’re home to some of the leading acne, eczema and rosacea specialists, and are experts in the mole and skin cancer diagnosis and removal process.
View all DermatologyCadogan Clinic is a leading dermatology clinic based in the heart of London. We’re home to some of the leading acne, eczema and rosacea specialists, and are experts in the mole and skin cancer diagnosis and removal process.
Skin is incredibly important to your health and your appearance. The Cadogan Clinic has one of the largest and experienced teams of consultant dermatologists.
Melanin is the natural pigment that gives your skin its unique colour (skin pigmentation).
It is important to take care of your skin - after all, you have a lot of it.
We are all becoming increasingly aware of the risks posed by sun damage to the skin, as well as the need to protect our skin in day-to-day life.
Cadogan Clinic is a leading day case centre of excellence based in the heart of London. Alongside our international team of plastic surgeons and dermatologists, we’re home to some of the leading gynaecologists, ophthalmologists, podiatrists and urologists in the country.
View all DepartmentsCadogan Clinic is a leading day case centre of excellence based in the heart of London. Alongside our international team of plastic surgeons and dermatologists, we’re home to some of the leading gynaecologists, ophthalmologists, podiatrists and urologists in the country.
We are experts in a wide range of Andrology treatments, in both elective and medical conditions.
Frenuloplasty surgery is a simple surgical procedure to release an overly-tight foreskin.
Premature ejaculation is a common sexual problem in men where sexual climax occurs ‘too early’.
Gender dysphoria is a term used to describe how an individual feels a strong sense of disassociation between their gender identity and biological sex.
Cadogan Clinic provides a wide range of cosmetic gynaecological surgery procedures performed by a multi-disciplinary team of the best surgeons in the UK.
Myomectomy, sometimes referred to as fibroidectomy, is a surgery to remove fibroids from the uterus.
An ovarian cystectomy is a surgical procedure to remove large or persistent cysts from the ovaries.
We are experts in a wide range of hand problems, in both elective and traumatic conditions.
Cosmetic foot surgery can help by firstly eliminating the sources of chronic pain or deformity and secondly, reshaping the feet for aesthetic appeal, often resulting in smaller, slimmer feet with a reduced shoe size.
Vascular surgery is a surgical subspecialty in which diseases of the vascular system, or arteries, veins and lymphatic circulation, are managed by medical therapy, minimally-invasive catheter procedures, and surgical reconstruction.
For many people, losing weight can be achieved by eating healthily and taking regular exercise. However, sometimes weight loss surgery, also known as bariatric surgery, may be necessary.
We offer a range of Women’s Health and Wellness services, from fertility, family planning and pregnancy care to a comprehensive range of gynaecology health services
Vaginal atrophy is a condition that causes the vaginal walls to become inflamed, thinner and drier.
Vaginal and genital skin conditions affect the delicate skin around the vagina.
Gender Surgery
at Cadogan Clinic, London’s Leading Cosmetic Surgery Specialists.
Get in touchWe have invited only the very best consultants to practice at our specialist clinic.
Our state-of the-art award winning facilities are located right in the heart of London.
Award Winning Specialist Clinic
We've won 12 top industry awards since 2010 and regularly feature in the national and international press.
Industry Leading Consultants
We've invited only the very best consultants in the country to practice with us.
Care Quality Commission
We're regulated by the independent regulator of health and social care in England.
GMC Registered Surgeons
All of our surgeons are registered with the General Medical Council.
Female to male (FTM) top surgery is a surgery which is carried out on transgender men to create a flatter, more masculine-looking chest.
This is done by removing the breasts (mastectomy) and any excess skin and fat around the breast area. The nipples and areolas (the dark area surrounding the nipple) are then repositioned. There are a number of different surgical options, depending on the size of the breasts and the elasticity of the skin.
FTM top surgery is a permanent alternative to chest binding, which can sometimes cause issues such as skin irritation and breathing difficulties.
Get in touchSurgery Time
2.5 hours
Time off work
2 weeks
Hospital Stay
Day Case
Shower
6 days
Reasonable Mobility
Same day
Exercise
6 weeks
Bras & Garments
6 weeks
45 degrees
2 weeks
Full Recovery
6 weeks
Female to male top surgery is used to create a natural-looking male chest. Top surgery helps to alleviate gender dysphoria, a condition that causes great distress and stems from a feeling of disconnect between a person’s biological sex and gender identity.
