Why We Created This FAQ Guide
Patients considering top surgery often arrive with the same core questions — about the procedure itself, recovery, insurance, and results. This guide pulls together Dr. Jandali’s most frequently asked questions and answers so you can come to your consultation informed and ready to plan your gender-affirming journey.
We welcome patients from across Bridgeport, Fairfield, Stratford, Milford, Shelton, Westport, Norwalk, Easton, Monroe, Derby, Ansonia, Seymour, Oxford, Newtown, Bethel, Weston, Wilton, and Southbury.
FAQ #1: What exactly is top surgery?
Top surgery is a gender-affirming chest procedure designed to remove breast tissue and reshape the chest to create a more traditionally masculine contour. Techniques include:
- Double incision with free nipple grafts
- Periareolar (keyhole)
- Buttonhole / nipple-sparing methods
The choice depends on chest size, skin elasticity, nipple position, and sensation goals.
Patient Perspective (Milford):
“I didn’t know there were multiple techniques. The consult helped me understand why double incision was my best option.” — Casey, Milford
FAQ #2: How long does the surgery take?
Most top surgeries take 2–3 hours, depending on:
- Surgical technique
- Chest size and contouring needs
- Whether nipple grafting is performed
You’ll go home the same day in almost all cases.
FAQ #3: What’s the typical recovery timeline?
First 1–2 weeks:
- Wear a compression garment 24/7
- Avoid lifting arms abruptly above shoulders
- Return to desk work possible in 1–2 weeks
Weeks 4–6:
- Resume light lower body exercise
- Avoid heavy lifting or chest workouts
3–6 months:
- Final contour begins to show
- Swelling mostly resolved
FAQ #4: Will I have scars?
Yes, all surgical techniques leave scars. Their size and location depend on the method:
- Double incision: One scar line across the lower chest and one around the nipple/areola.
- Periareolar: Circular scar around the nipple
- Buttonhole: One scar line across the lower chest and one around the nipple/areola.
Scars fade over 12–18 months with proper care (silicone therapy, sun protection).
FAQ #5: Will I lose nipple sensation?
Possibly — sensation changes vary by:
- Technique chosen
- Your unique healing response
- Nerve regeneration over time
Double incision typically reduces nipple sensation more than periareolar or buttonhole methods.
FAQ #6: Is top surgery covered by insurance in Connecticut?
In many cases, yes — if deemed medically necessary for gender dysphoria. Requirements typically include:
- Letter of Medical Necessity from a mental health professional
- Possible supporting documentation from your PCP or endocrinologist
We work with carriers like Anthem Blue Cross Blue Shield, Aetna, Cigna, UnitedHealthcare, ConnectiCare, and Harvard Pilgrim.
FAQ #7: Can I choose my scar placement?
To some extent. While anatomy and safety come first, we discuss:
- Scar shape and curve
- Position relative to pectoral muscle shadow
- How it will look in clothing or shirtless
FAQ #8: How do I prepare for surgery?
- Stop nicotine at least 4 weeks before
- Pause blood-thinning supplements/medications (per surgeon)
- Arrange for 1–2 weeks of help at home
- Prepare a recovery area with easy-to-reach items
- Wear zip-up or button-up tops post-op
FAQ #9: How much time off work will I need?
- Desk job: 1–2 weeks
- Active job: 4–6 weeks
- Heavy lifting job: 6–8 weeks or more
FAQ #10: Can I combine top surgery with other procedures?
Yes — some patients combine:
- Liposuction of axillary (side chest) areas
- Scar revisions from previous surgeries
- Small contouring adjustments
We ensure it’s safe before adding procedures.
FAQ #11: What risks should I know about?
- Bleeding or infection
- Fluid accumulation (seroma)
- Poor wound healing
- Asymmetry or contour irregularities
- Loss of nipple grafts or pigment (rare)
- Unfavorable or thickened scarring
FAQ #12: What if I’m not happy with my results?
Minor revisions can refine:
- Scar position
- Small contour irregularities
- Nipple/areola size or placement
FAQ #13: What towns do you serve in Connecticut?
We’re located in Trumbull, convenient for:
- Bridgeport, Fairfield, Stratford, Milford, Shelton
- Westport, Norwalk, Easton, Monroe
- Derby, Ansonia, Seymour, Oxford
- Newtown, Bethel, Weston, Wilton, Southbury
FAQ #14: How do I choose the right technique?
We consider:
- Chest size and skin elasticity
- Nipple size and position
- Desire for minimal scars vs. maximum contouring
- Sensation priorities
FAQ #15: How far in advance should I schedule?
Insurance approval and pre-op planning can take 6–12 weeks, so scheduling early ensures you secure your preferred surgery date.
Patient Perspective (Fairfield):
“From the first call to surgery day, the process felt organized. I knew exactly what to expect at each step.” — Sam, Fairfield
Internal Links in Series
- Top Surgery 101 – Understanding the Procedure
- Top Surgery Recovery – Timeline, Scar Care, and What to Expect
- Insurance & Coverage for Top Surgery in Connecticut
- Choosing the Right Top Surgery Procedure
- You are here: Top Surgery FAQs – Expert Answers from Dr. Jandali
Call to Action
Still have questions? Schedule a consultation with Dr. Shareef Jandali to discuss your goals, review surgical options, and create a personalized plan.
Jandali Plastic Surgery
5520 Park Ave, Suite WP-2-300, Trumbull, CT 06611
Phone: (203) 374-0310 | Website: jandaliplasticsurgery.co
