This content will compare different top surgery incisions and chest contouring techniques. These are procedure types that may fit the goals of some transgender, non-binary, and gender-expansive individuals. It is important to note that though certain incisions and other surgical options may be more associated with a binary-appearing chest or not, the type of procedure is not dependent on gender but on what the patient prefers for their own body. If you’re generally unfamiliar with what it means to be non-binary or haven’t heard of gender neutral chest reconstruction top surgery as a viable option, please read the introduction to non-binary top surgery so you can get the most out of the content below.
If a patient desires a more traditional chest reconstruction top surgery outcome, there are certain shapes of incisions that could achieve this listed below:
Curved incision example
Straight incision example
Diagonal incision example
Less Common Chest Incisions
Below are a few incisions requests we’ve received from patients who are interested in having less common types of incisions:
It’s important to note that the fish mouth procedure results in an incision across the very center of the chest horizontally.
Fish Mouth incision example
Areolar excision top surgery results in two horizontal scars about three times the length of the previous areola in the center of the chest. This procedure is ideal for patients who would also qualify for keyhole or periareolar incisions but do not want their nipples or areolas on their chest after surgery.
Areola Excision example
A conventionally masculine chest has a fairly uniform requirement for a chest contour. There should be a uniform thickness of tissue throughout the entire chest area, matching the surrounding regions which are beyond the area of surgery. Meaning:
Other Chest Contour Options
Degrees of fullness, mildly full, examples
Degrees of fullness, moderately full, examples
In cases where a patient has a particular wish regarding the exact amount of chest tissue to be left over, we advise them to bring in photos of bodies that have the amount of chest tissue that they would be hoping to have at the conclusion of surgery. This helps to avoid any misunderstandings regarding what the procedures can offer and what the limitations of each procedure type are for a given body type are.
Depending on the level of customization you are interested in to achieve a result that feels/appears most affirming to you, here’s additional content on nipple and areola options.
To learn more about our surgeons’ approaches to non-binary surgery, check out the video below of Dr. Mosser’s talk at the Philadelphia Trans Wellness Conference in 2019. This video covers how our practice is helping gender-expansive people achieve their gender-affirming surgery goals.
The virtual consultation will be billed to your insurance company. We will accept the insurance reimbursement as payment in full.