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Gender Affirming Top Surgery in Toronto

Compassionate, Expert Chest Masculinization and Feminization by Dr. Waqqas Jalil

Top surgery is one of the most significant and empowering steps in gender affirmation for trans and non-binary individuals. Whether you’re seeking chest masculinization or chest feminization, the procedure is deeply personal—designed to help you feel more aligned with your identity and at home in your body.

At Aspect Plastic Surgery in Yorkville, Toronto, Dr. Waqqas Jalil offers gender affirming top surgery in a supportive, respectful, and patient-centered environment. With extensive fellowship training in reconstructive and aesthetic surgery from leading institutions in Canada and the U.S., Dr. Jalil combines technical precision with a compassionate approach that prioritizes your individual goals, safety, and dignity.

Cost

Inquire only

Recovery Time

2-3 weeks feeling good and back to work
6 weeks full recovery, back to regular activities.

Length of Surgery

2-3 Hours

What Is Gender Affirming Top Surgery?

Top surgery is a gender-affirming surgical procedure that alters the chest to better reflect your gender identity. It may involve chest masculinization (removal of breast tissue and reshaping of the chest wall) or chest feminization (enhancing breast size and shape using implants or fat grafting).

Types of Top Surgery:

  • Chest Masculinization (FTM/N top surgery): Removes breast tissue and sculpts a flatter, more traditionally masculine chest. May include nipple grafting or resizing for symmetry and aesthetic balance.
  • Chest Feminization (MTF/N top surgery): Enhances the chest using silicone implants or fat transfer to create a rounder, more feminine breast contour.

Dr. Jalil tailors each procedure to your anatomy, transition goals, and preferences—because top surgery is not one-size-fits-all.

Benefits of Gender Affirming Top Surgery with Dr. Jalil

Ideal candidates for a bra line lift include individuals who:

  • Aligns your physical appearance with your gender identity
  • Reduces or eliminates gender dysphoria
  • Improves comfort in clothing and daily movement
  • Enhances body confidence and emotional well-being
  • Performed in a safe, inclusive, and affirming clinical environment
  • Customized surgical plans designed for your unique goals

Whether you’re early in your gender journey or have been considering surgery for years, Dr. Jalil offers an open, respectful space to explore your options with clarity and support.

Your Consultation: A Judgment-Free, Patient-First Experience

Dr. Jalil takes time to fully understand your goals, anatomy, and expectations. During your private consultation at his Yorkville clinic, he will:

  • Review your medical history and hormone therapy (if applicable)
  • Discuss your ideal chest shape, scar preferences, and nipple placement
  • Perform a physical exam to assess skin elasticity, tissue volume, and surgical options
  • Answer all your questions thoroughly, with empathy and transparency

You’ll leave with a clear understanding of the procedure, recovery, risks, and realistic outcomes.

Your Top Surgery Procedure in Toronto

Dr. Jalil offers multiple techniques based on your anatomy and desired result.

Chest Masculinization Techniques:

  • Double Incision with Free Nipple Grafts: Best for medium to large chest sizes; removes breast tissue and excess skin with relocated nipples.
  • Peri-Areolar or Keyhole Technique: For smaller chests with good skin elasticity; involves minimal scarring and preserves nipple sensation.

Chest Feminization Techniques:

  • Breast Augmentation with Implants: Uses silicone implants to enhance volume and shape; customized based on chest width and aesthetic goals.
  • Fat Grafting (with or without implants): Uses your own fat from another body area for a softer, more natural feel.

Each surgery is performed under general anesthesia in a fully accredited surgical facility. Most patients return home the same day.

How Long Do Top Surgery Results Last?

Gender affirming top surgery results are long-lasting and typically permanent, especially when paired with stable weight and hormone therapy (if applicable). Your chest will continue to age naturally, but the overall shape and gender-affirming appearance will remain.

Am I a Candidate for Gender Affirming Top Surgery?

