Top Surgery: Assessment, Options, Risks and Recovery

Top surgery can refer to masculinising or feminising chest surgery. The exact operation, scars, nipple management, expected contour and follow-up differ between individuals, so the term should not be treated as one standard procedure.

Assessment and consent

The surgeon should assess chest anatomy, skin and tissue, asymmetry, health, medicines, smoking, previous surgery, goals and capacity for recovery. The discussion should cover fertility or hormone care where relevant without assuming identity, and should include alternatives and the option of no surgery.

Procedure choices

Masculinising approaches may include different incision patterns, tissue removal and nipple grafting or repositioning. Feminising procedures may involve implants or fat transfer in selected cases. The plan should explain likely scars, sensation changes and limitations.

Risks and recovery

Risks include bleeding, infection, fluid collection, delayed healing, visible scars, asymmetry, contour irregularity, altered or lost nipple sensation, nipple or skin loss, implant-related complications where used, blood clots, dissatisfaction and revision. Recovery varies.

Review Revitalize’s top surgery information, named doctors and assessment route. Confirm the contracted surgeon, hospital and written follow-up plan.