Top surgery (mastectomy) in Wrocław
Top surgery, or mastectomy, removes breast tissue together with excess skin and creates a flat, masculine chest. For many trans (FtM) and non-binary people it is an important step in gender affirmation that ends the need for binding. At Luna Clinic in Wrocław the operation is performed by Dr Aleksandra Łuniewska.
Top surgery, or mastectomy, removes breast tissue together with excess skin and creates a flat, masculine chest. For many trans (FtM) and non-binary people it is an important step in gender affirmation that ends the need for binding. At Luna Clinic in Wrocław the operation is performed by Dr Aleksandra Łuniewska.
Mastectomy - what does the procedure involve?
Mastectomy (so-called top surgery) is an operation consisting in the surgical removal of breast gland tissue and the appropriate shaping of a masculine chest contour. At Luna Clinic we treat this procedure as an important element of gender affirmation and support for FtM or non-binary transgender people. In our practice, qualification for the procedure is possible only for people after a legal change of the registered gender marker, which ensures compliance with legal requirements and the safety of the medical process. The technique is selected individually, taking into account the patient’s anatomy and expectations.
We choose the technique according to breast size and skin elasticity: the periareolar method (for small breasts - minimal scars) or the double-incision method with a free nipple graft, giving full control over the contour for larger breasts. The removed tissue is sent for histopathological examination.
Indications for the procedure
Whether the procedure is advisable for you is ultimately decided by the doctor during the consultation.
- Gender dysphoria related to the presence of breasts
- A wish to achieve a masculine or neutral chest contour
- Ineffective or insufficient breast reduction on HRT
- Improvement of quality of life and psychological comfort
- A need to make daily life easier (e.g. no need to wear binders)
Contraindications
How to prepare for the procedure?
The procedure is always preceded by a qualification consultation with a plastic surgeon - we discuss expectations, examine the area to be operated on and establish an individual treatment plan. As standard, we order a full set of tests (blood count, coagulation, electrolytes, ECG for general anaesthesia) and, if necessary, additional specialist consultations.
- Consultation with a plastic surgeon experienced in transgender surgery
- Anaesthesiological consultation
- Laboratory tests
- Documentation confirming the diagnosis of gender dysphoria
- Stopping aspirin, anticoagulants and certain supplements at least 14 days before the procedure
- No smoking or alcohol for at least 2 weeks before the procedure
- Maintaining a stable body weight (good results at BMI <30)
- A thorough discussion of expectations regarding the shape of the scars and nipples
The mastectomy (top surgery) procedure step by step
Recovery and post-procedure recommendations
- Wearing a compression vest for at least 8 weeks
- Limiting physical exertion for a minimum of 4-6 weeks
- No lifting of heavy objects or raising the arms above shoulder level for 4 weeks
- Avoiding sun exposure of the scars for at least 6 months
- Starting massage and scar products after complete healing (usually after 3-4 weeks)
- Check-ups: after 1, 3, 6 and 12 months
Treatment effects
The result of mastectomy is a flat, masculine chest with nipples of masculine size and position. The scars (with double incision running horizontally in the shadow of the pectoral muscle) mature and fade within 12 months. For the vast majority of patients the procedure means a step change in quality of life.
Possible complications and risks
Like any surgical procedure, this one also carries a certain risk. It is reduced by careful qualification before the procedure and by following the aftercare recommendations. Possible complications include:
- Haematoma or bleeding requiring drainage
- Infection requiring antibiotic therapy
- Temporary or rarely permanent sensory disturbances in the operated area
- Hypertrophic or discoloured scars
- Asymmetry requiring correction
- Longer-lasting swelling or bruising
- An unsatisfactory aesthetic result requiring possible re-operation
Frequently asked questions
Does the procedure hurt?
It is felt mainly in the first days, but the pain is controlled effectively with medication.
Do I have to be on hormones to have the procedure?
No, but for many people hormone therapy makes it easier to achieve the desired results.
Are there always scars?
Yes - their length and position depend on the chosen technique. We work so that they are as inconspicuous as possible.
How long does the return to work take?
Office work - usually after 7-10 days. Physical work - after 4-6 weeks.
Can I choose the shape and position of the nipples myself?
We determine the range of possibilities together at the consultation.
Will there be drains?
Yes - they are left in place for 1-3 days after the procedure.
Is the effect permanent?
Yes - the removed gland tissue does not grow back.
Are further operations needed?
Usually not - unless the patient wants to improve the result or change the shape of the nipples.
How long is the compression vest worn?
We recommend a minimum of 8 weeks.
Can I combine the procedure with other procedures?
Sometimes yes - e.g. liposuction of the abdomen or flanks - we decide this individually.
What conditions must be met before gender-affirming mastectomy?
Appropriate documentation is required (specialists’ opinions in accordance with current standards of care). We discuss the details and the full list individually at the consultation - we help you go through the formalities.
Does sensation in the nipples return after the procedure?
With a free nipple graft, sensation is usually weakened or permanently altered; pedicled techniques preserve it better. We discuss the choice of method openly, weighing the patient’s priorities.
Can I train my chest after mastectomy?
Yes - after full healing (about 6-8 weeks) chest training is advisable; developing the pectoral muscle further improves the masculine contour.
Top surgery (mastectomy) in Wrocław: how much does it cost?
Top surgery is quoted individually, depending on technique and extent. The amount follows the surgical consultation (PLN 300).
Dr Aleksandra Łuniewska
Dr Aleksandra Łuniewska - a plastic surgery specialist with over 17 years of experience, founder and chief surgeon of Luna Clinic. A member of the Polish Society of Plastic Surgery, she completed her specialist training in Gdańsk and Wrocław. Her philosophy is based on natural and harmonious results that emphasise the patient’s individual beauty.
Take the first step
Book a consultation - an honest conversation about expectations, possibilities and the treatment plan.
Top surgery (mastectomy): price and consultation
Top surgery is quoted individually at Luna Clinic. The price depends on breast size and skin elasticity, and therefore on the technique (a periareolar approach for small breasts or a double incision with free nipple grafts), and on liposuction at the sides of the chest. Any later scar improvement is done as scar revision.
How to book
Call +48 666 850 666 (Monday-Friday, 9:00-17:00) or send the consultation form. All prices: Luna Clinic price list.
Where we are
Luna Clinic, ul. Władysława Syrokomli 46, 51-141 Wrocław, Poland - in the Karłowice area of the Psie Pole district. There is parking for patients by the clinic. Directions and map