Choosing to undergo gender affirming top surgery is a deeply personal and often life-changing decision. Whether you’re seeking chest masculinization (FTM or FTN top surgery) or chest feminization (MTF or MTN top surgery), it’s important to know that you’re not alone—this is a journey, and Dr. Jalil and his team in Yorkville, Toronto, are here to support you every step of the way.

Top surgery can help bring your physical body into alignment with your gender identity, offering relief from dysphoria and allowing you to feel more at home in your skin. During your private consultation, Dr. Jalil will take the time to listen to your goals, answer your questions, and help determine if surgery is the right next step for you.

You may be a good candidate for gender affirming top surgery if the following apply:

You’re 18 or older

Most patients are at least 18 years old. In some cases, younger patients may be eligible with parental or guardian consent and mental health support. Dr. Jalil welcomes all individuals with respect and compassion, regardless of where they are in their journey.

You experience chest-related gender dysphoria

Top surgery is often pursued by those who experience persistent discomfort or dysphoria related to their chest. You may feel distress when looking in the mirror, wearing certain clothing, or being seen without a shirt. Top surgery can provide significant emotional relief and a stronger sense of identity and self-confidence.

You’re in good physical health

As with any surgery, your overall health plays a role in your candidacy. Conditions like diabetes or hypertension must be well-managed. If you have questions about how your health might affect your eligibility, Dr. Jalil will review everything carefully with you during your consultation.

You have realistic expectations and emotional readiness

Top surgery can be incredibly affirming, but it’s important to understand both the benefits and limitations of the procedure. Scars are permanent (though they often fade), and results can vary based on your anatomy. Dr. Jalil prioritizes patient education so you feel confident, informed, and emotionally prepared.

You’re able to stop smoking or vaping

Nicotine significantly increases the risk of complications like poor wound healing or infection. If you smoke or vape, you’ll need to stop several weeks before and after surgery to ensure your safety and support the best possible outcome.

You may or may not be on hormone therapy

Hormone therapy (such as testosterone or estrogen) is not required to undergo gender affirming top surgery in Toronto. If you are taking hormones, they should be stable and well tolerated. Dr. Jalil follows an individualized approach based on your unique goals—not a one-size-fits-all model.

You’re committed to recovery and follow-up care

Healing takes time, and top surgery recovery requires rest, support, and follow-through. You’ll need to wear compression garments, limit physical activity for a few weeks, and attend follow-up appointments to ensure everything is healing properly.

You have access to mental health support, if needed

Dr. Jalil adheres to the World Professional Association for Transgender Health (WPATH) Standards of Care. In many cases, a letter of readiness from a mental health provider is required. If you don’t already have one, our team can help guide you through the process.

Why Choose Dr. Waqqas Jalil for Top Surgery in Toronto?

  • Extensive Reconstructive & Aesthetic Training (Canada & U.S.)
  • Inclusive, Affirming Care for All Gender Identities
  • Customized Surgical Planning Based on Your Needs
  • Discreet, Boutique Surgical Clinic in Yorkville
  • Natural-Looking Results that Reflect Who You Are

Dr. Jalil approaches gender affirming top surgery not just as a physical transformation, but as a meaningful milestone in your journey. His thoughtful, detail-oriented technique ensures that your results are not only beautiful but affirming, empowering, and authentically you.

Take the Next Step

Book a confidential consultation with Dr. Jalil at Aspect Plastic Surgery in Yorkville to explore gender affirming top surgery in a safe and supportive environment. Whether you’re just beginning to gather information or ready to take the next step, Dr. Jalil is here to listen, inform, and support you with expert care.

Begin your journey

Before & After Gallery

View The Transformation

Gender Affirming Surgery FAQ

General Questions

What is gender affirming surgery?

Gender affirming surgery refers to a range of surgical procedures that help individuals align their physical characteristics with their gender identity. At Aspect Plastic Surgery in Yorkville, Toronto, Dr. Jalil offers tailored, compassionate surgical care to support trans and non-binary individuals in their gender affirmation journey.

