As a medical professional with a focus on gender-affirming surgeries, I can provide a comprehensive explanation of what a double incision top surgery is. This procedure is also known as a bilateral mastectomy with chest contouring, and it's a surgical option for transgender men and non-binary individuals who wish to achieve a more masculine chest appearance.

Double Incision Top Surgery is a gender-affirming procedure that involves creating two horizontal incisions—one at the top and one at the bottom of the pectoral muscles. The primary goal of this surgery is to remove breast tissue and reshape the chest to create a flatter, more masculine contour. It is considered one of the most effective methods for individuals with medium to large chests, as it allows for the removal of a significant amount of tissue while still providing a natural-looking result.

### Procedure Details


1. Anesthesia: The surgery is performed under general anesthesia, ensuring the patient is comfortable and pain-free throughout the procedure.


2. Incisions: The surgeon makes two incisions—one along the inframammary fold (the natural crease beneath the breast) and the other across the top of the pectoral muscle. These incisions are strategically placed to be as inconspicuous as possible, often hidden within the contours of the chest.


3. Tissue Removal: Through these incisions, the surgeon removes the breast tissue. The extent of tissue removal varies based on the patient's anatomy and desired outcome. In some cases, liposuction may be used in conjunction with the surgery to further contour the chest.


4. Contouring: After the tissue is removed, the surgeon will contour the chest wall. This involves reshaping the underlying muscle and tissue to create a more masculine appearance. The pectoral muscles are not removed or altered; instead, they are contoured to better fit the new chest shape.


5. Skin Closure: Once the chest has been contoured, the incisions are closed with sutures or staples. The skin is then dressed, and a compression garment may be applied to support the chest and minimize swelling.

### Benefits and Considerations

- Scarring: While the incisions are made with the intention of being as discreet as possible, there will be some scarring. However, with proper care and the passage of time, these scars can become less noticeable.

- Recovery: The recovery period varies from person to person but generally takes several weeks. Patients are typically advised to avoid strenuous activities and heavy lifting during this time.

- Results: The results of double incision top surgery are often highly satisfying for patients, as it can significantly alter their chest's appearance to align more closely with their gender identity.

- Risks: As with any surgery, there are risks involved, including infection, bleeding, and anesthesia complications. However, these risks are minimized when the surgery is performed by an experienced surgeon in a reputable facility.

- Post-Operative Care: Following the surgery, patients will need to follow a specific post-operative care regimen to ensure proper healing. This may include taking prescribed medications, attending follow-up appointments, and adhering to activity restrictions.

### Conclusion

Double incision top surgery is a significant step for many individuals in their journey toward gender affirmation. It's a procedure that requires careful consideration, thorough consultation with a qualified surgeon, and a commitment to post-operative care. The end result can be a profound improvement in self-esteem and comfort in one's own skin.

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The Double Incision Top Surgery procedure is the most widely-used technique and is ideal for those who are medium to large chested. During this procedure, the skin on the chest is opened along two horizontal incisions, at the top and bottom of the pectoral muscle. (The muscle itself is not touched.)Apr 26, 2018read more >>