Double Incision Mastectomy with Nipple Grafting

The double incision approach to Female-to-Male (FTM) top surgery, also known as double incision mastectomy with nipple grafts, is one of the most commonly performed techniques in chest masculinization surgery for transgender men and nonbinary individuals. This method is especially well-suited for patients with moderate to larger chest size or reduced skin elasticity, allowing for significant breast tissue removal and precise reshaping of the chest for a flatter, more masculine contour. In this surgical video, Dr. Daniel Medalie, board-certified plastic surgeon at Cleveland Plastic Surgery, explains the double incision top surgery process, including incision placement, nipple repositioning, expected scarring, recovery timeline, and long-term results. If you are considering double incision FTM top surgery in Cleveland, Ohio, this video offers expert guidance and medically accurate information to help you understand this powerful gender-affirming procedure.