Non-binary top surgery

Non-binary top surgery is a surgical procedure that is undertaken in order to align physical characteristics to the gender identity of the binary person who thinks it necessary. At IM GENDER we understand the importance of feeling at ease in your own body. For this purpose, we offer non-binary surgery procedures that are designed to help you to express your gender identity in whichever way you choose. Whether it be through a subcutaneous mastectomy to remove the breasts or a breast augmentation to achieve a higher level of breast size. Our inclusive, personalised approach guarantees that you will achieve the very best results. 


At IM GENDER we are specialists in non-binary surgery. Our aim is to provide you with the results that reflect your identity. For this purpose, we employ state-of-the-art equipment, technology and techniques to offer you the very best results.
Our highly qualified team will remain at your side at every stage of the process, from the initial consultation right through to post-operative monitoring. We understand that taking the decision to undertake this type of surgery may give rise to questions and queries, and we are here to accompany you throughout the entire process and to provide you with all the support and information that you need.
Every person is unique and deserves a personalised approach. Our team of professional specialists will be with you at each stage, providing a safe and supportive environment throughout the entire duration of your gender affirmation surgery.

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    The results of gender reassignment

    At IM GENDER we understand that seeing examples of real results is essential before taking important decisions. For this reason, we invite you to explore our gallery of “before” and “after” images of patients who have undertaken gender reassignment procedures at our clinic.


    Non-binary surgery represents a major step in the process of gender affirmation for many non-binary persons. Some opt for this form of surgery because of the discomfort or dysphoria they feel with regard to their current physical characteristics, while others make this choice so as to match their appearance with their gender identity.
    At IM GENDER we offer personalised consultations so that we can understand your specific needs and design a personalised plan that will bring you the best possible results.

    How to prepare?

    Before proposing this operation, our medical team will assess your suitability for non-binary top surgery. We will take into consideration your medical history, your current state of health and any other relevant factors. Having a balanced diet and avoiding cigarettes and alcohol form a key part of this preparation.
    During the consultation we will reply to all your questions and will provide you with detailed information about the procedure, the anaesthesia and the instructions for a good recovery.


    Recovery time after an operation may vary depending on the type of procedure and the patient concerned. In general, most patients can expect to return to non-arduous daily activities within one or two weeks. More demanding activities, such as weight-training or more strenuous physical exercise, can be resumed after 6 to 8 weeks.
    It is important to remember that each person will recover at their own rhythm. Following the medical team’s recommendations and respecting each person’s personal recovery time are vital for allowing scars to heal as fully as possible and for obtaining optimum results. At IM GENDER we will provide you with detailed guidelines for postoperative care and will follow your progress closely during your postoperative monitoring appointments.

    Postoperative period

    Postoperative care is vital for a successful recovery. For this reason, after the operation we will provide you with a detailed, personalised postoperative care programme. You should bear in mind that during surgery we usually place a drainage device on each breast to facilitate the removal of liquids still contained in the zone and thus prevent bruising. These are usually removed after 48 hours.

    To ensure your recovery is as comfortable as possible, we provide you with all the precise guidelines you will need concerning hygiene, taking care of incisions, the postoperative garments you should wear depending on the type of operation, etc.


    For us at IM GENDER, your health, your safety and your well-being are our priority. As is the case for any surgical procedure, it is important to remember that there are possible risks associated with the surgery. These risks may include:

    • Infection
    • Bleeding
    • Reactions to anaesthetics.

    Our team of expert specialists at IM GENDER will provide you with detailed information about these risks and give you guidance to minimise them, thus guaranteeing a procedure that is as safe and comfortable as possible.


    What is non-binary top surgery?

    Non-Binary Top Surgery is a surgical process designed to transform the chest in order to align it with the gender identity of a non-binary person. It may involve a subcutaneous mastectomy (i.e., breast removal) or a breast augmentation , depending on the preferences and objectives of each patient. The aim is to help those non-binary persons who need to do so to acquire a physical appearance that makes them feel at ease with their gender identity.
    With over 20 years of experience in the field, we at IM GENDER are pioneering specialists in gender surgery. Our team is here to reply to your questions and queries. Don’t hesitate to complete our contact form to request a consultation and obtain all the information that you need. We are here to support your wish to undertake gender affirmation surgery.

    How is the decision taken as to which type of top surgery is best for me?

    The choice of the right type of surgery for you is a personal decision that should be based on your gender identity and your individual objectives in terms of physical comfort and personal presentation. At IM GENDER we collaborate closely with you so as to gain a perfect understanding of your needs and expectations.

    The first stage will be to discuss your objectives and to assess your current state of health so as to ensure that the procedure chosen is safe for you. Our team will work with you so as to identify your requirements and expectations. The initial consultation enables us to suggest the best option, whether it be a non binary mastectomy, a breast augmentation or any other variants.

    Do non-binary top surgery operations leave any visible scars?

    All surgical operations can leave scars. Nevertheless, our surgeons are specialists in advanced surgical techniques that seek to minimise scars, locating any incisions in strategic zones so that they will be the least visible possible.

    The nature and visibility of the scars will depend on factors such as the specific surgical technique used, patients’ anatomy and the condition of their skin, the skin’s natural propensity for scar healing, and the postoperative care provided after the incisions. During your consultation, we will explain in detail what to expect and show you how to treat the scars to ensure the best possible healing and make them as imperceptible as possible.

    How does top surgery affect the sensations felt in the breasts?

    The impact on the sensitivity of the breasts may vary after non-binary top surgery, depending on the type of procedure, the technique used and your individual characteristics. In the case of a subcutaneous mastectomy, there may be a partial or total loss of sensitivity in the areola-nipple complex, or even in the whole breast. Sensitivity may be lost temporarily and may be recovered over time.

    In the case of breast augmentation surgery, it is occasionally also possible to experience a temporary change in the sensitivity of the nipple and the areola, or in the entire breast, depending on the technique used and the characteristics of the skin. This area of the body often undergoes a gradual recovery of sensitivity.



    If at any time after the operation you have any questions or queries or require counselling, please don’t hesitate to get in touch with our medical team at IM GENDER. We are here to provide you with support throughout the entire process.


    Keep the incisions clean and dry by following the detailed instructions provided by your surgeon. This will contribute to appropriate healing of the scars and will prevent possible complications.


    Follow carefully the postoperative instructions provided by your surgeon. These guidelines will help you to obtain the best results and to benefit from a faster and more comfortable recovery.


    Postoperative appointments are vital for supervising your progress, giving you personalised attention and resolving any doubt or query that may arise during your recovery.

    IM GENDER Team

    At IM GENDER we have been specialising in the care of transgender people for more than 20 years. Two decades of experience, professionalism, research and training endorse our medical team and staff.

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