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GraceMed x McLean Clinic is at the forefront of top surgery in Canada, comprised of a team of surgeons with more than 20 years of experience performing gender affirming procedures. With a caring and relaxed approach, coupled with our understanding of how much gender confirmation surgery means to our patients, you can be sure to receive all the support you need when you select us as part of your journey.
Also called a bilateral mastectomy, double incision mastectomy involves opening the skin on the chest using two horizontal incisions—one at the top and another at the bottom—of the pectoral muscle and removing breast fats, tissues, and excess skin. The nipples and areolas may also be decreased in size and repositioned for a natural-looking flat chest.
Have medium to large chests
Have low skin elasticity
Have no concern for nipple sensitivity
Keyhole top surgery, using the periareolar approach, makes a semi-circular incision along the base of the areola and the breast tissue is removed using liposuction. This top surgery technique leaves the nipple stalk intact, allowing for a higher chance of maintaining nerve sensation. Despite the desirable benefits, keyhole top surgery isn’t for everyone. Only about 5% of the general population are good candidates for this procedure.
Have smaller chests
(A-B cup breast size)
Have good skin elasticity
In this procedure, two incisions are made along the lower border of the pectoral muscles, similar to a standard double incision mastectomy. The breast tissue is meticulously removed, creating a more masculine chest contour. Throughout the process, the surgeon takes great care to detach the nipple-areola complex from the underlying breast tissue while preserving its blood supply.
Have smaller to medium chests
Looking to Preserve the Nipple
This surgical technique is designed to assist individuals of diverse gender identities, including transgender, non-binary, and gender-nonconforming individuals, in achieving their desired chest contour and alleviating gender dysphoria. We are committed to providing a safe and inclusive environment where all individuals can access the transformative care they need to align their physical appearance with their authentic selves.
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Have larger chests
Want to preserve the nipple
Body masculinization surgery is a series of procedures that aim to transform feminine curves into a more masculine physique. It uses liposuction to remove body fat from the hips, abdomen, buttocks, arms, and other areas that create a feminine appearance.
At least 18 years old
Body mass index of 35 or less, or have a weight proportionate to their frame
Non-smokers or who can quit smoking four weeks before the procedure
Have taken hormone therapy for at least a year
While weight training, hormone therapy, and diet can help you achieve a more masculine physique, there are certain fat stores in the body that are difficult to change with exercise and diet alone. Gender affirming surgery—may be required to achieve your desired physical aesthetic goals.
Gender affirming surgery combines top surgery and body contouring procedures in order to help eliminate that “hourglass” figure so you feel more confident in your skin.
Although there are several different top surgery techniques used in gender affirmation surgery, the most appropriate procedure for you is largely based on your chest size and skin elasticity. During your initial consultation with McLean Clinic, it will be determined whether you’re an ideal candidate for double incision or keyhole top surgery.
We offer surgery techniques that accommodate every breast size and shape so you can be sure you’re receiving the best possible care.
Don’t hesitate to contact McLean Clinic today to learn more about double incision top surgery and other types of top surgery. A member of our staff will be more than happy to assist you.
