Guy Sterne
Plastic Surgeon

Candidates for double incision top surgery typically have larger chest sizes and is most suitable for individuals who desire a more masculine chest contour and have breasts that are too large to achieve the desired results with periareolar. It's essential for candidates to have realistic expectations and understand that double incision top surgery is best suited for individuals with substantial chest tissue who seek a flat, masculine chest appearance.

Determining if double incision top surgery is the best option for you depends on several factors, including your chest size, desired chest contour, and aesthetic goals. If you have a larger chest with a significant amount of breast tissue then double incision top surgery may be more suitable for you. During your initial consultation Mr Sterne will assess your chest size and discuss your goals to help you make an informed decision about the most appropriate surgical approach for your individual needs.

Yes this is an option. Top surgery without nipples, also known as nipple-sparing mastectomy or areola-sparing mastectomy, is a gender-affirming chest surgery procedure where the breast tissue and nipples are removed but not replaced. Top surgery without nipples can be an option for non-binary individuals who desire a more neutral or androgynous chest appearance. For some non-binary individuals, traditional gender-affirming surgeries may not fully align with their gender identity, as they may not identify strictly as male or female.

After double incision top surgery, it's important to rest and limit activity for the initial two weeks post-surgery, followed by avoiding heavy lifting or strenuous activity for at least six weeks. Around this time, Mr. Sterne will review your progress and assess the results of the surgery.

No, you won't need to wear a compression binder after surgery. Mr. Sterne uses a special surgical glue to minimise the risk of developing a seroma or hematoma which eliminates the necessity for a compression garment. However, it's crucial to prioritise rest and restrict arm movement during the initial two weeks of recovery to prevent loosening of the glue.

No, drains won't be necessary after surgery. Many other top surgeons use surgical drains to prevent the development of seromas or hematomas, but Mr. Sterne uses a special surgical glue to minimise these risks. This eliminates the need for surgical drains. However it's important to prioritise rest and limit arm movement during the initial two weeks of recovery to prevent loosening of the glue.

Yes you can select the positioning of your scars. Mr Sterne understands that everyone has their own personal preference. Please see the incision positioning page or click here for more information!

You will stay in hospital for one night following surgery