Gender-Affirming Surgery

Gender-Affirming Top Surgery in Long Island

Trans women and men seeking surgery to help relieve their body dysmorphia often struggle to find the right blend of compassionate care and medical expertise. Dr. Meredith Vandegrift brings this essential combination to patients who need gender-affirming medical care in Long Island and the surrounding areas.

Learn more about transgender surgery in Long Island by contacting Dr. Vandegrift at (631) 935-0303.

Gender Confirmation Procedures in New York

The decision to pursue gender-affirming surgery can be complicated. Many patients grapple with a range of emotions as they undertake this exciting transition in their lives. You need an experienced and caring medical provider to help you navigate the process. The best results come from surgeons who are familiar with all the inherent difficulties and complexities involved in these procedures.

Dr. Vandegrift is a board-certified plastic and reconstructive surgeon practicing in Long Island, NY.  Her surgical training under some of the nation’s preeminent leaders in cosmetic, plastic, and reconstructive surgery has prepared her to create beautiful aesthetic results when performing breast and chest augmentation procedures on transgender patients.

Dr. Vandegrift believes that every patient deserves access to compassionate, understanding care in a welcoming and understanding environment.

Meet Dr. Meredith Vandegrift

Dr. Meredith Vandegrift is a board-certified plastic and reconstructive surgeon who specializes in breast and body rejuvenation that restores a youthful, supple appearance after pregnancy or weight loss.

While offering a full complement of cosmetic and reconstructive procedures including breast lift, tummy tuck, vaginal rejuvenation, and oncoplastic breast reduction, Dr. Vandegrift also has a special interest and expertise in both invasive and non-invasive facial rejuvenation. With a focus on keeping your look natural, she provides a holistic approach to each patient, specifically tailoring a treatment regimen that will leave you looking and feeling your absolute best.

Breast/Chest Augmentation: Male to Female (MTF) Top Surgery

Dr. Vandegrift offers many options for gender-affirming surgery, but one of the most requested procedures at her practice is breast or chest augmentation for male-to-female transitions. During this procedure, Dr. Vandegrift creates a breast mound and feminizes the chest contours using breast surgery techniques.

Patient input is critical to Dr. Vandegrift. She will work closely with you to understand your desired aesthetic outcome. Breast surgery offers many customization options, including implant size, shape, and type. By adjusting these variables, Dr. Vandegrift can create a body profile that aligns with your goals and complements your anatomy.

Options for Breast/Chest Augmentation

There are several different options for augmenting the chest and creating a breast mound. Dr. Vandegrift will explore your options and offer personalized recommendations to achieve your aesthetic goals. These may include the following.

  • Saline breast implants: Saline implants feature a silicone shell filled with a medical saline solution. Dr. Vandegrift places the implants into your chest unfilled, which allows for a smaller incision and an adjustable size during surgery. However, since tissue coverage is often minimal with a male-to-female transition, we often recommend silicone breast implants for their more natural look and feel.
  • Silicone breast implants: Silicone breast implants are the most common choice for male-to-female breast augmentation. Silicone implants feature a silicone shell with a soft silicone gel filling. They offer multiple size and shape options.
  • Fat grafting: Fat grafting uses your natural body fat to enhance the chest area. In gender-affirming surgery, Dr. Vandegrift may combine fat grafting with breast implants to create a more natural breast appearance. It can soften the edge of the implants or smooth irregularities in the chest contours. Fat grafting may be part of your initial surgery plan, or can enhance the results of a previous breast augmentation.
  • Breast lifting techniques: Breast lifting techniques reposition breast tissues and skin to create a more natural breast shape.

Dr. Vandegrift will explain your options and help you understand your choices during your consultation appointment.

Transgender Mastectomy: Female to Male (FTM) Top Surgery

Female to male top surgery is another commonly requested option for gender confirmation. A partial mastectomy is performed to remove breast tissue and create a masculine chest contour. There are many options for removing the breast tissue and creating a flatter chest. The approach Dr. Vandegrift will use is dependent on the amount of natural breast tissue.

Dr. Vandegrift knows that communication is key to creating each patient’s desired results. She works closely with patients to understand their desired outcomes and to create a surgical plan to achieve these goals. Dr. Vandegrift and her team are dedicated to ensuring each patient feels comfortable, supported, and heard throughout the transition process.

Learn More About Gender-Affirming Surgery With Dr. Vandegrift

Explore your options for gender-affirming top surgery at a consultation with Dr. Vandegrift. If you’re ready to learn more about gender-affirming surgery in Long Island, contact Dr. Vandegrift to schedule a consultation.


Transgender Top Surgery in Long Island

Health insurance coverage for gender confirmation surgery may vary. Talk with your provider to understand your coverage and options.

The requirements for gender-affirming surgery depend on several different factors. If you’re considering this procedure, the best first step is to talk with your doctor. Dr. Vandegrift can help you understand any needed requirements and navigate the surgical process.

Technical skill is a critical factor for achieving the desired results after transgender top surgery, but it isn’t the only thing patients need for an ideal experience. Dr. Vandegrift offers patients a unique combination of surgical training, skill and considerate care. She partners with each patient to understand their unique needs and to create a surgical plan that actualizes these needs. Dr. Vandegrift’s practice is discreet, attentive, and non-judgmental. She has helped countless patients in Long Island with the gender-affirming surgical process.


Dr. Vandegrift’s customized approach to surgery makes it challenging to provide an accurate cost estimate without a consultation. You’ll receive detailed pricing for your procedure and information on payment and financing options during your consultation with Dr. Vandegrift.


Though a breast mound will be visible immediately after surgery, it can take time for this procedure’s full results to become visible. Swelling will diminish over time. As your body adjusts to the implants, they will begin to soften and settle into position, creating a more natural breast appearance. It can take six months or longer for the breast implants to drop and settle into their final positioning.

The amount of scarring after FTM top surgery will depend on the surgical approach Dr. Vandegrift uses for the procedure. Dr. Vandegrift works closely with each patient to plan the procedure, ensuring they have an accurate understanding of their expected results. Most of our patients are delighted by their new appearance and find comfort in knowing that their physical body more closely aligns with their gender identity.

Gender-affirming top surgery will permanently alter your chest appearance. In the case of male-to-female breast/chest augmentation, your chest will maintain its new contours unless you choose to have your breast implants removed. Results will change over time as you age, but revision procedures can help you maintain your new appearance and address any age-related changes that may occur.

Downtime requirements vary after gender confirmation surgery. Ask Dr. Vandegrift how much healing you can expect after your procedure.

Scarring is minimal after male-to-female top surgery. The natural breast contours camouflage scarring. Often, Dr. Vandegrift places the incisions for this procedure at the base of the breast, where the breast creases will hide them.