CALL TODAY FOR AN APPOINTMENT: (980) 938-0459

FEMALE TO MALE (FTM) 
& NON-BINARY


Present your true self to the world!

Every day, whether you’re focused on dressing up, swimming, working out, social interactions and more, looking like you feel makes life easier.  Presenting the individual you are to the world requires a skilled surgeon with an understanding of both male and female anatomy and modern body sculpting techniques.  From studying standard male nipple placements to attending hi-definition abdominal sculpting liposuction workshops and participating in transgender health care conferences and meetings, Dr. Hope Sherie is dedicated to perfecting this craft.  Achieving a realistic, natural looking appearance for every trans male and non-binary client is the ultimate goal at The Cosmetic Concierge.

We consider the lifestyle and desires of each client individually; and do not typically require a counseling letter to qualify for surgery.  We treat you like family and combine all of our experience with a welcoming and affirming environment to help you in your transformation. We will work with you to determine your desired outcomes and you will receive personal attention and care throughout every step in the process.

Our advanced body sculpting techniques will help you achieve a natural shape that respects your unique body type and fulfills your wishes for an authentic masculinity. The process of your transformation can involve a combination of several procedures. At The Cosmetic Concierge, we specialize in a variety of procedures which may be used to shape your visions and desires. A common procedure is chest reconstruction. We often combine that with VASER or Hi-Def liposuction or muscle etching to give you a more natural, masculine or androgynous appearance.

From our very first consultation to post-procedure care, you can trust the team at The Cosmetic Concierge to ensure your comfort and desired outcomes. When your transformation is complete, you’ll be able to step out into the world with a new confidence like never before, as the individual you are!

transgender man looking in mirror at dream male body

We offer the following procedures specific to FTM & Non-Binary transition:

For Chest Reconstruction:

 – Double-Incision with Nipple Grafts

 – Peri-Areolar (Keyhole)

 – The Buttonhole Technique

 – Double-Incision with Nipple Removal


For Male Body Sculpting:

 – VASER Liposuction

 – Hi-Def Liposuction and Abdominal 

     Etching

Real Patients, Real Transformations


BREAST CANCER SCREENING AFTER BREAST & CHEST SURGERY

Dr. Sherie's take on breast cancer concerns for some trans men after top surgery


I was happy to see Jeff Taylor’s article in Qnotes exploring breast cancer risk and the transgender community.  He makes an important point that we all, cis and trans men and women, have breast tissue which extends to the clavicles (collar bones) and into the axillae (underarms) and is retained after mastectomies in cis women and chest reconstructions in trans men.

During ten years as a general surgeon I coordinated the surgeries and oncological care for cis women with breast cancer, as well as  cis men with the disease.  Now, as a cosmetic surgeon performing “Top Surgeries” for trans men and trans women, I am often the first physician who discusses transgender breast cancer screening with my clients.   This is likely because, as Mr. Taylor notes, there are no guidelines for their primary care physicians to follow.

Given the current lack of research, I give my patients the following recommendations based on my own experience and our current knowledge of this disease:
  • Trans men who have not had chest reconstruction, and trans women on HRT should follow the same guidelines for breast cancer screening as cis women.  These guidelines are evolving; but basically,  get your first mammogram at 40-50 years old and then annually.  This may be continued annually, or reduced to every other year, after the age of 55.
  • Trans women on HRT whose anatomy makes mammograms difficult should follow the guidelines above substituting MRIs for mammograms.
  • Trans men who have had chest reconstruction, cis men, and trans women who are not on HRT should have an annual physical exam by a medical professional which includes palpation (careful feeling) of the chest and underarms beginning at 40-50 years old.  A CT or MRI should be obtained if, on self-exam or professional physical exam, any lumps, tenderness, nipple discharge, or other abnormalities are found.  If there is a lump on palpation, CT, or MRI it should be further investigated by a needle or excisional biopsy.
The original article can be read here: Qnotes Breast Cancer Article.  As always, I am happy to answer patient questions about this or other surgical issues by e-mail or in consultation at our private office and surgery center in South End, Charlotte.

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