Top Surgery in Portland
In Happy Valley, serving Portland, Clackamas and Milwaukie
Board Certified Plastic Surgeon Dr. Tina Jenq
Caring, inclusive gender-affirming top surgery for transgender and nonbinary people, planned to match your body and your identity. Dr. Jenq performs every part of your surgery herself, without drains.
All-in estimate, self-pay
~$9,000
With nipple grafts ~$10,000. Insurance options available.
Who performs it?
Dr. Jenq
performs your entire surgery herself
How soon can I be seen?
two weeks
typical wait for a consultation
How long is surgery?
Under 3 hours
outpatient, home the same day
Back to light activity?
About 1 week
healing continues for months
The surgery
What happens during top surgery?
- Drainless: quilting sutures close the space where fluid would collect
- FTM: double incision, keyhole, periareolar or subcutaneous mastectomy
- MTF: saline or silicone implants, over or under the muscle
- Nonbinary: double incision mastectomy or breast reduction
Is it right for you?
Who is a good candidate for top surgery?
Top surgery is for transgender and nonbinary people seeking a chest that matches who they are. Whether you’re just starting your journey or already know what you want, Dr. Jenq works with you on a plan.
- Transgender men and transmasculine people
- Transgender women and transfeminine people
- Nonbinary people
- Patients using insurance or paying themselves
Do I need a letter from a therapist?
Not for your first consultation, which is for information and goals. If you decide on surgery, a letter from a licensed mental health provider is required, and we can share trusted resources for finding a therapist.
Options
Top surgery options
Dr. Jenq recommends the approach that fits your chest and your goals.
FTM chest masculinization
Double incision (with or without nipple grafts), keyhole and periareolar, or subcutaneous mastectomy. Chest masculinization
MTF breast feminization
Breast augmentation with saline or silicone implants. Breast feminization
Nonbinary chest surgery
A double incision mastectomy for a flat chest, or a breast reduction for a smaller chest.
Nipple reconstruction
Nipple grafts at the time of surgery, or a delayed reconstruction using small flaps.
Your journey
What is top surgery recovery like?
All top surgeries are outpatient, so you go home the same day. Light daily activities usually resume within a week, and healing continues over several months.
1
Consultation
One-on-one with Dr. Jenq, usually within two weeks. No therapist’s letter needed for this visit.
2
Insurance or self-pay
We get prior authorization, or give you a written all-in quote. Most people have surgery 1 to 2 months after the first visit.
3
Surgery day
Most procedures take under 3 hours, going home the same day, with no drains. Dr. Jenq performs every step.
4
Recovery
Light daily activities within a week; healing continues over several months. Virtual post-op visits for out-of-town patients.
Cost
How much does top surgery cost in Portland?
If you’re using insurance, we first get prior authorization, then give you an estimate based on your coverage. Self-pay all-in estimates are ~$9,000 without nipple grafts and ~$10,000 with grafts, including the surgeon’s fee, anesthesia and the surgery facility. The final price depends on complexity, added liposuction, and your anatomy and goals.
All-in estimates
Chest masculinization ~$9,000
With nipple grafts ~$10,000
Breast feminization ~$11,050
Card, check, cash or CareCredit financing. How we handle insurance
Questions
Top surgery FAQ
Answers from Dr. Jenq.
What is the wait from consultation to surgery?
Most people can have surgery 1 to 2 months after their first visit.
What are drains, and why don’t you use them?
Drains are small tubes that remove fluid after surgery, and they can be uncomfortable and hard to manage. Quilting sutures avoid drains, keep the skin flat and prevent fluid buildup. Surgery takes about 20 minutes longer, and the practice hasn’t seen more fluid complications since stopping drains. Drainless top surgery
Do I need a letter from a therapist?
Not for your first consultation, which is for information and goals. If you decide on surgery, a letter from a licensed mental health provider is required, and we can share trusted resources for finding a therapist.
Do you see patients from out of town?
Yes. We coordinate your consultation and appointments, and offer virtual post-op visits.
Top surgery articles from Dr. Jenq
Compare
Top surgery
guide
Gender-affirming top surgery guide
Recovery
Nipple
grafts
Healing after areolar and nipple skin grafts
Compare
Drainless
surgery
Drainless surgery for the chest and abdomen
In patients’ words
Meet Dr. Jenq in person
Text VISIT to 503-843-8739, call 503-400-6622, or request a consultation online. Parking & directions