Female to male gender reassignment helps to treat gender dysphoria and helps to alleviate the mental health issues that can come with this diagnosis, such as depression and anxiety. FTM surgery will help to boost your confidence and self-esteem and have a positive impact on your quality of life. The aim of female to male surgery is to help you feel at ease with your identity.
FTM top surgery is for trans men who have been diagnosed as having gender dysphoria. Before you have female to male gender reassignment surgery you should have been living as your preferred gender for at least a year and must have undergone a psychological assessment. You must be over 18 to undergo FTM top surgery.
Ahead of FTM surgery you should stop smoking, make sure any existing medical conditions, such as diabetes, are under control and lose weight if you have a body mass index (BMI) of 25 or more.
Your surgeon must be satisfied that you are in good mental health ahead of surgery.
Any person undergoing female to male gender reassignment must have realistic expectations of what can be achieved through surgery.
Words from our clients:
"I was extremely satisfied with the care and treatment I received at the Cadogan Clinic. My surgeon was friendly and informative and explained the procedure fully. My procedure went very well and with the excellent care of the nursing staff, I made a speedy and full recovery. Would recommend to anyone."Eva Berry
"At the beginning before the operation the nurse taking care of me made me feel so comfortable. The surgeon and anesthetist helped me feel so calm. Fantastic before and after treatment"Scarlett Elliott
"The girls on the reception at the clinic were very pleasant and professional. The nurse who took out my stitches after my surgery was just lovely and took me through step by step what she was doing and she also recommended a great cream to use to help with healing."Georgina Nolan
“I was treated with care and provided with thorough knowledge about the procedure I was undertaking. My surgeon was very methodical (a perfectionist) and I felt I received A class treatment."Courtney O'Sullivan
"Outstanding experience from the first appointment to being discharged. Very professional, friendly and a fantastic outcome."Gemma Stevenson
"Reception staff very welcoming and efficient. Both nurses who I dealt with were fantastic, and the whole team (anaesthetist, surgeon etc) were friendly but professional, and really put my mind at ease. That I was able to stay later than I perhaps needed after my surgery to fit in with my husbands schedule was greatly appreciated."Emma Davies
When it comes to FTM top surgery, there are a number of different methods. These are double-incision top surgery, periareolar top surgery and keyhole top surgery. The method used will depend on various factors, including the size of the breasts and skin laxity. We will look at these methods here.
Double-incision top surgery: This is the most common type of FTM top surgery. The surgeon will start by removing the nipples and areolas (the dark area of skin around the nipples) and making them smaller. They will then make long incisions to remove the breasts (mastectomy) and liposuction is used to remove any excess fat. Any excess skin is also removed. Special stitches will be used in order to prevent any puckering of the skin near the incision sites.
Finally the nipples and areolas are reattached in their new position on the flatter chest.
Periareolar top surgery: Also known as donut procedure, periareolar top surgery is best suited to people with smaller chests. Periareolar top surgery involves making one circular incision around the border of the areola, followed by a second, larger incision around the first one. The surgeon will then remove the breast tissue and use liposuction to suck out any excess fat. The edges of the larger incision are then pulled together, resizing the areola.
Keyhole top surgery: This particular method of FTM top surgery is best suited for those with very small chests and tight skin. It is a straightforward procedure that involves making a small incision along the bottom half of the areola, leaving it partially attached to the body. Just like periareolar top surgery, the breast tissue is removed and liposuction carried out. The nipples will be resized if necessary.
Female to male top surgery is performed under a general anaesthetic and the procedure takes around two-and-a-half hours from start to finish.
We have invited a selection of the country's very best consultants to join us at the Cadogan Clinic so that you can be sure that whatever the nature of your treatment, you will be seeing one of the top practitioners in the country.
Below you will find some key information to help you prepare for surgery and make necessary arrangements to ensure you have the support you need and that everything runs smoothly on the day.
01.The Consultation
The first step for all of our patients is to meet with the surgeon we feel is best placed to perform your procedure for a consultation.
At the consultation you will be able to discuss with your surgeon what your hope to achieve from the procedure, as well as discuss in detail what may or may not be possible.
