Dr. Hugh McLean
A Top Surgeon Specializing in

Top Surgery

Double Incision Mastectomy Procedure

Double Incision Mastectomy

What Is a Double Incision Mastectomy?

A double incision top surgery, also known as a bilateral mastectomy, is a chest masculinization procedure done for transmen and non-binary patients.

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. Your plastic surgeon may 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. Performing FTM top surgery with contouring also achieves a more chiselled male physique.

In a double incision mastectomy, the nipples are removed to be resized and repositioned by grafting to suit the new masculine appearance of the chest. It’s an outpatient procedure that can last anywhere between two to three hours. General anesthesia is used to make the process comfortable and painless.

Who Is Best Suited for a Double Incision Mastectomy?

Double incision top surgery is highly recommended for patients with a medium to large-sized breasts, which can be prone to sagging. It’s an excellent solution for fuller-bodied patients who seek a more masculine look.

How to Prepare for Your Double Incision Mastectomy Procedure

Every gender-confirmation 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.

Check out these FTM pre-surgery tips to help strengthen your body’s immune system and speed up your healing process.

Double Incision Top Surgery Post-Op Care & Recovery

Here’s a list of things that you can expect after your double incision top surgery:

Rest and Recovery at Home

Since a 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 will be physically impossible and unsafe for you to drive on your own. Request a friend or a family member to pick you up after your operation or book a ride-hailing service in advance.

Have someone stay with you to assist you with your needs for the first 24 hours as you will be limited with your movement and may still feel groggy. 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. Your surgeon will provide you with a prescription for pain killers and other essential medications.

NO Drains and Tubes

Other gender reassignment clinics discharge top surgery 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.

But here at McLean Clinic, we use advanced surgical techniques that no longer require the use of post-surgical drains or tubes with the double incision mastectomy which makes maintaining the treatment site more manageable at home and the post-op experience smoother and faster for our patients.

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 includes:

How Soon Can You Go 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 couple of weeks 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 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.

Contact Us Today

Dr. Hugh McLean offers expertise in the latest surgical techniques, decades of experience, and a genuine understanding of how important this personal journey means for his patients.

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.

Book a free consultation now!