What types of gender affirming surgeries are available?
Common procedures include top surgery (chest masculinization or breast augmentation), facial feminization or masculinization surgery, body contouring, and genital surgeries such as vaginoplasty or phalloplasty.

Is gender affirming surgery the same as sex reassignment surgery?

“Sex reassignment surgery” is an older term. Today, “gender affirming surgery” is preferred, as it more accurately reflects the process of affirming an individual’s gender identity, not simply changing anatomy.

Who performs gender affirming surgery at Aspect Plastic Surgery?

Dr. Jalil, a dual board-certified plastic surgeon in Canada and the U.S., offers gender affirming procedures with a personalized approach in a safe, accredited surgical center in Yorkville, Toronto.

Is gender affirming surgery covered by OHIP?

Some procedures, like top surgery or vaginoplasty, may be partially or fully covered by OHIP with appropriate referral and approval. Other procedures, such as facial surgery, may not be covered and are considered elective.

What are the goals of gender affirming surgery?

The goal is to alleviate gender dysphoria, improve comfort in one’s body, and enhance quality of life by aligning physical features with gender identity.

Is gender affirming surgery permanent?

Yes, most procedures are permanent. It’s essential to have thorough consultations and be emotionally and medically prepared before proceeding.

How do I start the process for gender affirming surgery?

The process typically begins with consultations with qualified mental health professionals and a referral to a surgeon. At Aspect Plastic Surgery, we guide patients through each step of the process, including documentation and preoperative planning.

Do I need a letter from a therapist or doctor?

Yes, for many procedures, a referral or readiness assessment letter from a qualified mental health professional or physician is required, especially for OHIP coverage.

Is gender affirming surgery safe?

When performed by experienced, credentialed surgeons like Dr. Jalil, gender affirming surgeries are safe, with low complication rates and high patient satisfaction.

Candidacy & Consultation

Who is a good candidate for gender affirming surgery?

Candidates should be in good physical and mental health, have a stable gender identity, and realistic expectations. A consultation with Dr. Jalil will help determine readiness and eligibility.

Is there a minimum age requirement?

Yes. Most surgeries require patients to be at least 18 years old, although exceptions may exist with parental consent and thorough evaluation.

Do I need to be on hormone therapy first?

Hormone therapy is often recommended before surgery, especially for procedures like top surgery or facial feminization, but it’s not a requirement in all cases.

Do I need to live as my gender full-time before surgery?

Some guidelines, including WPATH, recommend living as your identified gender for at least 12 months before surgery. Dr. Jalil adheres to best practices and individualized assessments.

Can non-binary individuals have gender affirming surgery?

Absolutely. We support all gender identities and tailor surgeries to align with each individual’s goals and gender expression.

Do I need to stop smoking before surgery?

Yes. Smoking increases the risk of complications and impairs healing. Patients must quit smoking at least 4–6 weeks before and after surgery.

Can I have surgery if I’m overweight?

A stable and healthy BMI improves safety and outcomes. Dr. Jalil will assess your overall health and make personalized recommendations.

Can I undergo multiple procedures at once?

Yes, combining surgeries can be efficient and reduce recovery time, but depends on individual health, goals, and safety considerations.

How do I prepare for my consultation?

Bring medical records, referral letters, and any questions. Be ready to discuss your goals, history, and current healthcare.

Can I have surgery if I have mental health conditions?

Yes, if your condition is stable and well-managed. Mental health support is part of holistic care at Aspect Plastic Surgery.

Surgical Procedures & Techniques

What is top surgery?

Top surgery involves chest masculinization (removal and contouring of breast tissue) or breast augmentation (to create a feminine chest), depending on the patient’s goals.

What are the types of chest masculinization surgeries?

Common techniques include double incision with nipple grafts, periareolar, or keyhole surgery. Dr. Jalil selects the best approach based on anatomy and preferences.

What is facial feminization surgery (FFS)?

FFS includes a combination of procedures to soften facial features, such as brow bone reduction, jaw contouring, rhinoplasty, and lip lift.

