Proper wound care is vital for healing after gender affirmation procedures such as Facial Feminization Surgery (FFS), Facial Masculinization Surgery (FMS), Gender Confirmation Surgery (GCS), Breast Augmentation (BA), and Breast Removal or Reduction (BR). Meticulous incision care and monitoring can prevent infections and other complications as patients recover.
Instructions for Keeping Incisions Clean
Gently cleanse incisions daily with a mild, fragrance-free soap and lukewarm water. Avoid harsh scrubbing. For facial procedures, use a squirt bottle and cupped hands to gently apply cleansing solution and rinse away debris. Pat dry with sterile gauze or a clean towel. Don't rub or wipe vigorously. After GCS, clean the genital area front to back following bathroom use. Pat dry, don't scrub. Use a bidet or sitz bath if possible. Always wash hands thoroughly before touching wounds.
Guidelines for Changing Bandages and Dressings
Wash hands with soap and water before changing dressings. Remove old dressings carefully without disturbing incisions, watching for stuck gauze. Lightly apply prescribed ointments over steri-strips or sutures, don't overdo it. Place fresh gauze pads, securely taping edges down. For the face, use paper tape to avoid irritation. For the breasts and torso, wrap dressings snugly.
Symptoms That May Indicate an Infection Requiring Medical Attention
Signs of Infection
Monitor for redness, swelling, increasing pain, odor, drainage, warmth, tenderness, or fever over 101°F. In some cases, the application of antibacterial powders or iodine may be considered to manage the infection. Notify your surgeon immediately if any of these infection signs are present.
Signs of Hematoma/Seroma
A hematoma is a collection of blood outside of blood vessels, causing swelling and bruising. A seroma is an accumulation of fluids in tissues or organs, presenting as swelling, fluid buildup, warmth, and redness. Notify your surgeon promptly if these symptoms are present as they may require medical intervention.
Controlling Discomfort During Recovery
Take prescribed medications as directed. Don't exceed the dosage. Use ice packs intermittently the first 2-3 days to reduce swelling. Only take OTC pain medication recommended by your doctor and avoid aspirin. Track your pain levels, reporting any severe or escalating pain.
Tips for Minimizing the Appearance of Scars
Caring for scars is essential to minimize their appearance. Shield scars from sun for 12 months after surgery using sunscreen, protective clothing, and silicone sheets. Apply SPF 30+ sunscreen daily to prevent scars becoming permanently reddened. Reapply every 2 hours.
Apply silicone sheets consistently for 6-12 months post-op to reduce scarring. Use as directed by your doctor to hydrate, flatten, and soften scars. Wash and replace sheets according to product instructions. May start 1-2 weeks after stitches are removed.
Use other scar treatments such as steri-strips or silicone gel as advised by your surgeon. Continue diligent scar care for 1-2 years to reap the most benefits in reducing visible scarring.
Guidelines for Limiting Activity to Protect Healing Incisions
Avoid strenuous activity that could damage healing incisions. Follow your surgeon's guidelines on when it is safe to resume normal movement and exercise. Lifting weight restrictions may apply for several weeks.
Diet and Fluid Intake Recommendations for Recovery
Eat a balanced diet to provide the nutrients needed for wound healing. Stay hydrated by drinking at least 64 ounces of water daily. Check with your doctor for any dietary restrictions specific to your procedure.
Additional Help and Information for Patients
Connect with support communities and utilize telehealth platforms to ask questions. Use postoperative checklists and track healing progress with photos. Read up on your procedure using patient forums and educational websites.
Follow all of your surgeon's specific post-op instructions closely for optimal healing and recovery. Don't hesitate to call their office with any questions or concerns. Prioritize your comfort and wound healing throughout the process.
Closing Thoughts
As you embark on your journey of healing and recovery, remember that each day brings you one step closer to your desired outcome. While this guide provides comprehensive and practical advice for your post-surgical care, it's important to remember that your experience is unique. Stay in close communication with your healthcare provider, adhere to the guidelines provided, and be patient with your body as it heals.
We understand that surgery is not just a physical transformation, but also an emotional and psychological journey. Remember, you are not alone in this process. Seek support from loved ones, connect with others who have walked this path, and allow yourself the time and space to heal not just physically, but emotionally and mentally as well.
