Breast Augmentation & MTF Top Surgery in London

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Feminising breast augmentation enhances volume and shape to create a fuller, more traditionally feminine upper body. This can be achieved using medical-grade silicone implants, fat transfer, or a combination of both – known as composite breast augmentation.

The procedure can complement breast tissue developed through hormone therapy or create a feminine contour even in the absence of hormones.

At CREO Gender, we proudly support trans women, non-binary, and gender non-conforming individuals in affirming their identity through personalized care. Led by Dr. Omar Tillo, a specialist in body contouring and breast reconstruction, we provide expert surgical care in a welcoming, inclusive environment – tailored entirely to you.

Start your transformation today by booking a consultation with our team. 

Before & After

Overview of FTM Top Surgery

Treatments

1

Results

6-12 Weeks

Anesthesia

General Anaesthesia

Surgery Time

2-3 Hours

Off-Work

2 Weeks

Exercise

6 Weeks

Full Recovery

6 Weeks

Transfeminine Top Surgery Personalized For Your Body & Shape

At CREO Gender, we provide inclusive, personalised care for transgender, non-binary, and gender non-conforming patients. Every member of our team has received specialist training to better understand the barriers the community faces in accessing healthcare – ensuring your experience is always met with empathy, respect, and support.

Dr Omar Tillo, our senior body contouring surgeon and medical director, is a trusted expert in gender-affirming surgery. He performs procedures exclusively from the neck down and has completed over 4,500 body surgeries – offering unmatched experience and precision.

We offer unlimited, confidential consultations directly with Dr Tillo, giving you the space to ask questions, explore your options, and make decisions in your own time.

Following transfeminine breast augmentation, you’ll receive our exclusive aftercare package – at no additional cost – which includes:

  • Lymphatic drainage massage
  • Advanced scar management treatments
  • Consumables including vitamins, silicone sheets and more

Your care doesn’t end in the operating theatre – we’re with you every step of the way.

Benefits of a Breast Augmentation & MTF Top Surgery in London

Breast augmentation offers a range of benefits for trans women, non-binary, and gender non-conforming individuals who wish to achieve a more traditionally feminine upper body.

Enhance Your Body’s Proportions

Many patients choose breast augmentation to create a more balanced, hourglass figure – especially if they naturally have broader hips and a smaller bust. Increasing breast volume can bring greater proportion to your frame and highlight your curves in a way that feels more aligned with your identity.

Augmentation can also add fullness and shape to the chest – making the waist appear slimmer by contrast and enhancing the overall harmony of your silhouette.

Reduce Gender Dysphoria

Breast augmentation helps to create a feminine chest contour that aligns with your gender identity – which can significantly reduce feelings of gender dysphoria.

For many trans women, non-binary, and gender non-conforming individuals, achieving a more congruent physical appearance is not just a cosmetic goal – it is a deeply affirming experience that supports self-expression, confidence, and emotional wellbeing.

Improve the Fit of Feminine Clothing

Breast augmentation helps to balance the upper and lower body, creating a more traditionally feminine, hourglass figure. This can enhance the fit of feminine clothing, including fitted tops, dresses and swimwear.

Why choose us

At CREO GENDER, we provide expert gender-affirming care in a space where your safety, autonomy, and individual journey are our priorities. 

Our highly specialist, multidisciplinary team, led by Medical Director Dr Omar Tillo, combines advanced surgical expertise with genuine understanding of the challenges facing the trans+ community – informed by dedicated training.  

Whatever your goals, we approach every consultation with respect and humility, recognising that you are the expert in your own experience.

With 4.9 stars across major review platforms and recognition from leading surgical bodies, our outcomes reflect our commitment to excellence. 

Who Is A Good Candidate for MTF Top Surgery in London? 

