Animated Chest Reconstruction Top Surgery Videos This page provides educational animated videos to help explain the different gender affirming surgery procedures. Discover how keyhole top surgery, double incision top surgery, periareolar top surgery, buttonhole top surgery, fishmouth top surgery, and nipple reduction are performed. We also provide information on the specific benefits each procedure has to help you decide on the best chest reconstruction top surgery that matches your goals. Lastly, Dr. Mosser explains what dog ears are and provides answers to the most commonly asked questions about them. These videos help explain gender-affirming procedures. To learn more about what surgery options are available for your individual body type, you …

Fishmouth Incision Procedure The fishmouth incision method is a type of chest reconstruction top surgery, formerly referred to as FTM top surgery, which involves removal of chest tissue using a non-traditional incision location across the middle of the chest. This article provides information about the top surgery scar appearance, advantages, risks, effects on nipple sensation, and degree of chest flatness achieved with the fishmouth incision method. Find out if you are a good candidate for this gender confirmation surgery here. The fishmouth procedure combines elements of other surgical procedures. In some ways it is like a double incision surgery and in other ways it is like the inverted-T or buttonhole …

Lollipop Top Surgery The lollipop incision surgery technique is an infrequently used procedure for chest reconstruction top surgery. It is similar to the periaeolar insicion in that it uses the same technique with an additional vertical insicion below the areola to remove excess skin. This procedure can be performed on a narrow subset of patients who have a bit of extra skin tissue, who have no need to lift the position of the nipple, and who might otherwise not be candidates for a periareolar incision. How the Lollipop Incision is Performed In this procedure, many steps are similar to the periareolar incision. The areola is resized and an outer circle …

Chest Reconstruction Top Surgery  Buttonhole Procedure The buttonhole insicion is a technique for top surgery patients who do not have great ammounts of mammary tissue to remove and whose greatest priority is maintaining heightened nipple sensation. It is identical to the inverted-T procedure in many ways, as the nipple and areola do not need to be placed as a free nipple graft. In this case less skin needs to be removed than with the inverted-T procedure, the buttonhole approach does not require a vertical incision. Buttonhole is a good choice for patients with less chest tissue who require less skin excision, but in our practice the main difference is whether …

Maintaining Sensation and Volume: The Inverted-T Anchor Technique Why do patients choose to have the Inverted-T Incision? The inverted-T or anchor incision for chest reconstruction or breast reduction, like the buttonhole incision, has the potential to preserve hypersensitive or erotic nipple sensation. This is accomplished through the creation and preservation of the pedicle: a portion of the tissue behind the areola that is estimated to contain enough of the original blood and nerve supply to keep the nipple and areola alive. That said, regaining full nipple and areola sensation is never a 100% guarantee through surgery. In other words, for patients whose greatest priority is preserving a hypersensitive or erotic …

Periareolar Procedure Periareolar Top Surgery, also called the ‘donut’ or ‘circumareolar’ procedure, is a form of chest reconstruction top surgery, formerly known as FTM top surgery. It uses a circular incision around the areola which allows for removal of chest tissue, intermediate removal of skin, and reduction of areolar size. This article provides information on the challenges of this technique and effects on nipple sensation and chest tightness. Find out if you are a good candidate for this gender affirming procedure here. What is the Periareolar Technique ? The periareolar technique involves a donut shape of skin removal around the areola. This is performed by making the areola smaller  (about …

Keyhole Top Surgery: Your Questions Answered Medically reviewed by Paul Gonzales on April 29, 2024. The keyhole method is a type of chest reconstruction top surgery that involves making a small incision along the border of the areola, through which the surgeon carefully removes the chest tissue. This procedure involves very minimal scarring since it creates a small scar up to half the length around the areola border. Since no excess skin is removed in this procedure, it is only available to patients with minimal chest tissue and relatively elastic chest skin. Thus, only about 5% of the population are good candidates for this type of surgery. This article provides …

Double Incision – The Most Popular Top Surgery Procedure Medically reviewed by Paul Gonzales on April 29, 2024. What is Double Incision Top Surgery? The double incision method, sometimes called a double incision gender-affirming mastectomy, is the most popular form of chest reconstruction top surgery, formerly referred to as FTM top surgery. This procedure involves the surgical removal of chest tissue and excess skin, as well as resizing and placement of the areolas as skin grafts. The result is a flatter chest with a horizontal scar on each side, generally on or around the bottom of the pectoral muscles. This article provides information on the surgical outcomes that are important …

The Ultimate Guide to Nipple Grafts: Techniques, Risks and Recovery Nipple grafts are a highly successful procedure in which skin is removed from one location and transferred to another. This article provides an overview of the procedure, including the process of skin graft survival and the steps that can be taken to maximize the chances of success. We also go over the difference between a classic nipple skin graft and a composite nipple graft; the former only resizes and repositions the areola whereas the latter allows for both the areola and nipple to be resized. Discover the threats to nipple graft survival such as bleeding during the procedure, infection, smoking, …

Post Top Surgery 3D Nipple Tattooing 3D nipple tattooing is a viable option for those who prefer an alternative method of obtaining nipples, or those who want to change the appearance of their nipples after their gender affirming surgery. In this article, we introduce Shane Wallin, owner of Garnet Tattoo in San Diego, who is an experienced tattoo artist and specializes in 3D nipple and other medical tattoos. Read on to discover how to get 3D nipple tattoos and get answers from some frequently asked questions regarding Garnet Tattoo services. Guest Blog: 3D Nipple Tattooing Some patients have asked about how to change the appearance of failed free nipple grafts …