Dr. Nick Esmonde
Top Surgery In Portland, Oregon
Dr. Nick Esmonde, MD, MPH is a fellowship-trained Gender Surgeon in Portland, Oregon who works almost exclusively with transgender and non-binary patients. Dr. Esmonde worked in the Transgender Health Program at OHSU during his plastic surgery residency and subsequently completed a Gender Surgery Fellowship with Dr. Toby Meltzer and Dr. Ellie Zara Ley. Dr. Esmonde joined The Meltzer Clinic as an Associate Surgeon and offers the full spectrum of gender-affirming surgeries in Portland.
Dr. Esmonde offers two types of Top Surgery: Double Incision with nipple grafts and Peri-Areolar. He has considerable experience performing chest surgery for nonbinary patients and is pleased to omit nipple grafts, if desired. Additional male chest contouring and excision of excess tissue can be done using liposuction, if needed.
For those paying out-of-pocket, the cost of Top Surgery in Portland is approximately $10,000+. Pricing is all inclusive. (Exact pricing can only be determined following a consultation.)
For those using insurance, Dr. Esmonde contracts with Kaiser Washington and has also worked successfully with Pacific Source, BCBS and Washington Medicaid (Apple Health). Single case agreements with other insurance companies can also be negotiated.
Dr. Esmonde performs Top Surgery at Legacy Good Samaritan in Portland.
Surgery Requirements
Dr. Esmonde follows WPATH guidelines for surgery:
- You will need to provide one referral letter for Top Surgery, unless otherwise specified by your insurance.
- Smoking cessation.
- Dr. Esmonde will operate on minors with parental consent.
Booking a Consultation
Dr. Esmonde is available for in-person consultations in Portland for a fee of $100. Contact his office to book your consultation.
More information about Dr. Nick Esmonde ยป
Top Surgery Research By Dr. Esmonde
What is "Nonbinary" and What Do I Need to Know? A Primer for Surgeons Providing Chest Surgery for Transgender Patients.
Esmonde N, Heston A, Jedrzejewski B, Ramly E, Annen A, Guerriero J, Hansen J, Berli J. Aesthet Surg J. 2019 Apr 8;39(5):NP106-NP112.
Chest surgery for nonbinary patients comprises a considerable proportion of transgender surgery practice, and surgeons who provide affirming care should be familiar with the unique characteristics and treatment options for this population.