During your initial consultation with us at CREO Gender,, Dr. Tillo will thoroughly assess your suitability for feminising breast augmentation. In general, you will be a good candidate if:

  • You have been diagnosed with gender dysphoria by a psychologist
  • You are over 18
  • You wish to contour your upper body to achieve a more feminine aesthetic
  • You are in overall good mental and physical health and at your goal weight
  • You have realistic expectations for what feminising breast augmentation can achieve

Fat Transfer vs. Breast Implants for Trans Women & Nonbinary Individuals

Both fat transfer and breast implants, or a combination of both, are suitable options for trans women, non-binary and gender non-conforming patients who wish to feminise their breasts. However, the type of procedure you undergo will depend on your unique needs and aesthetic goals.

Breast ImplantsFat Transfer
ResultsSubstantial enhancementModest enhancement (up to 1 cup)
AnaestheticSedation or generalSedation or general
ScarringScarring under breast crease, around nipples or in the underarmMinimal
Recovery6 weeks4-6 weeks
LongevityPermanentPermanent
PriceFrom £6,900 From £7,400 (including liposuction)

At CREO Gender, Dr. Tillo specialises in the composite breast augmentation, combining fat transfer with medical-grade silicone implants. This composite procedure creates results that both look and feel natural without compromising on breast size. 

APEX Recovery Protocol

Every procedure our surgeons perform comes with Creo Clinic’s APEX Recovery System – a unique recovery protocol built and refined on years of specialised expertise.

This three-stage system combines pre-surgical optimisation, advanced anaesthetic techniques, and a post-operative strategy designed to eliminate the need for morphine.

These treatments are thoughtfully integrated into every step of your plan, ensuring your recovery is supported, refined, and medically guided. We don’t make any compromises when it comes to care … and you shouldn’t either.

Gender-Affirming Procedures to Complement A Breast Augmentation

Liposuction

Liposuction, or suction-assisted lipectomy, is a body contouring procedure that permanently removes excess fat deposits from areas such as the abdomen, back and thighs. Liposuction is an integral part of fat transfer breast augmentation, and can add definition to the waist and abs to further exaggerate the feminine, hourglass figure. 

Fat Transfer

Fat transfer is a surgical procedure to transfer fat from one part of the body to another via liposuction. As well as fat transfer breast augmentation, we offer fat transfer to the buttocks and hips (Brazilian Butt Lift) which can help to enhance the feminine, hourglass figure. 

Buttock Augmentation

Buttock augmentation involves the use of silicone implants, fat transfer or dermal filler to add volume to the buttocks for a rounder, more feminine lower body. Buttock augmentation can nicely compliment breast augmentation by ensuring balance between the curves of the upper and the lower body, creating an hourglass figure. 

FAQs About MTF Breast Augmentation

How much does top surgery cost in the UK?

The price of feminising breast augmentation will depend on the method chosen. For breast implants, prices start from £6,900. 

Prices for fat transfer breast augmentation start from £7,400, and composite procedures start from £8,900. Please note that these prices may vary depending on the number of liposuction areas required to harvest sufficient fat to transfer to the breasts.  

Will I retain nipple sensation after surgery?

A loss of nipple sensation can be a complication from breast augmentation surgery. However, the risk of this can be minimised by following all of the aftercare instructions provided by your surgeon. 

What are the different types of breast augmentations available?

At CREO Gender, we offer breast augmentation with medical-grade silicone implants, fat transfer, or a combination of both methods (also known as a composite breast augmentation). 

How long is the recovery time for an MTF breast augmentation?

Recovery from breast augmentation procedures typically takes up to six weeks. However, you should be able to return to most daily activity 1-2 weeks after surgery, as the side effects gradually dissipate.

Are top surgery results permanent?

The results of breast augmentation are permanent. However, you will need to ensure you follow all aftercare advice and maintain a stable weight to avoid complications and get the most out of your results. 

On rare occasions where complications occur, you may need to have the implant removed or replaced.

Will I have to pause my hormones in preparation for surgery?

There is no need to pause oestrogen for the purposes of gender affirming care before surgery.

Do I have to have been on hormones for a specific amount of time before I can access breast augmentation?

No, you don’t need to be on hormones in order to be eligible for surgery.

Is breast augmentation necessary if I am on hormones?

Some patients find that they have developed sufficient breast tissue if they have been taking oestrogen. However, many patients may wish to still add additional volume through breast augmentation. 

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