Why doesn't Lanque have top surgery scars? Are surgeons in Alternia just that good?

There are no surgeons on Alternia, it’s likely bio-mechanical machinery like the Gloryhole of Wellbeing. Also I haven’t gotten as many questions as I thought I would, but I won’t be answering much about the End of Friendsim until a week or so passes, to give people time to experience it themselves without spoiling much! But god do I want to talk about stuff.

EDIT: Actually some people are pointing out the deeper dark lines under his chest in his sprite could actually be top surgery scars.