Finally a comprehensive discussion regarding risks and complications will take place, alongside a discussion regarding the post procedure and recovery phase. Your previous medical history will also be recorded (including previous surgery, medications, allergies etc.) and an assessment of your fitness for surgery.
If your surgeon feels you are a good candidate for surgery, you are then invited to consider whether you would like to proceed for surgery or otherwise following a two week 'cooling off' period.
Within this period you are welcome to come in and discuss your potential surgery with your surgeon as many times as you like.
02.Leading up to Procedure
If you choose to proceed with surgery, the next time you come into the Clinic after your final consultation will be the day of your procedure.
Before admission the following behavioural changes are recommended / required:
03.On the day
Your FTM top surgery will take place under a general anaesthetic as a day case at our Chelsea clinic.
Once you are unconscious, the surgeon will start your mastectomy using double-incision top surgery, periareolar top surgery or keyhole top surgery. The method used depends on various factors and varies from patient to patient.
The top surgery should take around two-and-a-half hours from start to finish. After the procedure is complete, you will need to rest and wait for the effects of the anaesthetic to wear off. You may need pain relief.
When you leave the clinic, you must be accompanied by a responsible friend or family member.
04.Treatment Recovery
It is important to follow all the aftercare advice issued by your surgeon following your FTM top surgery. Failure to do so may delay healing and impact upon the final result.
You will need to take two weeks off work following your top surgery. Exercise, including any sports and the gym, must be avoided for six weeks after surgery. During these six weeks you must wear a surgical garment in order to keep the shape of your new chest. You should expect a full recovery at around the six week mark.
As part of your treatment with the Cadogan Clinic, you will have access to 24/7 on-call nurse assistance for the duration of your recovery.
The Patient Journey. A breakdown of what you can expect on your journey with us
We are deeply invested in ensuring that every step of your surgical journey with us is as informative and reassuring to you as it can be. This article outlines what you can expect at each stage of the journey
The Patient JourneyWhat are the benefits of FTM surgery?
FTM surgery helps to alleviate gender dysphoria by bringing a person’s body in line with their gender identity. Most people who have top surgery will find that they have an improved self-image once the operation is completed and the body has had a chance to heal. By helping trans men to feel happier and more connected with their bodies, this usually has an overwhelmingly positive impact on all areas of their life. FTM surgery helps to restore confidence and improves mental health, alleviating the symptoms of depression and anxiety.
This newfound confidence can help in the workplace, in social situations and aid with forming romantic relationships.
Top surgery results in a more masculine-looking chest, replacing female characteristics. Our surgeons at the Cadogan Clinics are experts in their field and have the knowledge and skills to help you to reach your body goals.
What type of surgeon is best for FTM top surgery?
The best surgeon to perform top surgery is an aesthetic surgeon who has specific training in gender-affirming surgeries.
Here at the Cadogan Clinic, all of our surgeons are world-class experts in their field. This expertise means that our surgeons are highly sought after to perform female to male surgery in London.
What kind of scarring can I expect following top surgery?
You should expect a degree of scarring following any type of top surgery. Scarring from surgical incision looks like a thin, raised line on top of the skin. As it heals, it will darken and flatten.
The size, length and exact location of these scars in FTM top surgery depends on the surgical technique used. The keyhole and periareolar methods of top surgery are less invasive than double incision top surgery. As a result, this generally results in less scarring.
The good news is that any scarring will gradually fade, but the speed of this varies from person to person. Three months after surgery you can start to use bio oil on your scars to help lessen their appearance. You should avoid smoking, tanning, excessive scrubbing and scratching the area during the healing process as these can make scarring worse.
Some people have a condition called keloid that causes excessive tissue growth in the wound area. Keloid scars are thicker and more noticeable than regular scars. In the unlikely event that you acquire an infection of the wound, this can also make scars thicker and it takes longer for them to go.
The Cadogan Clinic provides every patient with access to one of London’s most advanced scar minimisation programmes, led by our scar prevention team here at the clinic.
What kind of results can I expect following top surgery?
After the post-surgery swelling subsides, you should expect to have a flatter, contoured, more masculine-looking chest. There may be some scarring, depending on which technique is used in your top surgery. You may also find that you experience a reduction or loss of nipple sensation, depending on which surgical technique is used during the operation.
