Gender-Affirming Care · June 5, 2026 · 6 min read
Top Surgery Scars: How They Heal and How to Care for Them
Scars are part of top surgery — but with good care they fade beautifully. Here is what to expect and how to support your healing.
This article is general information and education — not medical advice. Everyone is different, and your surgeon or medical provider will know what’s right for your individual circumstances.
Scarring is a natural part of top surgery, and understanding it ahead of time makes the result easier to embrace. The type and placement of scars depends on your technique, and with good care they typically soften and fade over the months that follow.
Scars by technique
Keyhole and periareolar approaches leave small scars around the areola. Double incision creates horizontal scars along the lower chest, often placed to follow the natural contour. Your surgeon plans incisions to be as discreet as possible while achieving the shape you want.
How scars heal over time
Fresh scars often look firm and pink, then gradually flatten and lighten. Most of this maturing happens over the first six to twelve months, and scars usually continue to improve for up to a year and beyond.
Supporting your healing
Following your surgeon’s aftercare, protecting scars from the sun, and using recommended scar care such as silicone sheets or gel can all help. Healthy habits — good nutrition, hydration, and not smoking — support the body’s natural repair.
The takeaway
Scars are the trade for the chest you want, and with thoughtful surgery and care they fade into the background of a result you love. Your surgeon will give you a scar-care plan tailored to your skin and technique.
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