Dr. Allison Laffoon
Top Surgery in Nashville
Dr. Allison Laffoon, MD, is a board-certified cosmetic surgeon based in Nashville, Tennessee, with a growing reputation for her expertise in masculinizing chest surgery for transgender men and nonbinary individuals. With a background in general and cosmetic surgery, she blends technical precision with a warm, affirming bedside manner. Dr. Laffoon approaches each case with the goal of helping patients feel more aligned and confident in their bodies. She currently serves as the Director of the Cosmetic Surgery Fellowship at Marvel Cosmetic Surgery.
Education and Training
- B.S. in Integrative Physiology with a Minor in Spanish — University of Iowa
- M.D. — Trinity School of Medicine, 2017
- General Surgery Residency — University of Texas Health Science Center at San Antonio (5 years)
- Facial & Body Cosmetic Surgery Fellowship — Nashville, under Dr. Jeffrey Marvel (retired)
Top Surgery Techniques
Dr. Laffoon offers several techniques for Top Surgery, selected based on your anatomy, chest size, skin elasticity, and personal goals:
- Double Incision with Free Nipple Grafts: Ideal for individuals with medium to large chest sizes or reduced skin elasticity. This technique removes breast tissue and excess skin via horizontal incisions under the pectoral line. The nipples are resized and repositioned as grafts to create a masculine chest appearance. This method offers the most dramatic chest contouring.
- Inverted-T (Anchor or T-Scar Technique): Suitable for those with moderate chest volume and more ptosis (sagging). This method uses both a horizontal and vertical incision to remove tissue and skin while preserving the nipple-areola complex on a pedicle. It can provide excellent contour while minimizing risk of nipple loss.
- Peri-Areolar (Donut Technique): Typically used for patients with smaller chests and good skin elasticity. This technique involves incisions around the areola to remove breast tissue and tighten the skin. Results can be more subtle, and ideal candidates often do not require significant nipple repositioning.
- Keyhole Technique: The least invasive option, used for very small chest sizes and minimal skin excess. An incision is made along the bottom of the areola to remove underlying tissue while leaving the nipple and skin intact. Healing is generally quicker, though results may be less dramatic.
All surgeries are performed at Marvel Cosmetic Surgery’s accredited, state-of-the-art private surgical facility.
Surgery Requirements
- Patients must be in good overall health and pass standard pre-surgical medical clearance.
- A letter from a qualified mental health professional may be required to confirm gender dysphoria and readiness for surgery.
Payment and Financing: Dr. Laffoon accepts payment by cash and CareCredit. Insurance, Medicare, and Medicaid are not accepted.
About CareCredit:
CareCredit is a healthcare credit card that allows you to finance your surgery with low or zero-interest payment plans, depending on eligibility and term length. You can apply online and, if approved, use it to break your surgery cost into manageable monthly payments. Many patients use CareCredit to access care sooner while budgeting more flexibly.
Booking a Consultation
Dr. Laffoon offers complimentary consultations by phone or in person. She is known for her thoughtful, individualized care and her ability to create a welcoming, judgment-free space for trans and nonbinary patients. During your consultation, she will take the time to understand your goals, explain surgical options, and answer any questions. Her current wait list is approximately one month.
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