Once you have recovered from your operation, you can begin to enjoy a new body which helps to heal the feeling of disconnect caused by gender dysphoria. You should notice an overall boost in your mental health and wellbeing, as well as a boost in self-confidence.
Is top surgery painful?
You can expect some discomfort for around four or five days after your FTM top surgery. In the event that you do experience any mild to moderate pain or discomfort, this can be controlled with over-the-counter painkillers. The chest area will be swollen and on average this will take two to three weeks to subside. However you may find the area is still swollen for anywhere up to six months after surgery.
As part of your treatment with the Cadogan Clinic, you will have access to 24/7 on-call nurse assistance for the duration of your recovery.
Can I get top surgery on the NHS?
Yes, it is possible to get FTM top surgery on the NHS if you meet the criteria. However the NHS waiting list for female to male gender reassignment is very long.
If you choose the Cadogan Clinic for your FTM top surgery, there are no waiting times and you will get your treatment sooner.
Can you reverse top surgery?
Top surgery is permanent. Your breasts will not grow back after the operation and any reconstructive surgery will not return your chest to the way it looked before. It is therefore of paramount importance that you are 100 percent certain about your goals before taking such major steps to change your body. You must also have realistic expectations about what FTM top surgery can achieve. Book an appointment with one of our expert surgeons here at the Cadogan Clinic who will run through the options with you.
Can I breastfeed after top surgery?
If the milk ducts are removed during top surgery, then you will not be able to breastfeed or chestfeed. If some of these milk-producing ducts are left behind, then it may be possible.
If you are taking testosterone as part of your treatment, then this may affect the production of the hormone needed for lactation.
It is important to note that many factors can affect a person’s ability to breastfeed or chestfeed. A person who has all their milk ducts and is not taking hormones may still find they do not produce enough milk. Formula milk is a perfectly healthy and safe way to feed a baby.
Is top surgery the same as mastectomy?
A mastectomy (breast removal) is just part of FTM top surgery. Liposuction is also used to remove excess fatty tissue to create an improved contour and the nipples will also be repositioned to a more natural-looking position.
Depending on the results of your FTM top surgery, the surgeon may feel that further procedures are necessary. This may include more liposuction, dog-ear surgery to remove puckered skin at the end of the scar line, and possible nipple reconstruction if required.
Founded in 2004 by world renowned plastic surgeon Mr Bryan Mayou, we now work with over 100 leading consultants and successfully treat over 20,000 patients each year. We have been winning industry awards since inception.
About UsBest in Class Facilities
All of our treatments take place at our beautiful boutique premises in Chelsea. We have six consulting rooms and five operating rooms, as well as a dedicated pre and post-operative suite, and a full team of specialist nursing staff.
Our ClinicA Strong Tradition of Innovation
We were founded in 2004 by world renown plastic surgeon Mr Bryan Mayou, best known for his pioneering work in the area of liposuction, lasers and microvascular surgery. We continue to collaborate with pioneers in our field.
Our HistoryAt Home in Sloane Street, London
We are proud that our state of the art award-winning clinic is located in one of the best neighbourhoods in the country
Welcome to Sloane StreetClinics Nationwide
We offer surgical consultations in London, Birmingham, Chelmsford and Bristol, and attract international patients from all corners of the globe such as as the USA, the Middle East and Europe.
Get in TouchAs with most operations, there are risks attached to FTM top surgery. Risks associated with this type of surgery are:
General complications from any type of surgery include pain, scarring, blood clots (deep vein thrombosis) and an adverse reaction to the anaesthetic.
Gender Surgery
We believe in the delivery of excellent outcomes and results, and exceptional levels of service. Our outcomes are natural and long-lasting, and we remain the premier choice for cosmetic surgery treatments in the UK.
2023
Aesthetic Journal
Highly Commended
2023
Aesthetic Journal
Best Clinic in London Shortlist
2021
Aesthetics Awards
Highly Commended
2021
My Face My Body
Best Clinic Winner
2020
My Face My Body
Best Clinic Winner
2019
My Face My Body
Winner
2018
My Face My Body
Highly Commended
2018
Aesthetics Awards
Highly Commended