MALE TO FEMALE (MTF)

The back of a woman in a bikini with dreadlocks.

We offer the following procedures specific to Male to Female (MTF) transition:

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Realize your physical womanhood!

Realizing your physical womanhood involves more than simply adding breast implants. It is a transformation that requires a skilled surgeon who holds an understanding of the unique contours of the female form. At The Cosmetic Concierge, we treat you like family and combine all of our experience with a welcoming and affirming environment to help you in your transformation. We’ll work with you to determine your desired outcomes. You’ll receive personal attention and care throughout every step and every procedure in the process.



We consider the lifestyle and desires of each client individually. 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 femininity. Inspired by the slope of the small of the back, the sweep of a cheekbone, the silhouette of full hips, or a breast’s gentle curve, we strive to make your vision your reality.


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. Common procedures include breast augmentation and orchiectomy, along with female body contouring to give you a more natural feminine shape. We also offer facial feminization procedures.


From our very first consultation to post-procedure care, you can trust the team at The Cosmetic Concierge to ensure your comfort and your desired outcomes. When your transformation is complete, you’ll be able to step out into the world with a new beauty and grace like never before. Shopping at the mall, dining out, sunbathing at the pool or the beach — you’ll be able to do all of it as the woman you are!

Any of these procedures or a combination may be used for MTF transition:

WANT TO LEARN MORE?

Click here to view Dr. Sherie's presentation on the Transgender Procedures offered at The Cosmetic Concierge.

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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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Call us at (980) 938-0459 or click the button below to submit an appointment request online.

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