Chest Masculinization in Portland
In Happy Valley, serving Portland, Clackamas and Milwaukie
Board Certified Plastic Surgeon Dr. Tina Jenq
Chest masculinization and gender-neutral top surgery remove breast tissue for a flatter, masculine or androgynous chest. 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
compression binder as instructed
The surgery
What happens during chest masculinization?
- Breast tissue removed for a flat or slightly contoured chest
- Nipples and areolas usually resized and repositioned
- No drains: quilting sutures minimize fluid buildup
- Compression binder afterward to reduce swelling and shape results
Is it right for you?
Who is a good candidate for chest masculinization?
Chest masculinization is for transgender men and nonbinary people seeking a flatter, more masculine or androgynous chest, who are in good health and have realistic expectations.
- A transgender man or nonbinary person
- Wanting to reduce chest dysphoria
- In good overall health
- Hormone therapy is optional, not required
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.
Techniques
Chest masculinization techniques
Based on your body type and goals, Dr. Jenq may recommend:
Double incision mastectomy
Ideal for larger chests, with nipple grafts.
Peri-areolar or keyhole
Suited to smaller chests, with less scarring and a faster recovery.
Gender-neutral techniques
Customized to keep some chest volume or a softer contour, if you want that.
Your journey
What is chest masculinization recovery like?
You go home the same day and can usually return to light daily activities within a week. Wear your compression binder as instructed; it reduces swelling and helps shape your results.
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. Surgery is usually available 1 to 2 months later.
3
Surgery day
Usually under 3 hours, going home the same day, with no drains. You’ll need someone to drive and help you the first night.
4
Recovery
Gentle walking right away; sleep upright the first 3 nights if you can. Light daily activities within a week.
Cost
How much does chest masculinization 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.
All-in estimates
Chest masculinization ~$9,000
With nipple grafts ~$10,000
Card, check, cash or CareCredit financing. How we handle insurance
Questions
Chest masculinization FAQ
Answers from Dr. Jenq.
What is your wait time for consultation and surgery?
There’s no clinic waitlist. Surgery is usually available 1 to 2 months after your consultation.
Is compression really necessary after top surgery?
Yes. Compression reduces swelling and supports healing, and wearing the binder as instructed helps shape your results. You can adjust the Velcro for comfort.
Are drains required?
Drains remove fluid during healing, and most people find them uncomfortable. Dr. Jenq uses quilting stitches to avoid drains in most cases, and fewer than 5% of her patients need treatment for fluid buildup.
Will I need someone to help me after surgery?
Yes. You’ll need someone to drive you and help the first night. Gentle walking helps prevent clots, and sleep upright the first 3 nights if possible.
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.
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 own journey at your visit.
I’m afraid my nipple grafts might fail. Is that common?
It’s very rare. In 15 years, Dr. Jenq has never seen a nipple graft fail. Healing usually goes well with ointment and pads.
Chest masculinization articles from Dr. Jenq
Recovery
Nipple
grafts
Healing after areolar and nipple skin grafts
Compare
Top surgery
guide
Gender-affirming top surgery guide
Compare
Drainless
surgery
Drainless surgery for the chest and abdomen
In patients’ words
Meet Dr. Jenq in person
Text VISIT to 503-400-6622, call 503-400-6622, or request a consultation online. Parking & directions