Cosmetic chest contouring · Charlotte, NC
Top Surgery
in Charlotte, NC
A Comprehensive Guide to Cosmetic Chest Contouring & Breast Enhancement
The Cosmetic Concierge provides advanced top surgery in Charlotte, North Carolina — offering fully individualized cosmetic chest contouring procedures designed to reshape the chest, refine proportions, and achieve natural-looking results aligned with each patient’s anatomy and aesthetic goals.
Why patients choose Dr. Sherie
AAAHC Accredited Facility
Private surgical suite, Charlotte, NC
Board-Certified Cosmetic Surgeon
Advanced training in chest contouring
25+ years of experience
Individualized care for every patient
Phone consults available
Nationwide & international patients
On-site BioTe hormone therapy
Coordinated surgical & hormone care
Told form the heart
Real Stories Real Transformations
Because hearing it from someone who’s been there makes all the difference.
Overview
What is Top Surgery?
Elective Mastectomies (aka Top Surgery) are surgical breast removal done by patient choice. It is often called “Top surgery” when the cosmetic goal is to achieve an androgynous (non-binary) or masculine appearance. At The Cosmetic Concierge in Charlotte, NC, Dr. Hope Sherie approaches every surgical plan with careful anatomical planning, attention to proportion, and a commitment to natural-looking results.
Dr. Sherie offers several top surgery techniques which are discussed and selected during your consultation based on your aesthetic goals and chest anatomy. Often patients are candidates for more than one surgical technique.
Procedures may include:
Removal or reduction of breast tissue
Skin tightening and chest wall reshaping
Nipple and areola resizing, repositioning, or preservation
Breast volume enhancement through implants
VASER liposuction or fat transfer for contour refinement
A comprehensive consultation allows Dr. Sherie to evaluate your anatomy and determine the safest, most effective approach for your goals.
Your surgeon
About Dr. Hope Sherie
Dr. Hope Sherie is board-certified in cosmetic surgery with advanced training in chest contouring procedures for a diverse range of patients. She performs over two hundred top surgeries annually at her private AAAHC accredited surgical facility in Charlotte, NC, and has cared for patients traveling from across the United States and internationally.
Cosmetic Chest Contouring with Dr. Hope Sherie
Top Surgery Techniques
Dr. Sherie offers several top surgery techniques which are discussed and selected during your consultation based on your aesthetic goals and chest anatomy.
Nipple-preserving
Double Incision — Buttonhole Technique
The buttonhole technique preserves the natural nipple-areolar complex by maintaining a pedicle attachment while still allowing for full tissue removal. This approach may be appropriate for patients who desire sensation preservation and meet the anatomical criteria for this method.
Graphic Medical Photos Ahead
All photos are intended for a mature audience. If photos of this nature are offensive to you, please do not view our photo galleries or procedure pages. Viewers under the age of 18 should view the content of this website with parental permission only.
[ View Before / After Photo ]
Age: 31
Procedure: Double Incision with Buttonhole
31-year-old male, 6 months after FTM Chest Reconstruction with Nipple Pedicle (Buttonhole)
Most common double incision
Double Incision — Nipple Graft
For patients with more significant tissue volume or excess skin, a double incision with free nipple graft allows for complete contouring and full skin adjustment. The nipple-areolar complex is resized and repositioned as a graft, providing precise aesthetic control over final placement and diameter.
Graphic Medical Photos Ahead
All photos are intended for a mature audience. If photos of this nature are offensive to you, please do not view our photo galleries or procedure pages. Viewers under the age of 18 should view the content of this website with parental permission only.
[ View Before / After Photo ]
Age: 25
Procedure: Double Incision with Nipple Grafts
25-Year Old Male, 9 Months after FTM Chest Reconstruction with Nipple Grafts
Clean contour
Double Incision — No Nipples
For patients who prefer to omit nipple reconstruction, double incision without nipple preservation offers a clean chest contour with no additional nipple-related procedures. This approach is discussed and planned according to personal preference during consultation.
