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This video is about how to choose between top surgery procedures involving larger scars (e.g. double incision top surgery) vs. minimal scar approaches like the periareolar or keyhole approach in cases that are unclear, where the anatomy is borderline and you might be able to go one way or the other. I am also going to mention some middle-of-the-road procedures like the lollipop scar. What are the things I look for during the consultation that steer me in one direction vs. another? What are the downsides to choosing a minimal scar approach in top surgery for chest wall anatomy that is not ideal for that approach? What are the downsides to the lollipop scar? In my last video on top surgery anatomy, we addressed these questions: How do you figure out which top surgery procedure is best for your anatomy? How do you choose a top surgery procedure? Should you choose a procedure involving a larger scar such as the double incision approach OR a minimal scar approach like the periareolar and keyhole approach? But we didn't dive into borderline anatomy cases where your chest wall anatomy is on the cusp of ALMOST qualifying for a minimal scar approach. This will be addressed here. WATCH NEXT: Top Surgery Anatomy (Part 1): • Top Surgery Anatomy // What Procedure is B... If you like this video, share, like, comment & don't forget to subscribe for more content! The music I use with my videos: https://www.epidemicsound.com/referra... There are two broad categories of surgical approaches to gender affirming top surgery, approaches that involve some kind of skin excision (such as the double incision approach) and those that involve minimal scarring (the periareolar and keyhole approach). While ideal scarring is never a guarantee, usually scars after periareolar and keyhole approach top surgery are extremely well hidden within the border of the areola and surrounding chest wall skin. Top surgery scar care is an important part of the postoperative care. Other important adjuncts are using drains to remove fluid and prevent complications that could develop as a result of fluid buildup, and compression therapy to prevent swelling and to keep the surgical skin flaps flat against the chest wall. In this video, you will see what the drains look like and what it is like to have drains removed. You will see the compression wrap being removed at the first postoperative visit and what to expect regarding the amount of swelling at the first few post op visits. //CONTACT: [email protected] DISCLAIMERS: I am a plastic surgeon and I perform top surgery routinely, but I am not YOUR plastic surgeon and your case may be handled differently after an in-person consultation. It is difficult to provide advice without an in-person consultation and physical examination. Links included in this description might be affiliate links. If you purchase a product or service with the links that I provide I may receive a small commission. There is no additional charge to you! Thank you for supporting my channel so I can continue to provide you with free content!