Top Surgery
Gender-Affirming Care, Designed for You
Top Surgery in Winston-Salem, NC
Top surgery is a gender-affirming chest procedure that reshapes the chest to better align with your gender identity. This may include creating a flatter, more masculine or nonbinary contour or creating a fuller, more traditionally feminine chest.
No matter your goals, top surgery can be a meaningful and affirming step in helping your outward appearance reflect who you truly are.
At Forsyth Plastic Surgery, we provide inclusive gender-affirming chest surgery for transgender men, transgender women, and non-binary individuals in a respectful, private environment. Our board-certified plastic surgeons tailor every surgical plan to your body, your lived experience, and your transition goals.
We’re here to listen, educate, and provide care that’s truly centered on you.
Call: (336) 765-8620 | Text: (336) 443-6313
What to Expect
Consultation
Your consultation is a private conversation. We’ll talk through your goals, medical history, and chest anatomy. We’ll also cover incision options (such as double incision or periareolar techniques), nipple preservation or grafting, and what to expect during recovery.
Surgery
Top surgery is performed at our QUAD-A accredited on-site surgery center in Winston-Salem. These procedures typically take 2–3 hours and are done under general anesthesia. Most patients go home the same day.
Recovery
- Light activity within 5–7 days
- Compression garments typically worn for several weeks (varies depending on
procedure) - Return to full activity in 4–6 weeks
- We provide detailed aftercare instructions and 24/7 on-call support
We’ll follow up closely after your procedure and remain available throughout your healing process.
Why Patients Choose Forsyth Plastic Surgery
Forsyth Plastic Surgery has been trusted by women and men in Winston-Salem and the Triad for more than 50 years. Choosing breast surgery is a personal decision—and you deserve to feel supported and informed every step of the way.
Patients from Winston-Salem and across North Carolina trust us for::
Four Board-Certified Plastic Surgeons Certified by the American Board of Plastic Surgery
A Private, Accredited Surgery Center located on-site for convenience, discretion, and safety
Experience in Gender-Affirming Surgery- Respectful, individualized care for every patient
A Reputation for Natural-Looking Results. Our aesthetic is always personalized—not templated
Over 50 Years of Surgical Care in the Triad, trusted across Winston-Salem and surrounding areas.
You deserve a provider who respects your goals and walks with you through every step. That’s what we’re here for.
Common Questions
Do I need a letter from a mental health provider?
We follow WPATH-informed guidelines and will review documentation requirements during your consult.
Is nipple grafting always required?
Not always. It depends on your anatomy and the surgical technique used. We’ll review options and outcomes in detail with you.
What about breast implants for MTF/MTN patients?
If your goal is a more feminine chest, we’ll discuss implant types, sizes, incisions, and expected outcomes during your consultation.
Is top surgery covered by insurance?
In some cases, yes. While FPS is out-of-network for most plans, we can provide you with necessary documentation to submit to your insurer.
Can I combine top surgery with another procedure?
Possibly. We’ll assess this based on your goals and what’s safe to do in one procedure.
Schedule a Private Consultation
We know this decision is personal—and it deserves thoughtful, experienced support.
If you’re exploring top surgery in Winston-Salem or just starting to consider your options, we invite you to schedule a private consultation with one of our board-certified plastic surgeons.
In-person consultations | Located in Winston-Salem, NC
Or reach out directly:
(336) 765-8620 | Text: (336) 443-6313