Breast surgery for gender reassignment

Breast surgery for gender reassignment – also known as sex change breast surgery and transgender breast surgery – is a procedure which is typically used in male to female gender reassignment. It usually uses implants for a one stage breast augmentation, although expanders can also be used in a two-stage process.

Frequently Asked Questions

What is breast surgery for gender reassignment?

Breast surgery for gender reassignment is also referred to as sex change breast surgery and transgender breast surgery. BreastClinik normally offers this procedure as part of a male to female gender reassignment. Breast surgery for gender reassignment can use implants for a one-stage breast augmentation. Alternatively, expanders can be used as part of a two-stage process. The breast augmentation surgery itself will change and increase the breast size, with implants or expanders helping to provide a feminine shape which is also proportionate with the rest of the body.

How is breast surgery for gender reassignment performed?

The breast enlargement element of breast surgery for gender reassignment can use a variety of implants, depending on the objectives of the individual. All have different effects on the shape and feel of the breasts. Patients can benefit from a consultancy which advises them on the type of implant which aligns best with their personal objectives.

Incisions are typically made in a pre-determined location which seeks to minimise visible scarring. The implant is then inserted and placed into a pocket over the pectoral muscle or behind the breast tissue – which technique is used depends on a variety of factors. Incisions are closed using sutures, skin adhesive or surgical tape. Surgical time is typically one to three hours.

Another method of performing breast augmentation as part of breast surgery for gender reassignment involves tissue expanders. This is a two-stage process which enables the expansion of the breast’s muscle and skin with the use of a temporary tissue expander. A few months after the first stage of this procedure, the expander is taken out and the patient is given either a permanent breast implant or a microvascular flap reconstruction.

Among the types of expanders which can be used are saline expanders; the most common expander which is used in breast augmentation. Saline expanders are injected with saline by syringe through a fill port which is placed in the skin. There are also aeroform tissue expanders, which contain carbon dioxide which is released from a cartridge held inside the expander itself. A remote control is used by the patient to manage the expansion process.

Patients are typically asked not to eat or drink for a six-hour window prior to breast surgery for gender reassignment. An anaesthetist will be on hand to discuss your chosen form of anaesthesia before entering the operating room.

What are the risks of breast surgery for gender reassignment ?

Breast surgery for gender reassignment is the patient’s personal choice. Each individual will weigh up the benefits of treatments with potential risks. Signed consent must be provided before the procedure is undergone. Potential risks of breast surgery for gender reassignment include changes to breast sensation, tight scar tissue, leakage of implants, and revision surgery being needed in the future.

It is understood that around one in 100 people who undertake breast augmentation will have a permanent change in sensation of the areola/nipple or the skin of the breast – this applies to one or both sides. It is also fairly common for some patients to develop a contracture of some degree around the implant. In rare cases, if the contracture becomes mishapen, the implant will have to be removed.

Breast surgery for gender reassignment recovery time

Patients who have undergone breast surgery for gender reassignment usually stay in hospital overnight following treatment. It can take up to two weeks to resume daily activities after the procedure, while full exercise might only be advised after up to three months.

In some cases patients can be prescribed pain relievers to help them deal with the discomfort in the early stages of recovery. After a week or so of rest, typically the worst of the soreness will subside. Over the first few weeks following breast surgery for gender reassignment, the implant will naturally settle into place – daily massage can help with this process, beginning gently. In general, larger implants require a longer recovery time after surgery.

Can breasts be grown with hormone therapy?

Some transfeminine individuals are able to bring about body changes through hormone therapy, but in many cases can still have the desire for larger breasts. Breast augmentation is able to increase the size of the breasts significantly more than hormone therapy.

Why choose the Breastclinik?

Elena is an internationally recognised cosmetic surgeon whose work proceeds her, having won multiple awards over the course of her career. Patients can benefit from the empathetic attitude of this respected female consultant – who operates in several UK locations including Bristol, Sussex and London – and the cutting edge techniques which she employs. The Breastclinik has a ‘patient first’ ethos and is renowned for the superb standard of aftercare which it provides.

Breast surgery for gender reassignment surgery cost

The total cost of the surgery will be confirmed after the first consultation.

The cost includes the hospital, surgeon and anaesthetic fees. It also covers all post-operative visits. The initial consultation fee will be invoiced separately. The prices apply only at the time of publication and are subject to changes without notification.

