Hi. My fiance is considering top surgery but is really worried about the scars. They've seen some pictures that have scared them, but I think most of what they've seen is from before 2005. Is there more recent information that we should be aware of in researching top surgery? What sort of options do they have in approaching their decision? Thank you.
Anonymous asked
Zak: There ARE top surgery options that don’t involve major scars, such as the periareolar method. This is typically an option for those with smaller chests. Prominent, U-shaped scars are associated with the double incision method. For more about the different methods and their pros and cons, see Hudson’s Guide. Adrian had the peri and I had the DI, so we like to take pictures to compare our results a bit. We haven’t done one in awhile, so this is quite old, but it gives you an idea of what the results can look like for both:

As for scars, a lot of people have different feelings about them and so whether or not they are something to worry about will probably depend on your fiance. They do tend to fade with time and some people even get tattoos over them to cover them up. I had my top surgery in 2011 and my scars are still pretty noticeable, but it doesn’t look like I got mauled by a bear or anything. I’ve gone without my shirt at the beach, swimming pool, etc. and haven’t had anyone come up to me or give me strange looks. At first I was really insecure about it, but it’s become just a part of my body that I’m comfortable with. Having said that, I know some people are really uncomfortable with their scars and really dislike them. This is what my scars look like more recently, this picture was taken a few months ago when I was about 1 1/2 post-op (I’d take a more recent picture but the lighting is bad in here right now):
Sorry for the selfies!
What scars end up looking like depends a lot on the individual (some people scar worse than others) and the surgeon. As I mentioned before, things also change a lot with time. To give you a good idea of that process, I’d recommend checking out Ryan Sallans’ website since he documented his top surgery from right after surgery to 7 years post-op. You can also look at the results from a ton of different people who have had various surgeries from different surgeons over different time periods at transbucket.com (you do have to register to see pictures, but it’s totally worth it!). Other than that, I think the best research is talking to other people who have had top surgery and looking at their results. The “periareolar,” “top surgery,” and “double incision” tags all have numerous pictures as well as blog posts of people discussing their surgery and surgeon choice.
Hope that helps! If you or your fiance have any other questions, feel free to ask!