What does the €6,450 include?

The price of top surgery covers your preoperative tests, the assessment consultation, the operation and hospital stay, follow-up appointments and laboratory analysis of the breast tissue removed.

What happens to the nipples with double incision?

With double incision and free nipple grafts, we thin the nipple and graft it lower down, toward the side of the pectoral muscle, in a male position. For the first few days, the graft survives only through contact with the skin beneath it.

What are the main risks?

With double incision, the main risk is losing the nipple graft. Moving too soon can let fluid build up under the graft and put it at risk, which is why strict rest is needed for the first few days. Other risks (infection, hematoma, which is a collection of blood under the skin, and asymmetry) are those of any surgery and are rare.

Why is liposuction used during top surgery?

It refines the contour of the chest. With the periareolar technique, we remove excess fat to define the pectoral muscles and slim the waist.

Top Surgery

Top surgery (masculinizing mastectomy) removes the breast tissue and creates a masculine chest. Dr. Jesús Lago performs five top surgeries a week at Clínica 3 de Mayo in Madrid, including for patients from the UK, Ireland and beyond.

All-inclusive price: €6,450
Hospital stay: 1 night
Recovery: 1 to 2 weeks

How Top Surgery Works

We choose the technique based on your chest size and skin elasticity. Double incision also removes excess skin, while the periareolar approach (around the areola) leaves very little scarring. Either way, the breast tissue removed is sent to the laboratory to check for any abnormality.

Suitable for a medium or large chest, or a small chest that has dropped from wearing a binder. We make an incision under the chest and remove the breast tissue and excess skin. We then thin the nipple and graft it lower down, toward the side of the pectoral muscle, where a male nipple sits. For the first few days, the graft survives only through contact with the skin beneath it, and any movement can cause it to fail, so strict rest is essential. You will have a horizontal scar under the pectoral muscle.

Duration: 4 h
Approach: Double incision
Hospital stay: 1 night
Anesthesia: General
Recovery: 2 weeks

Before and After Photos

We can show you more examples at your consultation: just ask the medical team.

What Our Patients Say

4.9 / 5 · Google reviews · Clínica 3 de Mayo

“Very good service, all my questions were answered and I was reassured throughout the whole process. I am English and don't speak Spanish, but there were plenty of translators. I had a masculinising mastectomy and I am obese, and I am overjoyed with my results and the level of care I received.”

Leo Dowling

Masculinizing mastectomy

“I had a top surgery a week ago. Dr. Lago's team is amazing, mindful and respectful with pronouns and name. I have a huge tattoo that had been preserved. It's not surgery, it's art. The aftercare in c/Apodaca is great, Dr. Sara is calm and gentle.”
Charlie Dupont
Top surgery · aftercare at Apodaca
“I had a mastectomy: perfect result and I was well looked after. Highly recommended.”
Noah Sc
Mastectomy

Reviews reflect each patient's individual experience.
Every procedure carries risks that are explained during consultation.

Our Complication Rates

We perform 5 mastectomies a week, making it the most common operation at the center. These figures come from a retrospective review by Clínica 3 de Mayo covering the last ten years, updated in September 2026.

Complication: Published data / Clínica 3 de Mayo
Complication	Published data^*	Clínica 3 de Mayo
Overall rate	13.6%	9.3%
Major (early reoperation)	7%	0%
Complete nipple necrosis	0-2%	0.3%
Partial nipple necrosis	0-11%	3%
Infection	0-4%	0.1%
Hematoma	0-31%	5.2%
Suture rejection	1-5%	1%
Revision surgery	20-30%	4.5%

* Wilson SC et al., Ann Plast Surg, 2018.
* Bekisz JM et al., J Plast Reconstr Aesthet Surg, 2022.
* Haley C et al., Plast Reconstr Surg Glob Open, 2025.

See our complication rates

Our Ethical Framework

We assess every request on its own merits: the need, the expected benefit weighed against the risks, your health, and how well you understand what cannot be reversed.

Read the ethical framework

Frequently Asked Questions

Traveling from Abroad for Surgery

If you are coming from abroad, we organize your stay in Madrid and handle your follow-up remotely.

International patients

The Medical Team

Dr. Jesús Lago, lead surgeon in practice since 2000, heads a team that has worked together for almost a decade at Clínica 3 de Mayo. All our doctors are fully qualified and registered with the Madrid College of Physicians (Colegio de Médicos de Madrid).