Top surgery is a procedure where you're given a more feminine chest area. Feminising hormone therapy already encourages breast development, but some people choose to also have a breast augmentation procedure to achieve the final desired size and shape of their breasts. Usually, it's best to have been on oestrogen for at least a year to maximise your natural breast growth.
Breast Augmentation Surgery
There are two main forms of breast augmentation surgery:
Breast Implants
This is where a surgeon makes a small incision under the breast, then insert a breast implant. These are made from high quality silicone, or a silicone shell filled with saline. These change the shape, size, and fullness of the breasts. The implants can move (implant migration) or, in the case of the silicone shell, rupture.
Fat Transfer
This procedure increases the breast size by using your own body tissues. This involves removing fat from areas of the body where it isn't wanted, processing it, then reinjecting it into the breasts. The results are often preferred over implants because they can look more natural, and also have no risk of implant migration or rupturing.