Graphic Medical Photos Ahead
All photos are intended for a mature audience. If photos of this nature are offensive to you, please do not view our photo galleries or procedure pages. Viewers under the age of 18 should view the content of this website with parental permission only.
[ View Before / After Photo ]
Age: 26
Procedure: Double Incision with Nipple Removal
26-year old male, 3 months after FTM Chest Reconstruction with Nipple Removal
Limited incision
Keyhole (Peri-Areolar) Technique
In select cases with smaller tissue volume and strong skin elasticity, a keyhole technique may be appropriate. This limited-incision approach allows for tissue removal while preserving the natural nipple attachment.
Graphic Medical Photos Ahead
All photos are intended for a mature audience. If photos of this nature are offensive to you, please do not view our photo galleries or procedure pages. Viewers under the age of 18 should view the content of this website with parental permission only.
[ View Before / After Photo ]
Age: 19
Procedure: Keyhole (Peri-Areolar)
19-year old male, 6 months after FTM Chest Reconstruction with Peri-Areolar (Keyhole) Incisions
How Technique Selection Is Determined
Technique selection is evaluated based on several factors during consultation. There is no universal approach — planning is fully individualized.
Amount of breast tissue present
Degree of skin elasticity and expected skin retraction
Nipple position, size, and desired final placement
Preferred scar location and orientation
Overall chest width and body proportions
Patients with moderate to significant tissue volume or excess skin are typically best served by a double incision approach. Patients with smaller amounts of tissue and strong skin quality may be candidates for limited-incision techniques.
Add-on procedures
Lateral Chest & Upper Body Contouring Add-Ons
For patients seeking more comprehensive reshaping, Dr. Sherie offers optional contouring additions to double incision procedures:
½ Lateral Chest Lift
Targeted liposuction of the side chest to match the thickness of the front, with minor extension of the incision as needed to avoid “dog ears”.
Full Lateral Chest Lift
Full excision of excess skin and fat (sometimes called “the bra roll”) on the side chest to avoid “dog ears” for those with more side tissue.
Upper Body Lift
Excision of excess skin and fat along the side of the chest, extending to the upper back, which can remove a full “roll” of tissue that continues onto the back. This technique includes turning the patient onto the stomach (while under anesthesia) and performing liposuction of the back in addition to excision of any excess skin that extends to the sides of the upper back.
Revision surgery
Top Surgery Revision
If you have had previous chest surgery and are seeking refinement, revision procedures can address contour irregularities (areas which cave in or stick out as compared to the surrounding tissue), scar concerns, asymmetry, residual tissue, nipple or areolar revisions or reconstruction after nipple loss. Revision planning is fully individualized and focused on improving overall balance and smoothness.
Advanced contouring
Additional Contouring Options
In some cases, top surgery may be complemented by additional procedures to refine surrounding areas and enhance overall upper body proportions:
Liposuction — for chest, underarm, or upper back refinement (this is included with lateral chest and upper body lift procedures).
Fat transfer — for contour enhancement or volume balancing
Pectoral implants for pre-existing muscle deformities
These options are discussed thoughtfully during consultation to determine whether they would meaningfully improve your result.
Surgical Setting & Recovery
Surgical Setting & Recovery After Top Surgery
Top surgery is performed under general anesthesia in an accredited surgical facility in Charlotte, NC. Recovery varies depending on the procedure performed, but most patients plan for:
Initial downtime
Initial downtime of approximately 1–2 weeks. Compression chest binder for 2 weeks with daily breaks allowed
Swelling resolves
Temporary swelling and bruising resolve over several weeks.
Gradual return to activity
Gradual return to normal exercise and physical activity after the first month
Tightening and contour refining
Continued skin tightening and contour refinement over several months
Close-to-final results
Most patients see a close-to-final result by 6-12 months post-operatively.
