FTM Surgery » Surgeons

Dr. Graham Ives

Beverly Hills Surgeon Specializing in Top Surgery and Gender-Affirming Facial Surgery

Dr. Graham Ives, MD is a plastic and reconstructive surgeon based in Beverly Hills who provides gender-affirming surgical care for transgender and nonbinary individuals. At IvesMD, Dr. Ives is committed to helping every patient feel comfortable and confident in their own skin. Each person receives personalized care in a supportive, inclusive environment tailored to their goals and needs.

Dr. Ives serves on the teaching faculty of the USC Plastic Surgery Residency Program and maintains clinical affiliations with Cedars-Sinai Medical Center. He sees patients from across the U.S. and internationally.

Education & Training

• University of Colorado Boulder – BA in Molecular, Cellular, and Developmental Biology (Honors)
• University of Michigan Medical School – MD, Alpha Omega Alpha honor society; specialization in Innovation & Entrepreneurship
• Residency – Plastic & Reconstructive Surgery, University of Southern California (training at Cedars-Sinai, CHLA, Kaiser Permanente)
• Fellowship – Facial Plastic Surgery, Lasky Clinic, Beverly Hills

Academic Research

Dr. Ives has conducted research on gender-affirming surgical techniques and outcomes for transmasculine patients, with a focus on chest reconstruction and broader trends in gender-affirming surgery. His publications include studies demonstrating improvements in mental health, body image, and social confidence following gender-affirming mastectomy. Additionally, he has contributed to research using large insurance databases to track trends, demographics, and outcomes in gender-affirming care across the United States.

Procedures Offered

FTM Top Surgery

Chest masculinization, or FTM top surgery, reshapes the chest to create a flat, masculine contour while preserving or repositioning the nipples for natural appearance. Surgical approaches vary depending on chest size, skin elasticity, and patient goals, and may include double-incision mastectomy with free nipple grafts, keyhole procedures, or periareolar techniques. Top surgery improves chest appearance, reduces gender dysphoria, and enhances overall comfort in social and physical settings.

Body Masculinization

Body masculinization procedures enhance traditionally masculine contours through fat redistribution, sculpting, and selective augmentation. High-definition liposuction and fat grafting can define the shoulders, chest, abs, and arms. Abdominal etching or waist contouring can emphasize a tapered torso, and buttock or hip adjustments may reduce feminine curves. These procedures are tailored to each patient’s anatomy and goals, often performed in combination with top surgery or facial surgery to create a cohesive, masculinized overall appearance.

Facial Masculinization

Facial masculinization surgery uses a combination of procedures to create a balanced, masculine facial appearance. Bone work may include forehead and brow ridge augmentation with implants, bone grafts, or fillers; and jaw and chin augmentation using custom implants or grafts. Soft tissue procedures such as cheek and midface contouring, fat transfer, or fillers refine facial balance and strengthen masculine features. Masculinizing rhinoplasty adjusts nasal projection, tip rotation, and width to harmonize with the overall profile. Many patients benefit from patient-specific implants and virtual surgical planning, which use 3D imaging and simulation to optimize symmetry and proportions. When appropriate, multiple procedures can be performed in a single session under general anesthesia.

Masculinizing Hair Transplant Surgery

Hair transplant surgery can restore hair loss or create a more traditionally masculine hairline and scalp appearance. Common techniques include follicular unit transplantation (FUT) and follicular unit extraction (FUE), which allow precise placement of individual hair follicles to achieve natural density and direction. Patients may also combine hairline advancement, temple recession correction, and eyebrow or beard transplants to enhance overall masculinity. These procedures can be performed alone or in combination with other facial masculinization surgeries to create a cohesive, masculine aesthetic.

Insurance Coverage

• IvesMD is in-network with Blue Shield of California for gender-affirming chest, facial and hair transplant procedures (including out-of-state Blue Cross/Blue Shield plans with “suitcase” logo).
• Out-of-network arrangements can be negotiated with other insurers, including some Medicaid programs
• Reduced cash rates and financing options available

Consultations

Consultations are offered virtually or in-person. The standard fee is $200, waived for in-network insurance patients. Appointment availability is typically 1–3 weeks, with surgery dates 3–4 weeks later.

Dr. Ives follows WPATH Standards of Care. One mental health letter is required for gender-affirming facial surgery, including for self-pay patients.

Coming from out of town? IvesMD provides a concierge recovery experience, including nursing care in a hotel and transportation to follow-up appointments, to support patients traveling to Beverly Hills.

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