Dr. Saber’s Blog

The Transformative Power of Top Surgery: New Studies on Gender-Affirming Care

Plastic surgery is a big decision that causes permanent changes to the body. While some surgical results will change with age and many can be revised if the original results were unsatisfactory, your body will never fully return to the way it was before. Some patients experience regret after plastic surgery – especially if they rushed into the decision or didn’t choose the right surgeon. While there haven’t been any major studies into cosmetic surgery regret, a 2017 review found that about 14% of patients regretted undergoing (non-cosmetic) surgery.

As post-surgical regret is commonly used as an argument against granting trans and nonbinary patients gender-affirming care, I was very pleased to see a new study on top surgery (mastectomy) and its impact on mental health.

As a Los Angeles plastic surgeon who has had the honor of working with many transgender and nonbinary patients, I’ve seen firsthand the transformative power of gender-affirming care. That’s why I’m sharing this exciting news with you.

Group of happy friends
Image from The Gender Spectrum Collection

What is transgender and nonbinary top surgery?

For those who may be unfamiliar with the term, top surgery refers to surgical procedures that align an individual’s chest with their gender identity. It can be a deeply personal and transformative experience, leading to increased self-esteem, self-acceptance, and overall mental well-being.

Depending on the patient’s goal, top surgery can involve breast implants and feminizing chest contouring or a total mastectomy to create a flatter, more masculine chest. This latest study specifically focused on this second type of top surgery.

How many patients regret their gender-affirming mastectomy?

The astounding news from this latest study is the self-reported regret rate. Participants in the survey were at least two years post-operation (at least one was 23 years post-operation) and none reported undergoing reversal procedures.

In fact, on a five-point satisfaction scale, the average response was 4.8 with a median score of 5! On the 1-100 regret scale, the median response was 0 – no regret.

Gender-affirming surgery offers patients a significant reduction in the risk of suicide

A previous study looking at results from the 2015 U.S. Transgender Survey found a connection between gender-affirming surgery and mental health. For trans and nonbinary patients, undergoing at least one type of gender-affirming surgery was associated with a 42% reduction in psychological distress, a 44% reduction in suicidal ideation, and a 35% reduction in smoking.

As a surgeon who specializes in gender-affirming care, I find the study both reassuring and affirming. It underscores what many of us in the medical community have known anecdotally but now have empirical data to support: gender-affirming surgeries can be lifesaving.

My perspective on top surgery as a plastic surgeon

In my practice, I’ve seen the joy and relief that plastic surgery can bring to patients. The decision to undergo top surgery is highly personal and can be life-altering. It’s not merely cosmetic; it’s a critical step in aligning one’s physical appearance with their identity.

While not every trans, nonbinary, or gender-diverse patient will want surgery, those who do should have safe access to plastic and reconstructive surgery – just as cis patients do.

If you or someone you know is considering top surgery or any form of gender-affirming surgery, seek consultation with a knowledgeable and compassionate medical professional. Your health and happiness are paramount, and the right medical team can make all the difference in your journey.

Talk to Dr. Saber for the best gender-affirming care in Los Angeles

Access to gender-affirming plastic surgery improves mental health, quality of life, self-image, and overall well-being. That’s why Dr. Sepideh Saber, M.D., is proud to provide a variety of cosmetic surgeries and procedures for trans and nonbinary patients. S

Dr. Speideh Saber is a renowned plastic surgeon based in Los Angeles, specializing in gender-affirming surgeries and cosmetic procedures. She believes in empowering her patients through knowledge, empathy, and expert care.

If you’re ready to pursue this step in your gender journey, schedule your free consultation today.

Call (877) 205-4100 or schedule a consultation online.

The practice of Dr. Saber is located in Encino, CA for patients throughout the Los Angeles area. We are also convenient to Encino, Woodland Hills, Sherman Oaks, Calabasas, Burbank, Glendale, Hidden Hills, Agoura Hills, Northridge, North Hollywood, Malibu, Topanga, Canoga Park, Reseda, Valley Glen, Chatsworth, West Hills, Winnetka, Universal City, Bel Air, Beverly Hills, Downtown Los Angeles, Silverlake, and Echo Park.

Dr. Saber graduated from Stanford University’s world-renowned medical school and did her plastic and reconstructive surgery residency at the equally lauded University of Southern California. She then completed a fellowship at New York University in the extremely challenging and delicate disciplines of hand surgery and microsurgery.

