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Double Incision Mastectomy
with Free Nipple Graft

What is Double Incision Mastectomy with Free Nipple Graft?

Double Incision Mastectomy (DIM) with Free Nipple Graft is a gender-affirming chest surgery for transgender men and non-binary individuals. It involves removing breast tissue through two horizontal incisions and repositioning the nipples as grafts. This procedure creates a flatter, more masculine chest shape.

Why Choose Double Incision Mastectomy?

  •  Suitable for individuals with medium to large chests
  •  Provides a well-defined chest contour with minimal excess skin
  •  Allows for nipple resizing and repositioning
  •  Permanent, long-term gender-affirming results

Am I Ready for Double Incision Mastectomy?

Physical Readiness
  • Aged 18+ (or as per local medical guidelines)
  • Good overall health, no serious medical issues
  • Stable weight within a safe surgical range
  • Non-smoker or willing to stop smoking before surgery
Emotional Readiness
  • Realistic expectations about results, scarring, and healing
  • Understanding of post-surgical care and long-term recovery
  • Emotional support system in place
  • Mental health assessment (if required by medical guidelines)

What Happens During Double Incision Mastectomy?

Consultation

Your surgeon will assess your goals, medical history, and eligibility for surgery.

Anaesthesia

The procedure is performed under general anaesthesia to ensure a pain-free experience.

Surgical Steps
  1. Two horizontal cuts are made across the chest.
  2. The breast tissue is removed and the chest reshaped.
  3. Nipples are resized, repositioned, and grafted onto the chest.
  4. Drains are used to prevent fluid accumulation.
  5. The incisions are closed, and a compression garment is used.
Duration
  • Surgery usually takes 2 to 4 hours, depending on individual anatomy.

Recovery Timeline

Initial Recovery (0-2 Weeks)
  • Some swelling, bruising, and discomfort are expected.
  • A compression binder must be worn to reduce swelling.
  • Arm movements should be limited to avoid strain.
Mid-Recovery (2-6 Weeks)
  • Most patients can resume modest activity within 2-3 weeks.
  • Avoid heavy lifting and intense exercise.
  • Regular check-ups to monitor healing.
Long-Term Healing (3-6 Months+)
  • Scars gradually fade over time.
  • Final chest shape becomes more defined.
  • Nipple grafts settle into position.

Benefits of Double Incision Mastectomy

  • Creates a masculine chest contour
  • Long-lasting, gender-affirming results
  • Improves physical comfort and self-confidence
  • Reduces dysphoria and enhances overall well-being
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Frequently Asked Questions

Will I lose nipple sensation?

Some loss of sensation is common, but partial feeling may return over time.

Typically, it takes 4 to 6 weeks to assist healing and minimize edema.

Light movement is possible after 2-3 weeks, but strenuous activity should wait 6-8 weeks, as advised by your surgeon.

Yes, scars soften and lighten over 6-12 months with proper care.