At Center for Plastic Surgery, we are proud to offer gender-affirming top surgery in a supportive, respectful, and safe environment. Whether you're pursuing FTM or MTF Top Surgery, our team is here to walk with you, offering thoughtful guidance, expert care, and compassion at every step.
Dr. Nicholas Adams is a board-certified plastic surgeon with specialized training in both reconstructive and cosmetic surgery. His experience and approach ensure that your care is always personalized, with your goals, identity, and well-being at the center. We also offer select reconstructive procedures, including care for hand and wrist conditions.
Our Reconstructive Surgery Procedures
We believe in a 360-degree approach to guest wellbeing, satisfaction, and safety, and take pride in developing life-long relationships with guests. That’s why our selection of reconstructive surgery procedures is all carefully curated to ensure the highest quality of care.
Explore our range of reconstructive surgery procedures below:
About Reconstructive Surgery at CFPS
At Center for Plastic Surgery, reconstructive surgery is more than restoring appearance, it's about restoring confidence, comfort, and quality of life. Whether you’re recovering from injury, managing a medical condition, or seeking gender-affirming care, our team is committed to delivering compassionate, expert-driven support every step of the way.
Dr. Adams is a board-certified plastic surgeon with advanced training in both cosmetic and reconstructive procedures. His skillset allows us to offer a wide range of surgical options, including hand and wrist surgery, scar revision, and FTM/MTF Top Surgery, all tailored to your unique needs and goals.
We approach every case with care, precision, and respect for your individual journey, providing personalized treatment plans and a supportive environment designed to help you move forward with confidence.
Our Process
We aim to build lifelong relationships with every guest who enters the doors at Center for Plastic Surgery. And that relationship-building and trust begins at step one:
Step 1
Consultation
Meet with Dr. Adams and our surgical team to discuss your options.
Step 2
Customized Plan
Together, we’ll create a personalized surgical plan tailored to your unique needs and desired outcome.
Step 3
Preparation
We’ll provide you with pre-op instructions and ensure you’re comfortable with what to expect come operation day.
Step 4
Surgery
On the day of your procedure, Dr. Adams and our experienced surgical team will be by your side. Your safety and comfort are always our top priorities.
Step 5
Recovery
Healing is part of the process, and we’re here to support you through it. You’ll receive detailed post-op instructions and care recommendations to help you recover comfortably.
Step 6
Check-In
Our care doesn’t stop after surgery. We’ll continue to check in with you throughout your recovery and ensure that you’re not only healing well, but truly loving your results.
Before & Afters – Reconstructive Surgeries
We’ve had the privilege of working with hundreds of guests from across the Midwest on their reconstructive surgeries. Check out some of the amazing results from guests who have received reconstructive procedures at CFPS:
Where Your Journey Begins
All consultations, as well as pre- and post-operative appointments, take place at our practice: Center for Plastic Surgery & Medspa
3180 49th St. S, Fargo, ND
Open Monday–Thursday 9 AM–5 PM | Friday 9 AM–2 PM
This is where you’ll meet with Dr. Adams and our team to discuss your goals, review your options, and create a personalized treatment plan.
Where Surgery Happens
If surgery is part of your plan, your procedure will take place at our trusted surgical partner:
Center for Special Surgery
350 23rd Ave E, West Fargo, ND
You’ll receive all the details you need well ahead of your procedure day so you feel fully prepared and confident every step of the way.
FAQs About Reconstructive Procedures
Exploring a cosmetic procedure or plastic surgery at CFPS? We’re sure you have questions. We’re happy to provide you with answers to some of our commonly-fielded questions below:
FTM (female-to-male) and MTF (male-to-female) top surgery are gender-affirming reconstructive procedures that modify the chest to align with a person’s gender identity. For FTM guests, this typically involves the removal of breast tissue and reshaping the chest. For MTF guests, it may involve breast augmentation or other techniques to create a natural breast appearance.
Candidates are individuals who have undergone significant social, emotional, and/or physical transitions and seek a chest that aligns with their gender identity. We will assess your overall health, goals, and specific needs during your consultation to determine if top surgery is the right choice for you.
FTM top surgery typically involves removing breast tissue and sculpting the chest to create a masculine appearance. MTF top surgery generally includes breast augmentation through implants or fat grafting to create a feminine breast contour. Your specific surgical plan will depend on your anatomy, goals, and desired results.
Yes, our team uses advanced techniques to ensure natural-looking results. FTM top surgery aims to create a chest that complements your overall body contour, and MTF top surgery focuses on creating breasts that appear natural and symmetrical. The goal is to help you feel comfortable and confident in your body.
Preparation includes a thorough consultation to assess your medical history, expectations, and readiness for surgery. We may recommend certain tests and lifestyle adjustments to ensure the best outcome. Our team will provide detailed instructions on how to prepare for surgery and what to expect during recovery.
Many insurance plans cover gender-affirming surgeries, including FTM/MTF top surgery. Our team can assist you in understanding your insurance coverage and help you navigate the process. We are also happy to provide the necessary documentation for insurance submissions.
Not seeing your question and looking to speak with a member of our concierge team? We’re happy to help! Contact us to learn more.
Let’s Connect!
Whether you’re exploring surgical options, interested in medspa treatments, or simply have questions, we’re here to help. Fill out the form below, and a member of our concierge team will be in touch to guide you through your next steps.