Surgery and Health

The best candidates for top surgery are both physically and emotionally healthy. Dr. Mosser will be able to determine your eligibility following a personal consultation and a discussion of your medical history.

During your consultation, it is important to provide Dr. Mosser with details on your current health, including any current prescriptions, over-the-counter medications or supplements you may be taking. Certain medications may interfere with blood clotting or other medications used during surgery. Dr. Mosser will let you know if any of your current medications must be discontinued prior to surgery.

Health conditions that mean you may not be a good candidate for surgery

  • Diabetes
  • High blood pressure
  • Bleeding disorders
  • Heart or lung disease
  • Severe allergies
  • High cholesterol
  • Arthritis
  • Obesity
  • Severe depression

Dr. Mosser evaluates patients on a case-by-case basis. If you have significant health issues, he will likely request medical clearance for surgery from your regular physician. Dr. Mosser does not use Body Mass Index (BMI) as a way to preclude people from having top surgery. Losing or gaining a significant amount of weight following surgery can impact your final results, so it is important that you are upfront about your weight loss goals with Dr. Mosser during your consultation.


You will have to quit smoking prior to your procedure. Cigarette smoking inhibits blood flow to the skin, which can delay the healing process and increase your risk of other complications. Ideally you should quit smoking at least six weeks in advance of surgery, but you must stop smoking for at least a full three weeks prior to surgery and for three weeks after. Even a single cigarette during this period can negatively impact your healing – especially if your surgery includes nipple grafting. Nipple grafts are very sensitive to smoking and may not survive if you smoke at all.