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Don’t hesitate to contact McLean Clinic today to learn more about double incision top surgery and other types of FTM top surgery. A member of our staff will be more than happy to assist you.

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Nipple-Sparing Double Incision Top Surgery

At GraceMed x McLean Clinic, we are proud to offer a highly advanced gender-affirming procedure called Nipple-Preserving Double Incision Mastectomy. This surgical technique is specifically designed for individuals seeking masculinizing chest surgery while preserving the natural appearance of their nipples-areolar complex.

Are you ready to start your surgical gender confirmation journey?

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Since 1988

35+ Years

Plastic Surgery experience

25+ Years

Top Surgery


Gender Affirming
Surgeries Performed

How Double Incision Top Surgery Works

During the 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.

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.

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Are You the Right Candidate for Nipple-Sparing Double Incision Top Surgery?

To determine if you are a suitable candidate for Nipple-Preserving Double Incision Mastectomy, it is necessary to undergo a thorough evaluation and consultation with our experienced surgeons. Factors such as breast size, skin elasticity, and overall health will be taken into consideration. In some cases, individuals with larger breasts or specific anatomical considerations may not be eligible for this procedure, and alternative techniques will be recommended.

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How to Prepare for Your Nipple-Sparing Double Incision Mastectomy

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 Preparing for Nipple-Preserving Double Incision Mastectomy involves both physical and emotional readiness. During your pre-operative consultations, our team will provide comprehensive instructions tailored to your specific needs. Here are some general preparation guidelines:

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Physical Preparation

Follow a healthy lifestyle, exercise regularly, and maintain a balanced diet to promote optimal healing. Your surgeon may recommend specific dietary adjustments and provide guidelines on medications or supplements to avoid prior to surgery.

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Mental Health

It's normal to feel a little nervous before any surgical procedure, especially one as life-changing as top surgery. Consider scheduling an appointment with your therapist to reduce feelings of anxiety and stress, as well as connecting with family and friends for support. Your surgeon can answer any questions you might have about the procedure, what to expect after the surgery, or how to prepare.

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The recovery process for each patient who undergoes a double incision mastectomy is different. It may be necessary for you to take extended time off of work, depending on your type of employment. Most patients are able to return to desk roles one week post-surgery.

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Required Documents

Check with your insurance provider if they cover gender affirmation surgery. If they do, make sure you know what documents you need to submit. Your primary care physician may also order a physical examination and laboratory tests for you. Bring a copy of the results to the clinic a day before your surgery.

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Recovery Space

Purchase any pain management medication and antibiotics recommended by your doctor before your procedure. Place them near the bed, since your mobility will be limited for the first few days post-op. It's also a good idea to put toiletries and essentials on a lower shelf so that you won't have to reach for them.

Double Incision Top Surgery Post-Op Care & Recovery

Since nipple sparing 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:

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Rest and Recovery at Home

After your double incision mastectomy, you won't be able to drive, so arrange for someone to pick you up from the clinic. It would also be helpful to arrange for someone to assist you in doing everyday tasks during your recovery, such as doing your laundry, preparing meals, etc. If you are living alone or travelling from abroad to get your top surgery in Canada, inquire with your clinic if they can make special arrangements for a caregiver.

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Compression Binder

You will be instructed to wear a compression binder for up to six weeks after your top surgery. Wearing a chest binder after a double incision mastectomy has a lot of benefits, which include: Preventing the fluid discharge; Minimizing scarring; Lessening discomfort; Keeping the sutured skin together and stopping it from stretching.

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NO Drains and Tubes

Other top surgery centres discharge patients with medical drains to collect blood, pus, and fluid buildup. These drains are very restricting and are usually a source of significant discomfort for most top surgery patients.  At McLean Clinic, we use advanced surgical techniques that no longer require the use of post-surgical drains or tubes, which makes maintaining the treatment site more manageable at home and the post-op experience smoother and faster for our patients.

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Getting Back to Work

There is no one-size-fits-all answer when it comes to recovery time. Every individual heals differently. Some may bounce back on their feet faster than others. If you work in an office with a desk job, you may feel better enough to report after a week of sufficient rest. You may be strong enough to do some light walking by this time, too. Pace yourself carefully. We strongly advise against heavy lifting and doing other strenuous activities for up to six weeks as much as possible, because it can lead to bleeding.

Potential Complications & Risks

As with any surgical procedure, there are potential risks and complications associated with Nipple-Preserving Double Incision Mastectomy. These may include infection, bleeding, changes in nipple sensation, asymmetry, or scarring. Your surgeon will discuss these risks with you during your consultations and explain the steps taken to minimize them.

Why Choose GraceMed x McLean Clinic for Your Double Incision Mastectomy?

people of four who had either FTM or MTF surgeries.

Nipple-Preserving Double Incision Mastectomy is a life-changing procedure that can have a profound impact on your well-being. At McLean Clinic, we understand the unique needs and experiences of the transgender and non-binary community. Our team is committed to providing a safe, inclusive, and welcoming environment for all our patients.  With years of experience and expertise in gender affirmation surgeries, our compassionate surgeons have helped thousands of individuals achieve outstanding results and regain confidence. We prioritize personalized care, comprehensive support, and exceptional surgical outcomes to ensure your journey with us is as positive and transformative as possible.

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Frequently Asked Questions

What is the recover time for a Nipple-Preserving Double Incision Mastectomy?

How do I know which type of top surgery procedure to choose?

Will I experience any changes in nipple sensation?

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Book A Consultation - McLean Clinic

Request a Consultation

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.

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.