About MTF Top Surgery
Many trans women seek out plastic surgery to complete their physical transformation, and it is one of the most significant physical transformations.
Dr. Adams specializes in MTF top surgery and takes great pride in fulfilling this aspect of your journey. During the consultation, he’ll take the time to understand your aesthetic goals and will guide you in selecting the best implant technique for you.
The decision between saline versus silicone, size, projection of the implant, and other considerations will be made with you and Dr. Adams. By learning your goals, Dr. Adams will come up with the best plan for you and your anatomic considerations.
FAQ: MTF Top Surgery
Researching Top Surgery on reputable internet sites such as the American Society of Plastic Surgeons can provide an informative overview. The best information for your personal case, however, will be obtained by making an appointment and speaking with your surgeon. It may also be helpful to view before and after photos of patients that have had the procedure. It’s best to view photos of patients with a similar body type as yours. Remember to write down any questions or concerns you have so they can be addressed at your consultation. Know what your surgical expectations are so your surgeon can discuss them with you. If you are a smoker we recommend you quit to help reduce the risk of wound healing. We also recommend a healthy lifestyle to help your recovery process.
The surgery is performed at a hospital or surgery center. It is an outpatient procedure, meaning you go home the same day. During surgery, you will receive general anesthesia. The surgery will take between 1.5-2.5 hours. Once you are awake you are taken to the recovery room for another 1-2 hours.
The first few days you may feel soreness or pain. You will notice that the pain decreases with each passing day. You are sent home on pain medications which will decrease your discomfort. You will be placed in a surgical bra at the time of your surgery that is to be worn day and night for at least 4 weeks. We will see you one week after surgery to evaluate your healing process. We request that you do no heavy lifting for at least one month following surgery.
The cost is approximately $8,500 – $9,500 which includes the surgeon’s fee, hospital/facility fee, and anesthesia. Visit our Financing & Fees page to learn more.
Yes. We offer patient financing through PatientFi and CareCredit . See our financing page for more information.
Yes, we accept many different insurances. You can contact your insurance and ask if Nicholas Adams, MD is listed as a contracted provider.
Consultation Checklist
In order to schedule a consultation, you will need the following:
- Must be 18 years old or older.
- If you plan to pay for the surgery, you can call us at (701) 412-2400 and schedule the consultation.
- If you want to use your insurance for coverage, you will need to do the following:
- Please call your insurance company and verify coverage for gender-affirming surgery as well as the insurance company's requirements for prior authorization (i.e., hormone therapy, referral from therapist, etc.)
- If required by your insurance company, please provide us with a letter of support from your mental health provider. The letter must state how long you have been in therapy, the diagnosis of gender dysphoria, the duration of time you’ve been living as the desired gender, and the therapist’s opinion regarding your readiness for surgery. The letter must be signed by the care provider.
- Fax or email the letter(s) to our office (fax # 701-941-7606) or email to info@CFPSFargo.com. Include your phone number so we can contact you about your appointment.
*Note: In addition, some insurance companies require referrals. If your insurance does, please contact your primary care doctor for the referral and ask them to fax it to us. The appointment cannot be scheduled without the referral.
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.