Trusted by
2,500+ Clients
in Canada Since 1988

30+ Years
Plastic Surgery experience

20+ Years
Top Surgery
Experience

2,500+
Gender Affirming
Surgeries Performed
You must be at least 19 years old to view this site.
Are you at least 19 years old?
Sorry, you are not old enough to view this site.
McLean Clinic provides leading gender affirming procedures, specializing in double incision top surgery. Through these procedures, we have helped thousands of transgender and non-binary patients live happier and healthier lives by diminishing feelings of gender/breast dysphoria.
Are you ready to start your surgical gender confirmation journey?
Plastic Surgery experience
Top Surgery
Experience
Gender Affirming
Surgeries Performed
A double incision mastectomy is a top surgery technique. As the name implies, two incisions are created on the bottom border of the pectoral muscle or the chest area. The skin is then lifted to surgically remove the breast tissues underneath. In double incision top surgery, the nipples are removed to be resized and repositioned by grafting to suit the new masculine appearance of the chest.
Your plastic surgeon may also recommend adding contouring with your double incision top surgery as a preventive measure for dog ears, which refers to the excess skin and fat that develops on the side of the incision site.
A double incision mastectomy is an outpatient procedure that takes approximately two hours. General anesthesia is used to make the process comfortable and painless.
In keyhole top surgery, no excess skin is surgically removed. For this reason, a keyhole mastectomy is only recommended for patients who have naturally small breasts and/or high skin elasticity around the treatment area.
An ideal candidate for keyhole top surgery would be someone considered to be more flat-chested in the range of an A-B cup breast size.
Every gender affirmation surgery is a life-changing journey that involves not only physical but emotional and mental preparation as well. It contributes to the success of your double incision mastectomy and also puts your heart and mind in the right place, which is very important in transitioning.
You will receive comprehensive instructions on how to prepare for your double incision top surgery procedure during your surgical consultations at McLean Clinic.
Since double incision top surgery is an outpatient medical procedure, you will be sent home a couple of hours after you wake up from the anesthesia. It’s important to follow the specific directives and recovery instructions provided by your surgeon, including:
As with any medical procedure, there are potential complications associated with top surgery. Your plastic surgeon will discuss this aspect with you in detail upon consultation and explain strategies and precautions that he or you can do to mitigate these risks. Although it is not common, wound infection, fluid buildup, and nausea and vomiting are some of the most common side effects after going through any surgical operation.
Double incision top surgery is a gender affirming procedure that can be life-changing. It's unfortunate that transgender discrimination still exists within healthcare, and being harassed or misgendered can deter transgender patients from seeking routine or urgent care.
McLean Clinic is known to be one of the most accepting and welcoming surgical centres for the LGBTQAI+ community—not just in Canada, but worldwide as well. Our many years of experience have given us insight into how gender affirming surgical procedures can make a difference in the lives of the transgender and non-binary community. Thousands of patients have been delighted by the results of our expert gender affirmation surgeons. At McLean Clinic, you can rest assured that you'll have a safe, comfortable, and stress-free surgical experience because of our kind and caring staff.
Double incision top surgery, also known as a bilateral mastectomy, is a chest masculinization procedure done for transgender and non-binary patients.
You will receive professional advice from your surgeon regarding the best procedure based on your body type, chest size, and skin elasticity. Your surgery goals will also be taken into consideration. After this discussion, a top surgery technique (double incision or keyhole) that’s right for you will be chosen.
It is recommended by most plastic surgeons that you sleep on your back until you are fully recovered, as the breast tissue is less likely to be strained or pulled. Elevating your upper body while sleeping on your back is also recommended.
After a double incision mastectomy “dog ears” can be caused by residual tissue protruding near the armpit at the outermost part of the incision. There is a lesser chance of it occurring near the center of the chest, where the incision is the smallest. This is one of the main reasons for revision surgery following a double incision mastectomy, which will usually fix the appearance of dog ears.
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.