Complications after top surgery are rare when performed by a seasoned, board-certified plastic surgeon such as Dr. Parakh, MD, FACS. As long as the patient is a healthy non-smoker and they follow their postoperative instructions carefully, recovery is typically smooth and stress-free. However, all surgeries come with certain inherent risks. These may include asymmetry, pain, scarring, loss of sensation, and poor reactions to anesthesia.