Dr. Saber offers a more sensitive, female perspective for patients of all ages, genders, and orientations. Former patients from all walks of life have praised not only their treatment outcomes but her caring, thoughtful approach to a wide array of appearance and health-related matters.
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    Dr. Sepideh Saber, MD, FACS

    👩🏻‍⚕️ Board Certified Plastic Surgeon
    🏫 Stanford/USC/NYU Trained
    🏥 Encino, CA | Book a Free Consult
    ☎️ (833) 215-0500
    💌 info@saberplasticsurgery.com

    A journey led with compassion and care, helping my patients find confidence and comfort through surgery. 💕

#cosmeticsurgeon #plasticsurgery #plasticsurgeonlosangeles #losangeles #liposuctionlosangeles #drsaberplasticsurgery
    ✨ Our patient came in for a Breast lift, Liposuction of the abdomen and flanks, and fat transfer to the breast . 

Her after photo is only 6 weeks Post- Op. 
We absolutely love her results✨

Give us a call to set up a complimentary consultation with #DrSaber who will create a customized plan for you!

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    Forever besties 👧🏻🧒🏻✨🤗
    ✨ Our beautiful patient came in for a Tummy Tuck, Rectus muscle and repair. ✨

Her results are 6 weeks after her procedure. She’s still swollen and the results will continue to improve for the next couple of months! ⏳👙

To set up a complimentary consultation ✨

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#plasticsurgeon #breastaugmentation #beforeandafter #beauty #cosmeticsurgeon #plasticsurgery #breastsurgery #losangeles #facelift #breastimplants  #lipinjections #botox #bbl #filler #breastlift #saline #chinlipo #liposuction #defined #consultation
    ✨Our patient came in for an Abdominoplasty with Liposuction of the abdomen and flanks. 

 Her results show her 3.5 weeks after her surgery.✨

Give us a call to set up a complimentary consultation with #DrSaber who will create a customized plan for you!
____________________________
⁠
⭐️To set up a consultation:⁠
🔸 Call : (833) 215-0500⁠
🔸 info@saberplasticsurgery.com ⁠
🔸 saberplasticsurgery.com
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#liposuction #tummytuck  #tummytucksurgery #abdominoplasty #tummytuckjourney #breastimplants #breastsurgery #breastaugmentation #plasticsurgery  #plasticsurgeon #cosmeticsurgeon  #HourGlassBySaber #ContouredBySaber
    🌷🌻 Happy Saturday! We hope everyone has a safe and wonderful weekend 🌷🌻

Also, happy birthday month to my beautiful Irish twins! 🍀🎉🎊
    ✨A beautiful breast reduction by Dr. Saber! We are absolutely thrilled with her results✨

Give us a call to set up a complimentary consultation with #DrSaber who will create a customized plan for you!

____________________________
⁠
⭐️To set up a consultation:⁠
🔸 Call : (833) 215-0500⁠
🔸 info@saberplasticsurgery.com ⁠
🔸 saberplasticsurgery.com
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  #breastaugmentation #breastsurgery #breastreduction #liposuction #tummytuck  #tummytucksurgery #abdominoplasty #tummytuckjourney #MommyMakeover #otoplasty #earpinning #earreshaping
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  • What patients say about Dr. Saber

    4.8
    Over 16 Reviews

    I was fortunate to find Dr. Saber after researching board-certified surgeons who specialize in breast cancer reconstruction revision surgery. I knew I was in good hands from the moment I spoke with the lovely and efficient Marlene, Dr Saber's office manager. Dr Saber patiently listened to my concerns and, after examining me, explained what I could realistically expect the outcome to be from another surgery. She also explained to me that she would need to review my previous surgery notes before we could discuss a possible further surgery, which I found comforting and highly ethical. I also discussed a couple of other procedures that I would like done, including fat removal from my large upper arms that had caused me great embarrassment for several years. Dr. Saber is an excellent surgeon who is incredibly kind and genuine. She truly understands the female body and the emotional aspect of body insecurities yet, she is transparent about what can and cannot be done and takes time to discuss realistic expectations and outcomes. My breast reconstruction revision surgery will take place in the New Year, but in the meantime, I have the most fabulous upper arms that I recently flaunted in a strapless dress (something I have not done in years). Dr Saber is truly one of a kind, and I still cannot believe how fortunate I am to have found her. I highly recommend Dr Saber.

