Trans mastectomy is one of the most requested surgical procedures among trans men and non-binary people who wish to achieve a flatter chest that matches their gender identity. This procedure removes the breast glandular tissue and reshapes the pectoral area. Continue reading to discover all the details about post-mastectomy recovery.

The Transgender Mastectomy Procedure

A trans mastectomy, or also known as FTM top surgery, is always performed under general anaesthesia, so the patient feels no pain during the operation. The surgery itself is straightforward and complications are uncommon. The surgeon removes the breast tissue through strategically placed incisions designed to keep scarring as inconspicuous as possible.

In most cases, the areolae and nipples are resized or repositioned to achieve the most aesthetic and harmonious result. At IM GENDER, different surgical techniques are used depending on the characteristics and needs of the patient..

Mastectomy Recovery

Once the operation is complete, the postoperative phase begins—an essential part of the process. Twenty-four hours after surgery, the patient can go home, following the surgeon’s recommendations and care instructions. If all postoperative guidelines are followed, recovery usually takes between six and eight weeks.

After mastectomy, it is important to wear a compression vest for at least four weeks, as advised by your surgeon. It must be worn correctly and removed only for personal hygiene or when instructed.

Swelling and discomfort are also normal parts of recovery. Inflammation generally subsides progressively with the compression garment and by following medical advice. If pain is severe or you notice signs of infection—such as excessive redness, fever or abnormal discharge—contact your surgeon immediately.

Key Tips and Recommendations for Optimal Post-mastectomy Recovery

  • Care for the drains placed by your doctor to prevent fluid build-up. These drains are usually removed after 24–48 hours.
  • Keep the scar dry in the first few days until you receive medical clearance.
  • Wear a compression garment during the first weeks to minimise bruising and help the skin adapt.
  • Avoid exertion and limit upper-body movement for the first 4–6 weeks.
  • Sleep on your back.
  • Post-operative physiotherapy is recommended: gentle exercises with a physiotherapist from the second or third week to regain arm and shoulder mobility without compromising healing.
Resultados después de la recuperación de vaginoplastia

Results after Recovery

Before and After Mastectomy

Looking at before-and-after mastectomy examples can give you a clearer idea of possible outcomes. Although every patient and case are different, you can see the results achieved by others to understand how our professionals work. At IM GENDER, we have a specialized team to guide you through every step of the process, helping you achieve a flat, aesthetically harmonious chest.

Everyday Life after Mastectomy

Regarding the return to daily activities, recovery time varies according to each patient’s routine. You should wait 4–6 weeks before resuming normal life and about two weeks before returning to office work. If your activities involve physical effort, extending recovery to eight or ten weeks is recommended.

Post-mastectomy Concerns

Mastectomy raises many questions and concerns. It is important for us to resolve all these worries, so our patients feel as calm and confident as possible on the day of surgery.

Resuming Exercise after Mastectomy

After surgery, it is essential to give your body time to heal. Generally, strenuous activity, weight-lifting and intense exercise should be avoided. The timing varies with the type of surgery and recovery progress; always consult your surgeon before resuming any physical activity. In some cases, gentle exercises may be advised to promote circulation.

Keeping the area dry is important, so start with low-impact exercises that do not cause sweating. Showering time will depend on the type of surgery and your surgeon’s instructions; waiting 48–72 hours help prevent the operated area from contacting water and reduces infection risk.

How to Sleep after Mastectomy

Sleeping on your back for at least four weeks is recommended to avoid pressure on the operated area and reduce the risk of inflammation or tissue displacement during healing. If you find this position difficult, consult your doctor about possible adaptations.

Now that we have addressed all your questions and concerns about post-mastectomy recovery, you should feel more at ease after learning the process in detail.

If you have further questions about mastectomy, book an appointment with the IM GENDER specialist team and we will gladly assist you.