Top Surgery
Every chest reconstruction is performed by a surgeon who operates exclusively in gender-affirming care — a specialist, not a generalist who occasionally performs these procedures.
Top surgery at Chrysalis Surgery means chest masculinization or breast augmentation performed by a specialist who works exclusively in gender-affirming procedures — not a generalist who fits these surgeries between other cases. Dr. David N. Sayah, board-certified by the American Board of Plastic Surgery, FACS-credentialed, and carrying 26 years of surgical experience, selects the specific technique for your chest based on your individual anatomy and goals. That distinction matters. When your surgeon has spent their career focused exclusively on gender-affirming surgery, they bring a depth of understanding that a generalist simply cannot replicate.
Whether you are pursuing chest masculinization or breast augmentation, the approach here is never one-size-fits-all. For chest masculinization, the technique — double incision, periareolar, or keyhole — is chosen based on your tissue, your skin laxity, and the result you are working toward. For breast augmentation, implant selection, placement, and sizing are guided by your body and your vision together. Every decision is made with your outcome in mind, and your expectations are discussed honestly before you commit to anything.
Because Chrysalis Surgery brings full-spectrum gender-affirming care under one discreet Beverly Hills roof, your top surgery does not exist in isolation. It is part of a complete, coordinated picture of care — private, unhurried, and built around you. For patients traveling from out of state or internationally, that continuity is not a convenience, it is a necessity. You deserve a team that knows your case from consultation through recovery, and that is exactly what a specialist practice is designed to deliver.
Why choose us
- Specialist team — every surgeon focuses specifically on gender affirming procedures, not a generalist who also does GAS
- Beverly Hills boutique setting — private and discreet, never an assembly line clinic
- Dr. David N. Sayah, MD — 26+ years experience, board certified (ABPS), FACS, published researcher
- Full — spectrum care under one roof face, top, bottom, body, and spa with no fragmented referrals
Frequently asked questions
Top surgery is a chest masculinization or feminization procedure performed by a surgeon who works exclusively in gender-affirming care — not a generalist who occasionally adds these procedures to a broader practice. At Chrysalis Surgery, board-certified plastic surgeon Dr. David N. Sayah, with 26+ years of surgical experience, performs chest reconstruction tailored precisely to your anatomy and goals, whether that means removing breast tissue and contouring a flat, masculine chest, or augmenting and reshaping for a feminine silhouette. Every decision — from incision placement to implant selection — is made by a specialist, not an afterthought on a generalist's schedule.
Top surgery at Chrysalis Surgery is a significant investment, and we'll walk you through every number honestly before you commit to anything — because you deserve a clear financial picture, not a surprise. Cost varies based on your specific procedure, anatomy, and surgical plan, and our team will provide a transparent, itemized quote during your consultation. We also help you navigate insurance coverage options and financing, so you can focus on your decision rather than the paperwork.
Top surgery with Dr. Sayah typically takes between one and three hours, depending on the technique — whether that's double incision, periareolar, or keyhole — and the complexity of your individual anatomy. Because every surgeon at Chrysalis focuses exclusively on gender-affirming procedures, not a generalist fitting you between other cases, your time in the operating room is planned with the precision and care your surgery deserves.