What is facial masculinization surgery?

FMS enhances masculine facial features through procedures like chin augmentation, jaw reshaping, and forehead enhancement.

What is body contouring for gender affirmation?

Liposuction or fat grafting can enhance body shape to reflect gender identity. This includes waist contouring or hip augmentation.

Does Dr. Jalil perform genital surgery?

Currently, Aspect Plastic Surgery focuses on top, facial, and body procedures. For genital surgeries, we refer patients to trusted specialists in Ontario and across Canada.

What is the recovery like for top surgery?

Most patients take 2–3 weeks off work and avoid strenuous activity for 4–6 weeks. Swelling and bruising subside gradually.

Will I have visible scars?

Scars vary depending on technique but fade significantly over time. Dr. Jalil uses meticulous techniques to minimize scarring.

Can I choose my nipple size or placement?

Yes. For chest masculinization, nipple size, shape, and placement are discussed during planning to achieve a natural look.

Is nipple sensation preserved?

Sensation may change temporarily or permanently. Some patients experience partial sensation return over time.

Recovery & Aftercare

How long is recovery after gender affirming surgery?

Recovery varies by procedure but generally ranges from 2 to 6 weeks. Dr. Jalil provides a detailed aftercare plan to support healing.

Will I need help at home after surgery?

Yes, assistance is recommended for the first few days, especially after top or facial surgery.

When can I return to work or school?

Depending on the procedure, most patients return to work within 2–4 weeks, depending on the physical demands of their job.

When can I exercise again?

Light activity may resume after 2–3 weeks, but strenuous exercise or lifting should wait until 4–6 weeks post-op.

Will I need drains or bandages?

Some surgeries require drains temporarily. Compression garments or bandages are commonly used to reduce swelling and promote healing.

What should I avoid after surgery?

Avoid smoking, alcohol, intense physical activity, and sun exposure to incisions during healing.

Will there be pain after surgery?

Some discomfort is normal and managed with prescribed medications. Most patients report the pain is very tolerable.

When will swelling go down?

Most swelling improves in 2–4 weeks, with final results visible after several months.

Are follow-up visits required?

Yes, follow-ups help monitor healing, remove sutures or drains, and address any concerns.

What happens if I have complications?

Dr. Jalil and the team are available for support and will address any complications promptly with care and discretion.

Results & Expectations

When will I see results?

Initial results are visible within a few weeks, with final outcomes becoming apparent over 3–6 months as swelling resolves.

Are results permanent?

Yes, results are permanent, although natural aging and lifestyle may subtly affect longterm appearance.

Will I look natural after surgery?

Dr. Jalil specializes in natural-looking results tailored to your goals and anatomy, avoiding an overdone appearance.

How will gender affirming surgery impact my mental health?

Many patients report improved self-esteem, reduced gender dysphoria, and enhanced quality of life following surgery.

Can I have revision surgery if needed?

Yes. Revisions are rare but available if adjustments are needed. Dr. Jalil ensures open communication throughout your journey.

What if I change my mind later?

Surgical outcomes are permanent, which is why we emphasize careful preparation and support before proceeding.

Can I get pregnant after gender affirming surgery?

Depending on the procedures performed, fertility may be affected. Discuss reproductive plans with your healthcare team before surgery.

Can I get pregnant after gender affirming surgery?

Depending on the procedures performed, fertility may be affected. Discuss reproductive plans with your healthcare team before surgery.

Is gender affirming surgery right for everyone?

Not everyone needs or wants surgery. It’s a personal decision, and we respect all gender journeys and identities.

Why choose Aspect Plastic Surgery in Yorkville for gender affirming surgery?

Dr. Jalil offers a welcoming, respectful environment where each patient receives individualized care. Our Yorkville clinic provides top-tier surgical excellence with compassion and discretion.

How do I book a consultation at Aspect Plastic Surgery?

Call us or visit our website to schedule your private consultation in our Yorkville, Toronto clinic. We are here to support you every step of the way.