Dr Brown is an advocate for access to gender affirming care and has facilitated the introduction of top surgery in the public system in Wellington. Gender affirming surgery is also available in the private system

Removal of the breast tissue with preservation of the nipple aims to create a male-looking chest. The options available depend on how much excess skin you have. Often removal of the excess skin with free nipple grafts achieves a good result. There is a scar across the lower chest and around the grafted nipple. If there is less excess skin there can be smaller scars.

You don't have to preserve or graft your nipples. Amazing results can be achieved with 3D nipple tattooing, or you might just want to have decorative tattoos. Choosing nipple tattooing puts you in control of the final position and size. A simple mastectomy will leave a scar across the bottom of the chest.