Training built on repetition, not restriction.
A surgeon who chose to specialise, not diversify.
Introduction
Gender-affirming top surgery — chest masculinisation or feminisation — is a dedicated part of Dr. Myny’s practice, not an occasional add-on to facial work. A significant share of patients travel internationally specifically for this procedure, and the practice is structured accordingly: clear pre-operative communication by video consultation, a planned surgical approach discussed in detail before travel, and a defined aftercare pathway for patients returning home shortly after surgery. Registration as a plastic surgeon in Belgium, the Netherlands, the United Kingdom and France supports continuity of care across the countries where many patients are based.
Three procedures, one philosophy
Top surgery covers three related procedures, each planned individually: FTM mastectomy for patients pursuing a masculinised chest, MTF breast augmentation for patients pursuing a feminised chest, and non-binary breast correction for patients seeking a result that doesn’t follow either standard template.
Approach and techniques (FTM mastectomy)
Technique selection depends primarily on breast size and skin elasticity, and is discussed individually rather than assumed from a photo. For larger breast volume or significant skin laxity, the nipple is fully detached and repositioned as a free graft through two incisions — a technique with very few complications, though the nipple loses sensitivity as a result. For patients with less volume or laxity, the nipple and areola can often remain attached, which carries a better chance of preserving sensitivity, though this cannot be guaranteed in advance. Both approaches leave permanent scarring, discussed in detail before any plan is finalised.
What to expect
Initial video or in-person consultation
Pre-operative planning & documentation (medical clearance, required letters)
Surgery day
Early recovery, typically supported locally before travel home
Remote follow-up and long-term aftercare coordination
For patients travelling from abroad
Travelling for your procedure?
Many patients travelling for top surgery combine the procedure with a short planned stay. See International Patients for details on consultation logistics, recovery-stay planning, and follow-up care once you’re home.
Photographs and results are shared only with explicit patient consent, and never used without it. Every surgical plan is built around the patient's own stated priorities — for scarring, for sensation, for outcome.
Ready to talk about your top surgery?
Every technique, timeline and scar pattern is discussed in detail before any plan is finalised.