You will receive detailed aftercare instructions, and our team provides ongoing guidance throughout recovery.
Pricing
Top Surgery Cost in Charlotte, NC
The cost of top surgery varies based on the procedure performed, technique complexity, revision status, and any additional contouring procedures included in the surgical plan. All-inclusive pricing — no hidden fees or surprise bills. Prices include all operating room and facility fees, doctor’s fees, anesthesia, and pre- and post-op visits.
CareCredit
Alphaeon Credit
Self-pay
Questions & answers
Frequently Asked Questions
Am I a candidate for keyhole top surgery?
Keyhole techniques are typically appropriate for patients with minimal tissue volume and strong skin elasticity. Candidacy is evaluated during consultation based on a thorough anatomical assessment. Patients who do not meet keyhole criteria may be better served by a double incision approach.
What is the buttonhole technique, and how is it different from a nipple graft?
The buttonhole technique preserves the nipple-areolar complex by maintaining a tissue attachment (pedicle), which may allow for some degree of sensation preservation. A free nipple graft removes and repositions the nipple as a graft, offering more precise control over final placement. The appropriate technique depends on anatomy and is discussed during consultation.
How visible are scars after top surgery?
Scar placement depends on the technique used. Double incision scars are typically positioned along the lower chest and mature significantly over 12–18 months. Incision planning is designed to create clean, well-positioned scars, and Dr. Sherie provides guidance on scar care throughout recovery.
Can top surgery be combined with other procedures?
In select cases, liposuction, fat transfer, or lateral chest contouring may be performed at the same time to enhance overall upper body proportion. This is evaluated individually and recommended only when it would meaningfully improve the result.
How long until I see final results?
Initial contour is visible once swelling begins to resolve, typically within the first few months. Final contour refinement and scar maturation develop over several months. Most patients see a close-to-final result by 6–12 months post-operatively.
Does The Cosmetic Concierge see patients from outside Charlotte?
Yes. Dr. Sherie sees patients from across North Carolina, South Carolina, the broader United States, and internationally. Virtual consultations are available for out-of-town patients, and our team provides coordinated support for surgical scheduling and post-operative planning.
Patient experiences
Our Patients Say It Best
Current Promotions
5% discount for active duty military and veterans with a valid VA or military ID.
Get 10% OFF all procedures through November 1, 2026.
Service area
Serving Charlotte & Surrounding Communities
The Cosmetic Concierge serves patients seeking top surgery in Charlotte and the surrounding areas, including South End, Dilworth, Ballantyne, Huntersville, Matthews, Concord, Gastonia, and beyond.
In addition to caring for patients across North Carolina and South Carolina, Dr. Sherie has performed cosmetic chest contouring procedures for individuals who have traveled from across the United States — including the West Coast — as well as internationally. Patients often choose to travel for Dr. Sherie’s aesthetic approach, attention to proportional balance, and experience in advanced chest contouring techniques.
Our team provides coordinated support for out-of-town patients, including phone consultations, surgical scheduling guidance, and post-operative planning to ensure a seamless experience.
Charlotte, NC
South End
Dilworth
Ballantyne
Huntersville
Matthews
Concord
Gastonia
North Carolina
South Carolina
Nationwide
International
Schedule a Consultation
Phone consultations available for out-of-town patients
Top Surgery — Charlotte, NC
Related Procedures
Why patients choose us
AAAHC Accredited Facility
Board-certified cosmetic surgeon
25+ years of experience
Individualized surgical planning
On-site BioTe hormone therapy
Phone consults available
CareCredit & Alphaeon accepted
Financing
Military Discount
5% off for active duty military and veterans with valid VA or military ID.
Schedule a Consultation
If you are considering top surgery in Charlotte — whether for chest reduction, chest feminization, gynecomastia, or contour revision — we invite you to schedule a private consultation with Dr. Sherie. Phone consultations are available for patients traveling from outside the Charlotte area.