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Scarring After Top Surgery: What’s Normal and How to Minimize It

Gender-affirming procedures are essential for many transgender and nonbinary patients to achieve emotional relief and improved self-confidence. While the outcome is potentially life-changing, many patients worry about scarring.

As a board-certified plastic and reconstructive surgeon in Long Island, Dr. Meredith Vandegrift has helped countless patients confirm their top surgery candidacy. This guide covers what scarring you can expect and how to minimize them for more satisfaction with your results.

Why Scarring Happens After Top Surgery

Scars are part of your natural healing response. Your body will produce collagen fibers to close and repair an injury. Over time, this new tissue strengthens and becomes less noticeable, but the scar will never disappear completely.

While scars are reminders of the transformation brought about by top surgery, it’s only natural to wonder if they will cause dissatisfaction or embarrassment about your appearance. Scar size and placement depend on several factors:

  • Surgical technique
  • Chest size and skin elasticity
  • Healing ability and genetics
  • Adherence to postoperative care instructions

Because everyone is unique, scarring outcomes vary. Some patients heal with thin, flat scars that match their skin tone, while others may develop thick, raised, or da