Surgery costs TBA
Initial consultation fee £150

Surgery details

Anaesthetic: General

Anaesthetic: General

Follow up: 1,4,12 weeks,12 months

Follow up: 1,4,12 weeks,12 months

Hospital stay: Overnight stay
Hospital stay: Overnight stay
Final result: 3-12 months

Final result: 3-12 months

Surgical time: TBA on consultation

Surgical time: TBA on consultation

Recovery time: 4-8 weeks

Recovery time: 4-8 weeks

What our patients say

  • What a skilled, talented, honest and kind surgeon! I had hoped for an improvement in the way my breasts looked but instead of an improvement, I got perfection! Any concern and query I have had, both pre- and post- surgery has been dealt with immediately and efficiently. My entire care has been phenomenal! Elena has a fantastic team that all work brilliantly together. I thank the lucky stars I landed in her hands!

    Patient at Ridgeway BMI Swindon
  • I can't recommend Elena enough. Elena was wonderful from the beginning completely understanding made me feel so comfortable she understood what it was I wanted to be done and why. Not long after my consultation, I had the surgery done a full tummy tuck, breast augmentation and some lipo and it was truly the best thing I have ever done. Elena has done an amazing job I only ever dreamed I could look like this after looking the way I did. Elena has been wonderful throughout the care before, during and after

    Patient at Queen Victoria Hospital
  • My first meeting with Miss Prousskaia was great. The process from start to finish was made simple & everything was arranged to suit me. If I had any concerns, worries or questions all I had to do was send an email to Miss Prousskaia & she would get back to me even if she was in surgery at the time. Miss Prousskaia has changed not only my body for the better but my life too & also my kids lives. Miss Prousskaia for me has made my dreams a reality. I will always be grateful for her work but also her care & understanding, she is a very talented & special lady.

    Patient at The Bristol Nuffield Hospital at Chesterfield
  • What a sweetie Elena is. She put me totally at ease during my consultation explaining everything in detail and discussed my expectations. The results are far better than I could have hoped for. I have a waist for the first time and I cannot stop smiling. It's given me so much confidence, I wish I'd done it sooner. Elena is a remarkable lady, who I cannot thank enough.

    Patient at The Mcindoe Centre
  • My daughter was born with a severe congenital deformity called tuberous breasts. Elena is so professional, warm and friendly. She took her time and explained exactly how she could correct her breasts. The surgery has been so successful, my daughter's breasts are absolutely perfect and natural looking. The scarring resulting from surgery is so minimal, smooth and neat, we are astounded and Elena is also so pleased. My daughter's personality has completely transformed. She is now so happy, vivacious and confident. I cannot praise or recommend Elena enough.

    Carer at BMI Bath Clinic
  • Elena has performed breast reconstruction on me following cancer. She is the most conscientious and skilled Dr I have met. She is direct and ensures you understand everything. Following her brilliant surgery, she is dedicated to your aftercare to the level I have never seen before. I cannot recommend her highly enough. She has made me feel me again.

    Patient at Queen Victoria Hospital
  • First, l would like to thank Elena, it was a pleasure to meet her she is so kind and understanding, After years of being so uncomfortable and having constant pain in my shoulders from having large breast. In October of this year, I had a breast reduction and uplift surgery. The difference it has made is amazing I didn’t realise it could make such a difference I now have more confidence in social situations which pre-surgery I would avoid. The pain in my shoulders has gone and I feel great. I would also like to empathise that there is no pain after surgery just a little discomfort. I would recommend Elena to anyone thinking of having surgery. She’s the best . Thank you once’s again.

    Patient at Bristol Spire
  • From start to to finish my experience has been first class. I have Poland Syndrome and wanted my chest reduced. Elena is a truly amazing surgeon, and has a great team. Elena is fantastic, so understanding and caring, she has a real passion for her work, always wanting the best for you. I can honestly say if you are looking for a top surgeon go meet her, you won’t be disappointed. I believe she has a remarkable talent and I was so lucky to find her.

    Male Patient Spire Bristol
  • Firstly, I would like to say that I would highly recommend Elena to anyone considering a breast augmentation. Elena was the second plastic surgeon I had a consultation with for a breast enlargement operation, recommended to me by a friend who had recently undergone surgery with her and from the moment I picked up the phone to book my first consultation with her the whole process was flawless. I had quite a difficult case with very little under boob but Elena managed to work her magic and gave me the size and look that I have always wanted even with this tricky starting point. I wish I had done this sooner, the difference is truly life changing

    Patient Bath BMI Hospital
  • Ever since I became a teenager and developed breasts, I have always considered a breast augmentation. I had researched the procedure, surgeons and practices for over 20 years but it wasn't until last year that I felt confident enough to go ahead. Elena was the first (and only) surgeon that I had a consultation with. I was blown away with her extensive experience & dedication to helping people.   I am now 2 months on from my procedure and the end results are unbelievable! I don't think I really prepared myself for how fantastic my boobs could look! I feel sexy, confident and I am just so ridiculous happy with my new breasts. I am now just awaiting summer to show them off!  

    Patient at Bristol Spire