What are the risks of top surgery?

The possible risks of transmasculine top surgery include, but are not limited to, bleeding, infection, poor healing of incisions, hematoma, loss of nipple sensation, loss of the nipple and areola, and anesthesia risks.
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Is Top surgery high risk?

Risks. Like any other type of major surgery, top surgery for transgender men and nonbinary people poses a risk of bleeding, infection and an adverse reaction to anesthesia.
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What is the success rate of top surgery?

A Top Surgery Revision is a secondary surgery that improves or corrects aesthetic irregularities resulting from Top Surgery. As with other plastic surgery procedures, a revision performed after Top Surgery can improve results. In total, 26.5% required secondary operations. The overall revision rate was 23.8 percent.
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Can your nipples fall off after top surgery?

Double Incision Procedure

The incision is then closed at the bottom of your pecs. In this procedure, there is a risk of losing all or part of the areola or nipple from the graft due to damage, but a skilled and experienced surgeon will be able to minimize these risks to the lowest possible amount.
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How painful is top surgery?

You may feel some pain for the first couple of days—especially when you move around or cough—and some discomfort for a week or more. Your surgeon will prescribe medication to lessen the pain.
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Top Surgery Complications (



How long after top surgery can I shower?

Some surgeons say you can shower after 24 hours, but you should shower with your back to the shower head to protect your healing incisions from the direct spray of the water. Afterward, gently pat the chest dry and follow any instructions your surgeon has provided regarding ointments and dressings.
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How do you sleep after top surgery?

Plan to sleep on your back with several pillows to elevate the head of your bed. This is to lessen the amount of swelling you experience, which may worsen in the first few days after surgery before getting better. Plan to sleep on your back for the first 6 weeks after surgery while your chest heals.
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How long do you have to wear a binder after top surgery?

We advice you to wear a compression binder after Top Surgery, 24/7 for at least 4 weeks. The binder helps prevent fluid build up and aids the skin in adhering back to the chest wall.
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How do I prepare for top surgery?

How should I prepare for transmasculine top surgery?
  1. Get lab testing or a medical evaluation.
  2. Provide a letter of recommendation from your therapist.
  3. Take certain medications or adjust your current medications.
  4. Stop smoking.
  5. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.
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How do I know if I want top surgery?

1. It can take time to find the right surgeon for your procedure
  1. Make sure you want to work with them. ...
  2. Consider their level of experience. ...
  3. Ask what documentation is required for surgery. ...
  4. See if they work with your insurance provider. ...
  5. Check reviews and read about other people's experiences with them.
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Can top surgery be reversed?

Top surgery is permanent and cannot be reversed. Your chest will never look the same as it did before surgery. For this reason, it is important that you are sure of your goals prior to undergoing surgery.
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Can you fly after top surgery?

How long do I need to stay in town following my FTM Top Surgery? Dr. Steinwald requires his patients to stay in town for one week post op. Barring any unforeseen complications, you will be cleared to travel at your one week post-op appointment.
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Is Top surgery a major surgery?

Top surgery is major surgery, so it's important to discuss your health with your doctor. If you have other health conditions that make treatment unsafe, you might have to delay top surgery.
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Do you have to stop testosterone before top surgery?

Many Top Surgery surgeons require patients to stop testosterone 1-2 weeks before Top Surgery, and some surgeons also require that the next scheduled dose be delayed by an additional week or two after Top Surgery.
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Is Top surgery permanent?

Keep in mind that the results of top surgery are considered permanent and are not reversible. As with any surgery, there are potential complications associated with cosmetic mastectomy. However, this is considered a very safe procedure, and most patients feel that the benefits outweigh the risks.
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Do I need to shave for top surgery?

The National Institute for Health and Care Excellence (NICE) advises patients that they should bathe, but not shave, before all surgical procedures. Cleaning your skin is a great way to help prepare your body for surgery, but leave the hair removal to the experts!
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What do people need after top surgery?

Clipboard, for storing post-op instructions, medication logs, etc. Cough drops, ginger chews, ginger tea and/or ginger beer (non-alcohol), popsicles, for sore throat from intubation. Compression socks, especially if you're flying after your recovery. Step stool, for getting in and out of bed.
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Can I lay on my stomach after top surgery?

Talk to your doctor about ways you can keep your body safe while sleeping in this position. In most cases, sleeping on your stomach after surgery is not advised. This position could compromise the health of your spine and put too much pressure on your hips or other areas of the body.
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What can you not do after top surgery?

Recovery tips
  1. Don't shower. Many surgeons instruct you not to shower until your postoperative appointment when the dressing is removed. ...
  2. Use ice packs. ...
  3. Don't lift or do strenuous exercise. ...
  4. Take care of yourself. ...
  5. Use scar treatments.
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When do drains come out after top surgery?

Surgeons follow different guidelines on this, but drains are usually removed when the fluid output is below 20cc - 30cc for a couple of days. In Top Surgery patients, this takes about 5-7 days.
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Can I wear deodorant after top surgery?

Do not shave or use deodorant for 1 week after your drains have been removed. You can shave and use deodorant after 1 week if your incisions have no open areas. For pain, take prescribed pain medication, Tylenol®, or ibuprofen every 4 to 6 hours as needed.
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How do you take care of your nipples after top surgery?

Avoid any heavy lifting or intense exercise that involves the upper body during this time. This can aggravate the chest. After the first week, if you have the double incision mastectomy, there will be daily dressing changes using an antibacterial ointment. Change your nipple dressing after showering.
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What does your chest feel like after top surgery?

The degree of sensation after surgery is usually similar to the sensation of the upper chest before surgery. So, sensation is still present, but is diminished from the “hypersensation” of the nipples that is usually present before surgery.
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Can you get top surgery 14?

For patients who are younger than 18 years old, parental consent must be provided in order to undergo FTM top surgery. The WPATH also recommends a time period in which an adolescent can adjust to a masculine gender role prior to undergoing the procedure.
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Do you get a catheter during top surgery?

Some people describe the sensation as having jumped forward in time. Once you are under, the surgical team may or may not place a urinary catheter. The use of a catheter depends on the preferences of the surgical team and how long the surgery is expected to take. Your skin will then be cleaned and prepared for surgery.
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