Your chest. Finally aligned with who you've always been.
Your chest, finally aligned with who you are — performed by a dedicated specialist, not a generalist who occasionally offers this procedure.
About Top Surgery
You've spent time imagining what your chest could look like — and that vision deserves a surgeon who has spent decades making it real. At Chrysalis Surgery, top surgery means chest masculinization or breast augmentation performed by a specialist team that works exclusively with transgender and non-binary patients. Every technique is chosen for your specific anatomy and your specific goals, never applied from a one-size-fits-all template. Whether you're pursuing a flat, sculpted chest or fuller, natural-feeling curves, your surgeon brings 26 years of focused experience to that decision — not a generalist fitting you between other cases.
Chest masculinization may involve double incision, periareolar, or keyhole techniques depending on your chest size, skin elasticity, and the result you're working toward. Breast augmentation considers implant type, placement, and proportion in the context of your body and your sense of self. These aren't cosmetic add-ons borrowed from a general plastic surgery menu. They are procedures refined specifically for trans and non-binary anatomy, performed inside a private boutique practice in Beverly Hills where your care is never rushed and your privacy is never an afterthought.
What makes this matter beyond the operating room is continuity. Because Chrysalis offers full-spectrum gender-affirming care under one roof — from facial feminization to body contouring — your top surgery fits within a complete picture of your transition, coordinated by a team that already knows you. No fragmented referrals, no starting over with someone new. Just one dedicated practice, built entirely around patients like you, from the first consultation through every stage of recovery.
Why choose us
Specialist team
every surgeon focuses specifically on gender affirming procedures, not a generalist who also does trans care
Beverly Hills discretion
private boutique setting, never an assembly line clinic
Dr. David Sayah's 26+ years of surgical experience
board certified ABPS, FACS, published researcher
Full
spectrum care under one roof face, top, bottom, body, and spa services with no fragmented referrals
Frequently asked questions
Top surgery is a chest masculinization or feminization procedure that reshapes your chest to align with your gender identity — whether that means removing breast tissue and contouring a flat, masculine chest, or enhancing chest fullness for a more feminine silhouette. At Chrysalis Surgery, every aspect of your procedure is planned by a specialist team that works exclusively with transgender and non-binary patients, so the surgical approach is built entirely around your anatomy, your goals, and your body — not adapted from a generalist's standard playbook. Dr. David Sayah brings 26 years of board-certified surgical experience to every consultation, giving you a clear, honest picture of what your results can realistically look like.
The cost of top surgery at Chrysalis Surgery is personalized to your specific procedure, body, and goals — because no two transitions are the same. During your consultation, our specialist team will walk you through a detailed, transparent breakdown of fees, and we'll help you explore insurance coverage options and financing to make your care as accessible as possible. You deserve a clear financial picture, not a surprise bill, and we're here to guide you through every step of that conversation.
Most top surgery procedures take between one and three hours, depending on the technique that's right for your chest and goals. At Chrysalis Surgery, your surgeon will walk you through exactly what to expect for your specific procedure during your consultation — because your timeline, like your results, should never be generic.