Top Surgery

Double incision mastectomy

Double incision mastectomy or top surgery for sex reassignment is the most widely used technique for medium to large sized chest.

Who is an ideal candidate for Double incision mastectomy?

  • One who fulfills WPATH criteria
  • Above 18 years of age
  • In sound mental health


Double incision mastectomy is done as a day care procedure. It involves liposuction along with removal of both breasts using double incision to create a masculine chest and free nipple grafting


It is done under general anesthesia and it takes about two hours.

Post Operative Care

Patients can resume normal daily activities within 48 hours. Special bolster dressings will be applied over the nipple aerola which will be removed after 5 days. Compression garment/ chest binder will be advised for a period of 4-6 weeks. Strenuous activities and lifting heavy weights to be avoided for a period of two months.

Possible Side Effects

  • Swelling
  • Bruising
  • Changes in Nipple sensation
  • Infection
  • Unfavorable scarring