Top Surgery Surgery FAQs

1. How do I prepare for top surgery?

‍For any type of plastic surgery, it is important to make sure that you are in optimal health. Here are some proactive steps that you can take to help strengthen your body’s immune system prior to your surgery to ensure successful results and speed up your healing.Stop drinking alcohol at least a week leading up to your surgery. Doctors warn against drinking even a small amount of alcohol before your top surgery, as it can weaken the immune system and impede recovery.
Quit smoking three to six weeks before your operation. According to the World Health Organization (WHO), smokers have a higher risk of suffering from post-surgical complications.If you are overweight, you might need to first achieve a stable and healthy weight before undergoing the surgery. Follow a nutritious top surgery diet rich in protein, vitamin C, and zinc.

2. Do I have to stop testosterone/medications before surgery?

No. However, our doctors may recommend that you discontinue taking testosterone on the day of your surgery.

3. How long is the phone pre-op call?

Typically, a phone pre-op call can take anywhere from 15 to 30 minutes, depending on how many questions you may have.

4. Is the prescription covered through my benefits?

It depends. Since every insurance company is different, you should check with your provider to see if this is covered under your health card plan.

5. Do I have to take off any of my body piercings?
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Good news! You can leave most of your piercings in, except for the ones that may affect the surgery (i.e. piercings in the nose, mouth, and of course, chest area). Don’t worry. Our anesthetist will advise and assist you should there be piercings and other matters that need to be taken care of before the actual procedure.

1. How long of a recovery period can I expect and what kind of help will I need during my recovery?
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Generally, the recovery period for top surgery takes around 6 to 8 weeks after the procedure. After this time frame, you will be able to resume physical activities, such as running, lifting, and various other sports. We recommend that you arrange for a family member, friend, or caregiver to assist you within the first 24 to 48 hours post-op when you’ll experience some discomfort and limited movement.

2. Can I drive myself home after surgery?
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No. We require a caregiver over the age of 18 pick you up following your surgery and drive you home. The amount of time it takes for you to be able to drive again will depend on the specifics of your surgery and your body’s healing process. Before driving again, you would need to be able to make unrestrained arm movements that won’t cause discomfort or scarring. This will usually take around 1 or 2 weeks.

3. What do the follow-up appointments look like?
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Your first post-operative appointment is set a day after your surgery either in person or over the phone. The next follow-up checkup will be 5 to 10 days later where you have to come into the clinic to remove your dressings or drains, depending on what type of surgery you had.

4. What type of pain medication is given after surgery?
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We prescribe tramadol for post-surgery pain relief.

5. Is there a local hotel I can stay at?

Delta Hotels by Marriott Toronto Mississauga is located in our building. Our clinic is across Square One. There are also many Airbnb listings within the Greater Toronto Area that may suit your needs.

6. How long does someone have to stay with me after my surgery?

The first 24 to 48 hours after the surgery is most crucial. You may experience a bit of pain and discomfort and will be unable to move your arms. We recommend that you request a friend or family member to stay with you or arrange for a caregiver during this time.

7. When can I swim, exercise, or be topless in the sun?
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We strongly advise against prolonged sun exposure, which can pose risks of darkening your incision scars, making them more visible. Avoid swimming and other forms of exercises that require strenuous arm movements that may put a strain on the incision site. We suggest waiting at least 6 months or until your doctor approves.

8. When can I get a tattoo?
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Getting a tattoo post-surgery can increase your risk of infection. If you are planning on getting a tattoo to conceal your surgical scars, you should wait at least 12 to 18 months post operation. It’s also best to consult your doctor before getting inked.

9. What can I use on my scars?
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We highly recommend using our Scar Recovery Gel from Skin Medica. It is plant-based, delivers great results, dries very quickly with, and without the mess or staining of your clothes.

1. How do I know which top surgery procedure is best for me?

After an initial consultation, our doctors will discuss which treatment options are recommended for your body type.

2. Can I be operated on if I am overweight?

As a private clinic we are not equipped with all of extra resources found in hospital settings to accommodate higher BMI patients. Weight can significantly influence the results of your surgery. Therefore, good candidates for top surgery should have a healthy and stable weight, specifically with a BMI under 33 in most cases. Weight must remain accurate and stable from time of consultation through to surgical date or patients risk cancellation of their surgery.

3. Will I need bloodwork done before surgery?
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As with any type of medical procedure, your doctor may request lab tests done to ensure the success and safety of your operation. This will be discussed during the initial consultation.

4. Does my private insurance cover top surgery or the contouring fees?
We don’t deal with third-party insurance companies. We suggest discussing the details of your coverage with your provider.

5. Do you perform bottom surgery as well?
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No. We do not perform bottom surgery at our clinic.

6. Do I need a referral to receive the surgery?
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A referral is always necessary for an OHIP procedure. For self-pay procedures, referrals are helpful, but not required.
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7. If I need a revision, when can I have it done?

We recommend that you wait at least 9 months to a year until the body is fully healed before you do a revision surgery.

8. Where does the surgery take place?

The top surgery is performed at GraceMed x McLean Clinic in Mississauga, Ontario.

9. Will I have drains?
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In most instances, drains are not required. Necessity for drains are dependent on a variety of factors and will be discussed by your surgeon as needed.
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10. What is a dog ear?
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Dog ears refer to the excess skin and fat that protrude out of the primary incision lines on the sides or near the center of the chest after a double-incision top surgery.

11. Can I still get pregnant after having top surgery?
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Yes. The breasts are not involved in the gestational process. Having them removed through top surgery will not affect your ability to conceive unless you’ve had other procedures done like a bottom surgery.

12. Do I have to have nipples?

It’s up to you. Patients have the option to get a top surgery done without nipples.

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