At Flourish Surgical Arts in Denver, CO, we understand the profound importance of aligning your physical appearance with your true identity. Our MTF top surgery, also known as gender-affirming breast augmentation, is a transformative procedure designed to help transgender women achieve a more feminine chest contour, fostering greater confidence and congruence.


The primary methods for breast augmentation involve either the placement of breast implants or the use of fat transfer.
Breast implants, made of silicone or saline, can provide a significant increase in breast volume and projection.
Fat transfer, on the other hand, utilizes your body’s own fat cells, harvested from another area through liposuction, to create a more subtle and natural enhancement.
The choice between these methods depends on your aesthetic goals, existing body fat, and Dr. Nesiba’s professional recommendation.

Careful preparation is key to a successful MTF top surgery and smooth recovery. Our team will guide you through every step, ensuring you feel informed and comfortable leading up to your surgery day.
You’ll have pre-op appointments with Dr. Nesiba, where pre-op photos will be taken and final surgical plans confirmed. You will also need to complete medical history forms and undergo required labs.
For virtual consultations, especially if you are traveling some distance, ensure you have a private area with a solid background for your Zoom call.


To be considered for MTF top surgery, candidates should be in good overall health. This typically involves a thorough medical evaluation, including necessary lab work and a medical clearance letter from your Primary Care Physician (PCP). For some individuals, additional tests, such as a stress test, PFT results, or cardiology notes, may be required, especially if they have existing health conditions.
Dr. Nesiba will review all medical history forms and records to ensure patient safety and optimal outcomes. Patients receiving gender-affirming care are also advised to submit a claim to their insurance company prior to the surgery date, and our clinic can provide the necessary documentation for reimbursement.
The cost of MTF top surgery in Denver typically ranges from $6,000 to $12,000. This range is an estimate, as pricing varies based on individual patient needs, the chosen surgical technique (implants vs. fat transfer), and the complexity of the procedure.
For a personalized quote tailored to your specific goals and treatment plan, we encourage you to schedule a consultation with Dr. Nesiba.

Our team is trans-friendly and committed to creating a supportive and affirming environment for all patients. We offer personalized treatment plans and provide comprehensive pre-op and post-op care.
For your convenience, flexible payment plans, including Cherry, CareCredit, and Alphaeon Credit, are available to help make your gender-affirming journey accessible. We also provide documentation to assist with insurance reimbursement.