We are able to offer both types of top surgery drainless! Dr. Gallagher uses a technique that allows her to leave you without drains after surgery. Going drainless improves overall healing, reduces chance of infection and is overall far more comfortable for you.
Drains are placed to get rid of fluid (serum) that your body produces whenever a space is made, in this case where the breast tissue has been removed from. If that fluid is left in there it will cause swelling take a long time to go away and may get infected.
Patients hate drains! Patients complain they are the uncomfortable part of the process. If drains are placed they must stay in until they stop draining which is usually about 2 weeks (or longer!).
If drains are left in for a long time there is we know that bacteria can “crawl” up there and cause infections. For this reason most surgeons will keep patients on antibiotics while the drains are in. Antibiotics can cause diarrhea and thrush.
If there is no space left behind there is no need to place a drain. To simplify we get rid of the space by using a technique of placing multiple internal stitches to “tack down” the tissue. It takes a little longer to do (15-25 mins.) but we believe it’s worth it.
Most of our top surgery procedures are done as outpatient, meaning you go home the same day as your surgery. Due to other medical circumstances Dr. Gallagher may choose to keep you as an ‘observation’ patient. This means you are admitted to the hospital and released 23 hours after your admission. In very rare circumstances, we will keep you beyond 23 hours.
The following information is meant for your general information. When the time edges closer to your surgery date, we will issue you further detailed instructions. Items may be individualized as patient needs vary.
As of May 1st, 2018 we are no longer requiring our FTM and Non-Binary Top Surgery Masculoplasty patients to stop or withhold their Testosterone prior to surgery! You may continue your regular schedule regarding your Hormone Replacement Therapy. This new rule change currently only applies to our FTM and Non-Binary patients who are having top surgery. All other procedures for our FTM, Non-Binary and MTF patients are still subject to pausing their HRT at this time.
We have determined this to be medically safe and are happy to discuss more about why we made this change during your consultation or by contacting us at anytime!
This portion is meant to give you general information about your post-op healing time. Once your surgery has been scheduled, you will be issued greater detail on the items of importance.
Dr. Gallagher will ask that with top surgery you take 2 weeks off work to allow for adequate healing before you are back to your regular schedule. For the first few days to week after leaving the hospital we will ask that you have someone home with you to help with anything you may need.