Will the results look natural?

Yes. The procedure is carefully planned around your anatomy, chest width, and overall proportions to create a result that looks balanced and natural. The goal is not simply to add volume, but to achieve a soft, feminine contour that integrates seamlessly with your body.

Do I need implants or fat transfer?

This depends on your starting point and desired outcome. Implants are typically recommended if you are looking for more defined shape, projection, or larger volume. Fat transfer is more suitable for subtle enhancement and a softer feel, but requires sufficient donor fat. In some cases, a combination of both techniques may be used.

How long is the recovery?

Most patients return to light daily activities within one to two weeks. Swelling, tightness, and sensitivity are expected in the early stages, with the chest gradually settling over several weeks. Final results continue to refine over time.

Do I need hormone therapy before surgery?

Many patients undergo hormone therapy beforehand, as it can influence natural breast development and final results. However, this is assessed individually based on your goals and circumstances.

Chest Feminisation | The Maercks Institute

Chest Feminisation

Chest feminisation is a gender-affirming surgical procedure designed to create a natural, feminine chest contour.

By enhancing volume, shape, and proportion, this treatment helps align physical appearance with identity creating balance, softness, and a more confident silhouette.

At The Maercks Institute, we want to help you be yourself. Dr. Rian Maercks specializes in performing MTF gender-affirming top breast augmentation for trans women who are eager to take the next steps towards connecting their appearance with their identity.

What is Chest Feminisation?

Chest feminisation enhances the chest using either breast implants, fat transfer, or a combination of both — depending on your anatomy and desired outcome.

The procedure is tailored to create a natural, proportionate result, taking into account chest width, tissue characteristics, and overall body shape.

For many patients, this is a key step in aligning physical appearance with identity, delivering both aesthetic and psychological impact.

Structural approach

This procedure is based on precision, proportion, and natural contour.

Unlike standard breast augmentation, chest feminisation requires careful adaptation to existing anatomy. The focus is to:

Create a soft, feminine chest shape
Position volume correctly on the chest wall
Maintain proportion with the body
Avoid an artificial or over-augmented result

Every element is planned to ensure the outcome feels balanced and natural.

Your Treatment Journey

Consultation

A detailed assessment of your anatomy, existing tissue, and desired outcome to determine the most appropriate approach.

Procedure

A personalised plan using implants, fat transfer, or both to create a natural, feminine contour.

Recovery

A short recovery period, with gradual return to normal activities and continued refinement as the chest settles.

Your Surgery

Your surgery is tailored entirely to your anatomy, goals, and desired level of enhancement.

Depending on your treatment plan, this may involve:

Breast implants to create defined shape, projection, and volume
Fat transfer using your own tissue for a softer, more natural contour
Combination techniques to refine both structure and finish

Implants are selected based on size, shape, and positioning to suit your frame, while fat transfer involves carefully harvesting fat from areas such as the abdomen or thighs and redistributing it to the chest.

Every step is performed with precision to ensure symmetry, proportion, and a natural-looking result that aligns with your body.