The double incision technique removes breast tissue through horizontal incisions placed along the lower border of the pectoral muscles. The nipple-areola complex is removed, resized, and grafted back onto the chest in a more masculine position and proportion.
Double incision with free nipple grafts is generally recommended for patients with medium to larger chests, looser skin, or anyone who prioritizes a fully flat contour over preserved nipple sensation. We’ll review your anatomy and goals at consultation and discuss whether this or another technique is the better match.
We work with patients from Bend, Redmond, Sisters, Prineville, and across Central Oregon, as well as travelers from Portland, Eugene, Seattle, Boise, and surrounding communities. For patients coming from out of town, we coordinate a recovery timeline that accounts for travel and provide clear post-op instructions and contact access.
Most patients are up and moving the day of surgery and return to non-physical work in one to two weeks. Drains typically come out within a week. Nipple grafts require careful aftercare for the first two weeks, and we walk you through every step. Final chest contour settles over six to twelve months as scars mature.
We'll review your anatomy and goals at consultation and discuss whether this or another technique is the better match.
The double incision technique removes breast tissue through horizontal incisions placed along the lower border of the pectoral muscles.
Most patients are up and moving the day of surgery and return to non-physical work in one to two weeks.
Final chest contour settles over six to twelve months as scars mature.
The average procedure time varies based on your personalized treatment plan and the complexity of the procedure performed
Most patients are able to return to light daily activities within a short recovery period while healing continues gradually over time
Your follow-up appointments are designed to monitor healing, support, recovery, and ensure your results continue progressing naturally.
The location of your procedure is determined vary based on your personalized needs and the complexity of the procedure performed
We understand that choosing a procedure is a deeply personal decision. Here are answers to some of the most common questions about treatment, recovery, results, and the overall Alpenaura experience.
No, Hormone therapy is not a requirement for double incision top surgery, and many patients have top surgery without ever starting testosterone. We follow current WPATH Standards of Care, which do not require hormone therapy as a prerequisite for chest surgery.
Most patients feel comfortable returning to work and social activities within ten to fourteen days, once the splint is removed and the bulk of bruising has resolved. Strenuous exercise is usually restricted for three to four weeks. Subtle swelling, particularly in the tip, can take up to a year or longer to fully resolve.
Most patients feel comfortable returning to work and social activities within ten to fourteen days, once the splint is removed and the bulk of bruising has resolved. Strenuous exercise is usually restricted for three to four weeks. Subtle swelling, particularly in the tip, can take up to a year or longer to fully resolve.
Most patients feel comfortable returning to work and social activities within ten to fourteen days, once the splint is removed and the bulk of bruising has resolved. Strenuous exercise is usually restricted for three to four weeks. Subtle swelling, particularly in the tip, can take up to a year or longer to fully resolve.
Most patients feel comfortable returning to work and social activities within ten to fourteen days, once the splint is removed and the bulk of bruising has resolved. Strenuous exercise is usually restricted for three to four weeks. Subtle swelling, particularly in the tip, can take up to a year or longer to fully resolve.
Most patients feel comfortable returning to work and social activities within ten to fourteen days, once the splint is removed and the bulk of bruising has resolved. Strenuous exercise is usually restricted for three to four weeks. Subtle swelling, particularly in the tip, can take up to a year or longer to fully resolve.
Most patients feel comfortable returning to work and social activities within ten to fourteen days, once the splint is removed and the bulk of bruising has resolved. Strenuous exercise is usually restricted for three to four weeks. Subtle swelling, particularly in the tip, can take up to a year or longer to fully resolve.
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