Your Recovery Journey After Transmasculine Top Surgery

At The Plastic Surgery Center, we understand that gender-affirming chest surgery, also known as top surgery, represents a significant milestone in your transition journey, providing the opportunity for you to realize your authentic self. 

With expertise in both reconstructive surgery and studio art, Dr. Sean Herman understands the intricate balance between achieving medically sound and aesthetically pleasing results in gender-affirming surgeries. “Your journey is uniquely your own, and my team and I are committed to supporting you every step of the way to ensure you a result you’ll love,” he says.

Achieving those goals doesn’t stop when the surgery does—it extends into your recovery. While the procedure itself is crucial in realizing your gender affirmation goals, the post-surgery recovery process is equally important, influencing the final result and shaping the experience of your transformation.

Navigating the First Few Days After Surgery

“Preparing beforehand and understanding your recovery after surgery is critical in ensuring a smooth journey,” notes Dr. Herman.

Here's what you need to know:

• Discomfort and pain: Moderate pain and soreness in the chest area are common. This is typically most intense during the first 24 hours and gradually decreases.
• Grogginess: Effects of anesthesia may linger, causing drowsiness and disorientation.
• Restricted movement: Patients will have limited arm and upper body mobility to protect the surgical site in the initial period post-surgery.
• Drainage: Surgical drains may be in place to remove excess fluid from the surgical area.
• Bandages: The chest will be wrapped in compression bandages or a post-surgical vest.
• Swelling and bruising: These are normal and will peak within the first 48 hours.

While the first couple of days post-surgery may be challenging, there are certain measures of pain management and comfort one can take to help ease any discomfort including:

• Prescribed pain medication: Take as directed by your surgeon.
• Cold compresses: Can help reduce swelling and discomfort (*be sure to follow your surgeon's instructions).
• Rest: Plenty of sleep and relaxation are crucial for healing.
• Hydration: Drink plenty of water to aid recovery.
• Proper positioning: Use pillows to elevate the upper body when lying down.

Dr. Herman highlights the importance of having a support system during this initial phase of one's recovery from transmasculine top surgery: “Enlist friends or family members who can help with daily tasks and personal care so you can remain comfortable and cared for during this phase. They can help monitor for any signs of complications and provide immediate support if needed and, perhaps most importantly, offer the emotional reassurance and support you need to create a conducive environment for rest and healing.”

Understanding the Stages of Healing

Healing is a gradual process, and understanding what to expect at each stage can help ease your mind. While this is what most patients can expect during their recovery journey, it's important to note that healing is a highly individual process. 

Here's a general timeline of what you might experience post-transmasculine top surgery:

Week 1:

• Moderate swelling and bruising
• Mild to moderate discomfort
• Limited mobility
• Drains may be removed (typically around 7 days post-surgery)
• Rest is crucial

Week 2:

• Swelling and bruising begin to subside
• Pain levels decrease
• Increased, but still limited, mobility
• Some patients may return to light desk work
• Continuation of wearing compression garments

Weeks 3-4:

• Further reduction in swelling and bruising
• Discomfort continues to lessen
• Improved range of motion
• Many patients return to non-strenuous work
• Scars may appear raised and red

Weeks 5-6:

• Most swelling resolved
• Minimal discomfort
• Near-normal range of motion
• Light exercise may be permitted (with surgeon's approval)
• Scars begin to flatten and fade

Weeks 7-8:

• Residual swelling continues to diminish
• Normal daily activities usually resumed
• Chest sensation may start returning
• Scar care becomes a focus

Months 3-6:

• Final settling of chest contour
• Full range of motion restored
• Scars continue to mature and fade
• Most patients cleared for all activities

6 Months to 1 Year:

• Scars continue to improve
• Final results become apparent
• Sensation in the chest area may continue to improve

"While the recovery process takes time, seeing the final results of gender-affirming chest surgery makes the journey worthwhile,” says Dr. Herman. “Our team is dedicated to supporting patients every step of the way to ensure a smooth recovery and an outcome that truly reflects their authentic selves."

Schedule Your Consultation Today

Your recovery journey is unique and at The Plastic Surgery Center, we're committed to supporting you every step of the way. We pride ourselves on our extensive experience and expertise in gender-affirming procedures. Our state-of-the-art facilities, combined with our team of board-certified plastic surgeons, ensure you receive the highest quality care in a supportive, inclusive environment.

Our expert surgeons and compassionate staff are here to help you achieve your gender affirmation goals. If you've recently undergone gender-affirming chest surgery or are interested in learning if you're a candidate, we invite you to contact us for a consultation. Let us be part of your journey towards feeling more comfortable and confident in your body.