“Top surgery” is a term commonly associated with female-to-male (FTM) transgender individuals, referring to mastectomy or chest masculinization. For male-to-female (MTF) transgender individuals, breast augmentation or enhancement might be pursued. The recovery from breast augmentation surgery for MTF individuals has its own set of considerations. Here’s a general outline of what to expect during recovery:

1. Immediate Post-Surgery:
   • After the surgery, patients typically wear a surgical bra that provides support to the newly augmented breasts.
   • Drains might be placed to help remove excess fluid, though not all surgeons use them.
   • There may be swelling, bruising, and discomfort in the chest area.
2. Pain Management:
   • Pain is a common side effect in the days following surgery. Patients are usually prescribed pain medications to manage this. Over time, the pain will subside and can be managed with over-the-counter pain relievers.
3. Activity Restrictions:
   • Patients are advised to avoid strenuous activities and heavy lifting for several weeks after the procedure.
   • Most can return to non-strenuous work or daily activities within a week or so, but this varies depending on the individual and the specifics of their surgery.
4. Swelling and Bruising:
   • Swelling and bruising are normal after breast augmentation and will gradually reduce over several weeks.
   • Sleeping in an elevated position can help reduce swelling.
5. Follow-up Appointments:
   • Regular post-operative appointments will be scheduled to check the healing process, remove stitches (if non-dissolvable ones are used), and address any concerns.
6. Scarring:
   • Scarring will depend on the surgical technique used. Common incision sites include around the areola, in the breast fold, or in the armpit.
   • Scars will be red and noticeable at first, but over time (usually over several months to a year), they’ll fade and become less noticeable.
   • Silicone gel sheets, scar creams, and massage might be recommended to improve the appearance of scars.
7. Long-term Care:
   • It’s essential to monitor breast health, including the integrity of the implants. Regular mammograms or other imaging (like MRIs) might be recommended, especially if silicone gel implants are used.
   • The breasts will settle into their final position over a few months, a process sometimes referred to as “dropping and fluffing.”
8. Potential Complications:
   • As with any surgery, there are risks. Some potential complications specific to breast augmentation include capsular contracture (scar tissue around the implant hardens), rupture or leakage of the implant, and changes in nipple or breast sensation.
   • Any unusual symptoms or concerns should be immediately addressed with the surgeon.

Recovery experiences can vary widely based on individual factors, the surgical technique used, and the surgeon’s expertise. It’s vital to follow post-operative instructions carefully and maintain open communication with the surgical team to ensure a smooth recovery and optimal results.