    Linda DeCarlo November 29, 2023

    I don’t have enough wonderful words to describe Dr Saber and Marlene! I had a tummy tuck done this year and from start to finish the entire experience was amazing. Marlene is always so helpful and works so hard to make every detail a breeze for you. When I had my consultation with Dr Saber I was at a point of complete agony with my body. She instantly took that stress and frustration off my shoulders! As a woman not being heard by doctors for years I left that consultation with happy tears knowing I had finally found my Dr. It was a major surgery and I felt completely zen and at peace going in because she really does make you feel that safe. I didn’t think I would ever look the way I do now! She gave me the gift of having the body I kept fighting for. I will never stop recommending her.

    Monica Prusa October 9, 2023

    I saw Dr. Saber when I broke my wrist. I ended up having to have surgery. She did an excellent job and I am healing nicely. She was very professional, but was also very kind and compassionate. I would highly recommend her!!

    Sandy Schaupp September 13, 2022

    I LOVED DR SABER!!! There are a few reasons why I chose her. One was because she’s a female Doctor that was my goal who also did a good job (which I was able to confirm with all her before and after photos) and what sold me was my safety in mind. She made me feel like I was in the best hands ever along with Marlene who coordinated everything THANK YOU LADIES! Dr Saber helped me get back the body I have always desired. I had a lot of stomach fat from weight gain and I lost weight so a lot of my weight was in my front lower and upper abdomen. Now I have a super beautiful curvy body like an hourglass after a tummy tuck and lipo she did. She understood the assignment hahaha . I’m 32 years old no kids just wanted to enjoy my younger body looking and feeling beautiful and she really took good care of me. Even after hours I had an emergency due to my fault but she was there and got back to me very quickly and I’m very grateful. I also think her work says a lot because I stopped taking pain medication on the 3rd day after surgery and was fine with very minimal pain I was able to tolerate the healing process. Highly recommend going with her I just had a wonderful experience and would do it all over again if I had too. Maybe after I have kids. Thanks Dr Saber and team <3

    STEPHANIE d July 15, 2022

    Dr.Saber is by far one of the best plastic surgeons. I love how she takes her time to explain any procedure to the patients understanding. She always makes sure to answers any and all questions.From fillers to body contours she’s the one you want.

    Katherine Melara February 15, 2022

    Dr Saber is amazing! She is caring and very informative. I went in for fillers and she explained procedure step by step. I highly recommend her and look forward to future visits.

    Amanda Vazquez December 18, 2020

    Dr. Saber was friendly, knowledgeable and professional. She took time to listen, answer all my questions and was forthright in her recommendations. Her staff was friendly and helpful. I was very happy with the results and plan on going back. If you are looking for a first rate professional experience look no further she is the doctor for you!

    T R December 18, 2020

    Dr. Saber is one of a kind plastic surgeon with a heart of gold. She is a well verse plastic surgeon that puts her patient's needs before anything else. She genuinely cares about every single patient, and her work speaks for itself. I notice every post-operative result on her Instagram (@saberplasticsurgery) the patients have this glow that radiates through. I have been going to Dr. Saber for my Botox for the past 3 years, and love the results every time. I know who I will be going to for any future plastic surgery needs, and will confidently refer family and friends to Dr. Saber for any Botox, fillers, and plastic surgery consultations.

    Rudy Garcia December 16, 2020

    I have nothing but great things to say about Dr. Saber! I am so pleased with my results from a breast augmentation she performed on me back in late June! She answered all my questions and concerns before and after my surgery. She’s very easy to get in contact with and she’s so nice. She made feel so comfortable throughout the whole process. 100/10 Lover her work!!

    Amanda Villegas October 15, 2020

    Dr Saber is hands down the best surgeon! She took her time answering my questions and explained procedure in detail. After doing liposuction six months ago, I am extremely happy with my results and I appreciate her so much.

    Marlene Cosentino October 15, 2020

    Dr. Saber is so kind and thorough with her patients! She is an amazing doctor and genuinely cars about everyone she comes in contact with. I would recommend her to anyone for any hand surgery or cosmetic procedure.

    Rachel Meach October 15, 2020