Transgender chest masculinization

Q: What is your wait time for consultation and surgery?

We have no clinic waitlist. Surgery is usually available within 1–2 months after your consultation.

Q: Is compression really necessary after top surgery?

Yes. Compression helps reduce swelling and support healing. You can adjust the Velcro for comfort. Wearing the binder as instructed helps shape your results.

Q: What are drains, and are they required?

Drains remove fluid during healing. Most people find them uncomfortable. I use quilting stitches to avoid drains in most cases. Fewer than 5% of my patients need treatment for fluid buildup.

Q: Will I need someone to help me after surgery?

Yes. You’ll need someone to drive and help for the first night. Gentle walking helps prevent clots. Sleep upright the first 3 nights if possible.

Q: Do I need a letter from a therapist?

No letter is needed for a consult. A letter from a licensed mental health provider is required before surgery. We can help you find resources.

Q: How long should I live as my true gender before surgery?

Most people live as their true gender for at least one year before surgery. We’ll talk about your unique journey during your visit.

Q: I'm afraid nipple reconstruction might fail. Is that common?

It’s very rare. In 15 years, I’ve never seen a nipple fail. Healing usually goes well with ointment and pads.

At Oregon Cosmetic and Reconstructive Clinic (OCRC), we are proud to offer chest masculinization and gender-neutral top surgery to individuals seeking gender-affirming care. Performed exclusively by Dr. Tina Jenq, a board-certified plastic surgeon, this procedure helps patients achieve a flatter, more traditionally masculine or androgynous chest contour. Located in the Portland Metro area, OCRC proudly serves Portland, Lake Oswego, Clackamas, Gresham, West Linn, and surrounding communities.

What is Chest Masculinization or Gender-Neutral Top Surgery?

Chest Masculinization Surgery is a gender-affirming procedure that involves the removal of breast tissue to address gender dysphoria. Usually it involves repositioning or resizing of the nipples and areolas to create a natural-looking, flat or slightly contoured chest. This procedure can involve double incision mastectomy, subcutaneous mastectomy, or periareolar (keyhole) mastectomy, based upon your body type and goals.

Benefits of Chest Masculinization Surgery

Masculine Chest Contour – Achieve a flat, sculpted chest.
Improved Comfort & Confidence – Feel more aligned with your gender identity.
Customized Surgical Techniques – Choose the best approach for your anatomy and goals.
Expert Surgical Care – Dr. Tina Jenq performs quilting sutures to obviate the need for drains, which generally cause more pain and swelling

Our Approach to Chest Masculinization Surgery

Dr. Tina Jenq brings years of surgical experience and a compassionate, patient-focused approach to every procedure. She works closely with each individual to understand their identity, goals, and desired outcomes. Thereby creating ensuring a surgical plan tailored to their needs. Whether you are seeking a fully masculinized chest appearance or a more gender-neutral contour, Dr. Jenq will guide you through the entire journey—from consultation to recovery.

Depending on your body and goals, Dr. Jenq may recommend:

Double Incision Mastectomy – Ideal for patients with larger chests; includes nipple grafting.
Peri-Areolar or Keyhole Incision – Suited for smaller chests; less scarring and faster recovery.
Gender Neutral Techniques – Customized to maintain some chest volume or a softer contour if desired.

Who is a Good Candidate for Chest Masculinization Surgery?

You may be an ideal candidate if you:

Are a transgender man or non-binary individual seeking a flatter, more masculine chest.
Have been on hormone replacement therapy (optional).
Are in good overall health and have realistic expectations about the procedure.
Want to reduce chest dysphoria and improve confidence.

Why Choose Oregon Cosmetic and Reconstructive Clinic?

Experienced and Compassionate Surgeon – Dr. Tina Jenq specializes in top surgery and gender-affirming procedures.

Choosing a surgeon is an important decision—and we believe you deserve to know who will be performing your procedure. At our clinic, Dr. Jenq performs every part of the surgery herself, from start to finish. Unlike some practices where surgical tasks may be delegated to trainees, residents, or surgical technicians, your care will never be passed off to someone else. This direct attention not only supports safety and consistency but ensures that your experience is truly individualized.

Another key benefit of our approach is that we do not use surgical drains. Many patients are relieved to learn this, as drains can be uncomfortable and can prolong recovery. With advanced quilting suture techniques, Dr. Jenq minimizes fluid buildup to support a smoother healing process—without the need for external drains.

Additionally, all of our surgeries are performed as outpatient procedures, meaning you’ll go home the same day. Most surgeries are completed in less than 3 hours, and patients can typically return to light daily activities within a week. We understand the importance of clear recovery expectations and are here to support you through every phase.

Schedule Your Consultation Today

If you’re considering chest masculinization or gender-neutral top surgery in Portland, OR, trust Dr. Tina Jenq at Oregon Cosmetic and Reconstructive Clinic. Contact us today to schedule your confidential consultation and take the next step in your gender-affirming journey.