Double Incision Mastectomy

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Double incision mastectomy is the most common surgical technique for chest masculinization in patients with medium to large chest sizes. At the Center for Cosmetic Surgery in Denver and Golden, CO, Dr. Paul Steinwald offers this procedure, focusing on achieving safe and natural-looking outcomes.

What Is Double Incision Mastectomy?

Double incision mastectomy is a gender-affirming chest surgery. It is typically recommended for patients with medium to large chest sizes or loose skin. The technique creates a flat, masculine chest contour for better proportion control. It is one of the most reliable options for chest masculinization.

Who Is a Candidate for Double Incision Top Surgery?

You may be a good ideal candidate if you:

  • Have a medium to large chest
  • Want a flat, masculine contour
  • Are in good health
  • Can follow recovery instructions

Dr. Steinwald assesses readiness on an individual basis. Contact us today to confirm your eligibility for double incision top surgery.

The Double Incision Mastectomy Procedure

The surgery is performed under general anesthesia at our accredited Apex Surgical Facility. Dr. Steinwald uses two lower chest incisions to remove tissue and shape the chest. The nipples are resized and grafted into a masculine position.

His background in reconstructive surgery supports precise contouring. Scar placement follows natural lines. He also uses methods to maintain nipple sensation when feasible.

Surgery usually takes two to three hours. Patients typically return home the same day.

Recovery and Aftercare

A compression garment is worn to manage swelling and support the healing process. Drains are placed and usually removed within one week.

Timeline:

  • Weeks 1–2: Rest and drain care
  • Weeks 2–4: Light activity is allowed
  • Weeks 4–6: Return to work
  • After 6 weeks: Resume exercise

Patients receive clear aftercare instructions. Dr. Steinwald remains available during recovery.

Before and After Photos

View our gallery to see patient outcomes from double incision chest surgery.

[View Gallery]

Benefits of Double Incision Gender-Affirming Mastectomy

Double incision mastectomy can significantly improve how patients feel in their bodies. Benefits include:

  • Masculine chest contour
  • No more chest binding
  • Less physical discomfort
  • Reduction in dysphoria
  • High long-term satisfaction

Cost and Financing Options

Cost depends on surgical complexity, facility, and anesthesia fees. Insurance may apply. Third-party financing is available. Our team will provide cost details during consultation.

Why Choose Dr. Steinwald?

Dr. Paul Steinwald is a double board-certified plastic and general surgeon with over 20 years of experience. He trained at Dartmouth and completed advanced surgical training at UCSF. He has developed and refined top surgery techniques prioritizing symmetry, reduced scarring, and natural-looking results.

His work in chest masculinization is recognized for its precision and consistency. Dr. Steinwald combines technical skill with a patient-centered approach, ensuring everyone feels heard and supported. From consultation to recovery, he remains committed to providing safe, high-quality surgical care that aligns with each patient’s goals.

FAQs About Double Incision Mastectomy

It is a well-documented procedure with low complication rates. Risks are managed through planning and proper follow-up.
Sensation often decreases due to grafting. Dr. Steinwald uses techniques to preserve sensation when possible.
Initial healing takes two to four weeks. Full activity resumes in 6 to 8 weeks. Final results may take several months.
Yes. Incision style, nipple size, and placement are discussed during your consultation.
No. Hormone use is not required. Candidacy is based on health and personal readiness.

Ready for Double Incision Top Surgery? Schedule Your Consultation Today

Book a top surgery consultation with Dr. Steinwald in Denver or Golden, CO. Take your next step with clear information and expert care.