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Double Incision

(Top Surgery)

Introduction

Double incision is considered one of the more common types of top surgery. Only a surgeon can tell you what kind of surgeries you qualify for, but this one is often applicable. Double incision is a highly customizable surgery, which is part of the appeal.

How it Works

First, two incisions are made; one above, and one below the breast. Next, breast tissue is removed. Some remaining material is kept, and reshaped in a more masculine manner. This process is repeated on the other breast. Once this process is complete, the incisions are sewn together. Depending on prefences of either patient or surgeon, these scars can connect, or be separeate. Shape can also vary depending on preference, or depending on one's body type.

Typically, the scars will extend out to (or near) the armpits. Some surgeons may require that you shave your pits prior to surgery.

It is not uncommon to have drains (one on each side) for the following week or so after surgery. Drains, and instructions to go along with them will vary from surgeon to surgeon.

Some people will use products such as silicone scar strips to manage scarring, but this varies depending on personal preference.

About the Nipples

Typically, during the stage of this surgery where the breasts are removed, the nipples are also removed and set to the side. Once the incisions have been sewn together, small holes are cut into the skin. The nipples which had been put to the side are reshaped and placed where those holes were made. This is called a nipple graft.

Some people decide to go without nipple grafts. Some people get 3D medical tattoos for nipples, or other such prosthetics. Plenty of others don't bother, and live the no-nip life. Really, it depends on personal preference.

T-anchor, also known as inverted T-anchor is a varient of double incision surgery which leaves the nipple stalk intact. An extra scar is left, below the nipples and connecting to the bigger incision scar. Unlike regular double incision, this version leaves you with far more nipple sensation. However, it is a lot more difficult to resize the nipples/place them in a more 'typically' masculine spot.

Additional Resources