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Gender-affirming chest masculinization surgery, commonly a double-incision mastectomy, is increasingly performed. This video details the surgical technique and selection criteria for this popular gender affirmation procedure.

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Area of Science:

  • Plastic Surgery
  • Gender-Affirming Care
  • Surgical Techniques

Background:

  • Chest masculinization is the most common gender-affirming operation.
  • Increased access to care and insurance coverage have led to a rise in these procedures.
  • Patient-specific anatomical factors influence surgical technique selection.

Purpose of the Study:

  • To present a video demonstrating the double-incision mastectomy technique for gender-affirming chest masculinization.
  • To review the Fisher grading scale for selecting between double-incision and periareolar mastectomy.
  • To share technical refinements for the double-incision top surgery.

Main Methods:

  • Video presentation with narration detailing surgical steps.
  • Review of the Fisher grading scale for technique selection.
  • Demonstration of technical pearls for surgical refinement.

Main Results:

  • The video effectively demonstrates the double-incision mastectomy technique.
  • The Fisher grading scale provides a framework for selecting appropriate surgical approaches.
  • Technical pearls enhance the refinement of the double-incision technique.

Conclusions:

  • The double-incision mastectomy is a key procedure in gender-affirming chest masculinization.
  • Surgical technique selection is guided by patient anatomy and grading scales.
  • Refined surgical techniques improve outcomes for gender-affirming top surgery.