Transgender Chest Surgeryin Denver

Dr. Justin B. Cohen’s Denver-based boutique practice offers a welcoming, compassionate environment for individuals seeking transgender chest surgery, also known as “top surgery.”

Co-Creating Your Authentic Self

Dr. Cohen’s practice is designed to be a safe, inclusive space for individuals undergoing gender-affirming surgery. He understands the courage it takes to make this choice and the impact top surgery can have on mental health, confidence, and self-acceptance. As a board-certified plastic surgeon with experience in complex chest and breast procedures, Dr. Cohen provides specialized care to help you feel at home in your body. Your comfort, safety, and satisfaction are our top priorities; our team approaches gender-affirming surgery with empathy, respect, and a commitment to supporting your unique goals.

What Is Top Surgery?

Top surgery is a gender-affirming procedure that involves reshaping the chest to achieve a more masculine, feminine, or non-binary appearance. For transmasculine or non-binary individuals, this often means removing breast tissue to create a flatter, more contoured chest. Transfeminine individuals may opt for breast augmentation to create a fuller chest. No matter your goals, Dr. Cohen tailors each surgery to meet your vision of yourself, honoring your identity with a personalized approach that reflects his dedication to patient-centered care.

Unmatched Skill and Gender-Affirming Care

Dr. Cohen’s approach is built on listening, understanding, and delivering results that feel right for you. During your consultation, he’ll take the time to understand your story and goals, explaining each available technique so you can confidently make informed decisions. His philosophy is simple: no shortcuts, no assumptions—just a commitment to excellence, integrity, and creating results that empower you.

Dr. Cohen recognizes the importance of helping patients achieve their authentic selves and is dedicated to providing a supportive, affirming space where you can feel safe discussing your needs and goals. His background in breast reconstruction and cosmetic surgery enables him to approach top surgery with exceptional skill and sensitivity to detail, ensuring results that honor both form and function.

Top Surgery Techniques

The specifics of top surgery vary based on individual goals, anatomy, and preferences. Dr. Cohen works closely with each patient to determine the best approach, which may include the following:

Double Incision Mastectomy

For transmasculine or non-binary patients with larger chests or lower skin elasticity, double incision surgery removes breast tissue through two horizontal incisions along the chest. This technique allows Dr. Cohen to achieve a flatter, contoured chest with well-placed scars and includes the option for nipple grafting for natural-looking results.

Periareolar (Keyhole) Technique

The periareolar method, suitable for patients with smaller chests and good skin elasticity, involves a single incision around the edge of the areola. This allows Dr. Cohen to remove breast tissue while preserving a more subtle scar around the nipple area, achieving a flat chest with minimal scarring.

Breast Augmentation

For transfeminine patients, breast augmentation uses implants to create a fuller, feminine chest. Dr. Cohen carefully selects and places implants to achieve balanced, natural contours that suit your body frame. His meticulous approach to symmetry and shape allows you to achieve a look that aligns with your sense of self.

Preparing for Transgender Chest Surgery

Dr. Cohen is known for his attention to detail and commitment to doing what’s right for each patient. During your consultation, he will take the time to listen to your concerns, answer questions, and explain each surgical option. During this collaborative process, Dr. Cohen will work with you to create a plan that aligns with your vision and anatomy.

For transmasculine and non-binary patients, you will discuss the incision type and nipple grafting options. For transfeminine patients, he will discuss implant types, shapes, and sizes to create a balanced, feminine contour. He performs top surgery meticulously, ensuring each incision, contour, and detail aligns with your goals—his advanced surgical techniques minimize scarring and prioritize natural-looking results.

How Long Is the Recovery From Top Surgery?

Recovery support is a central part of Dr. Cohen’s practice. After surgery, he provides detailed aftercare instructions and ensures you have the resources you need for a smooth healing process.

Recovery time varies, but most patients can expect a couple of weeks of downtime. Swelling, bruising, and mild discomfort are normal, and Dr. Cohen will provide prescription pain management options if needed.

While strenuous activity should be avoided for several weeks, many patients can return to work and light activities in one to two weeks. The full results of top surgery become apparent over time, with scars softening and fading gradually.

Why Choose Dr. Cohen for Your Gender-Affirming Surgery?

Choosing Dr. Cohen means partnering with a surgeon who brings empathy, skill, and dedication to your authenticity. His extensive training and background in complex breast and chest surgery provide a foundation for technically precise and aesthetically pleasing results. At his practice, you’ll experience the care of a physician who sees you as more than a patient—someone who understands your journey and is committed to helping you feel confident, supported, and respected.

With Dr. Cohen, top surgery is about more than just a physical change. It’s about honoring your true self, creating a result that feels right, and knowing you are in compassionate, capable hands. Take the next step with a surgeon who values your journey as much as your results; contact our Denver office today and let Dr. Cohen support you on your path to becoming your most authentic self.