Ultimate Guide to Getting Ready for Top Surgery

“This article may contain affiliate links. As an Amazon Associate, I earn from qualifying purchases.” Preparing for top surgery can be daunting, especially if it’s a procedure you’ve long desired. If you’re currently gearing up for gender-affirming chest surgery to remove or enhance breast tissue, it’s natural to have pre-operative jitters and seek reassurance by scouring the web for answers. However, delving deep into online forums may only heighten your anxiety.

If you’re seeking advice on how to prepare for top surgery without being overwhelmed by negative stories, you’re in the right place. I spoke with three experts who shared valuable tips on readying yourself for the procedure while maintaining peace of mind. Before diving into the advice, remember that selecting the right surgeon is crucial for a successful outcome. Apart from choosing a skilled and gender-affirming practitioner, ensure they understand your expectations and can deliver the desired results.

According to Eric Plemons, PhD, an anthropology professor specializing in transgender studies, your surgeon’s techniques will vary based on factors like breast size, skin quality, and your aesthetic goals. He recommends watching before-and-after videos on YouTube and reviewing post-surgery images online to help define your aspirations. If your surgeon doesn’t align with your vision, seek a different provider. Once you’ve secured an appointment with a trusted surgeon, here’s what the experts recommend to prepare for top surgery.

1. Familiarize yourself with your doctor’s pre-op and post-op instructions. These guidelines typically cover dietary restrictions, activity limitations, wound care, and prescribed medications. Adhering to these guidelines diligently can enhance surgical outcomes and facilitate a smoother recovery, advises plastic surgeon Scott Mosser, MD, FACS.

2. Organize your living space for post-surgery recovery. Since top surgery is a significant procedure requiring rest at home for one to two weeks, ensure your environment is conducive to recovery. Set up a comfortable resting area with a mastectomy pillow, and consider acquiring essentials like a long phone charger, a grabber tool, and a back scratcher for added comfort.

3. Plan adequate time off work to recuperate after surgery. It’s crucial to allow your body ample rest and healing time, so adjust your schedule accordingly to avoid rushing back to work prematurely.

During your recovery period, it’s important not to stress about returning to work. Make sure to request an adequate amount of time off to allow yourself to fully rest and heal. The duration of your time off will vary from person to person, so it’s recommended to discuss this with your surgeon during your pre-op appointments.

The physical demands of your job will play a significant role in determining how much time you need to take off. Following surgery, you will have limited movement and be unable to lift heavy objects, which may impact your work responsibilities. It’s advised to identify the most physically strenuous aspects of your job with your surgeon to determine an appropriate leave period.

For your post-op wardrobe, stock up on loose-fitting button-up and zip-up shirts that are easy to put on and take off without raising your arms. These types of shirts will be practical and comfortable during your recovery, especially if you have surgical drain tubes. Consider purchasing shirts from a thrift store to avoid worrying about potential stains.

To aid in skin recovery post-surgery, consider using emollient-infused moisturizers like Bio-Oil or Palmer’s Cocoa Butter Lotion. Consult with your doctor before using these products, and be careful to avoid applying them directly on incision sites. Silicone scar tape can also be used after scabs have fallen off to help optimize healing.

If you smoke or vape, it is crucial to quit before and after top surgery to reduce the risk of complications and promote healing. Smoking can increase the chances of anesthesia and postoperative complications, as well as delay healing. Most surgeons recommend a smoke-free period of at least four weeks before and after surgery.

Having a strong support system in place is essential during the recovery period. Enlist the help of friends or family members to assist with your basic needs following surgery. A positive and supportive presence can greatly benefit your recovery process and overall outcomes.

Dr. Mosser emphasizes the importance of open communication with loved ones prior to surgery to ensure a supportive environment. Setting clear expectations about needed assistance and fostering an atmosphere of care are essential. It is crucial to arrange for a designated driver post-procedure as driving yourself will not be permitted. Consider who can assist with daily activities like dressing, showering, meal preparation, medication reminders, and pet care. Emotional support is equally vital throughout the top surgery process. Anticipating the emotional significance of the surgery, Plemons advises leaning on a support system to navigate feelings before and after the operation. Connecting with friends, chosen family, or online communities for reassurance and encouragement is key. Even simple gestures such as check-ins or affirming conversations can greatly impact your recovery experience. Expect a spectrum of emotions post-surgery, such as excitement, anxiety, and unexpected feelings. Jesse Kahn stresses the importance of allowing yourself to feel and process these emotions without judgment. Seeking therapy can aid in this emotional journey, providing a safe space to reflect and express your feelings. Practicing self-care, managing expectations, and engaging in comforting activities are crucial aspects of the top surgery process. Planning a celebratory outfit to wear post-recovery can be a rewarding and empowering experience. Whether it’s a shirt you’ve always wanted or an ensemble to flaunt your transformed body, choose something that reflects your excitement and confidence. Remember, this advice is not a substitute for medical guidance. Always consult with a healthcare professional for personalized advice and support.

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