Nipple-preserving-double-incision-mastectomy
Nipple-Sparing Double Incision Top Surgery
incision top surgery in London at Centre for Baker Street. FTM chest combining double incision with nipple — maintaining blood supply and nipple without free nipple grafting. For chest sizes with good skin elasticity. by Dr Spiros Vlachos and Mr Shiatis. From £9,500. CQC-regulated clinic.
Nipple-Preserving Double Incision Mastectomy
Nipple-sparing double incision top surgery — also known as nipple-preserving double incision — is a masculinising chest surgery that the chest of standard with preservation of the native nipple-areola complex. Unlike standard double incision where the are detached and re-grafted, this technique keeps the nipple-areola complex attached to an underlying throughout the — blood supply and, in most cases, a greater degree of nipple sensation.
It is most appropriate for patients with chest size and good skin elasticity. Patients with larger chests may not be suitable candidates, as nipple requires a certain degree of tissue preservation that may chest flatness in larger presentations.
double top surgery is by and at our .
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How Does Nipple-Sparing Double Incision Top Surgery Work?
double top uses the same two incisions along the lower pectoral border as standard double incision — full access for breast tissue removal and chest contouring. The key difference is in how the nipple-areola is handled.
Rather than the nipples entirely and regrafting them to a new position, the the from the breast tissue while its to the underlying pedicle. This preserves the blood supply and nerve connections — the that nipple viability and after surgery.
Once the breast tissue is removed, liposuction may be to refine the chest and any fat at the chest — reducing the risk of residual fullness or skin folds at the outer edges. The incisions are then closed and the nipple-areola repositioned to the anatomically location on the flat chest.
The is performed under at our Baker Street clinic as a day case. It takes approximately two hours to complete.
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Surgeons for Nipple-Sparing Double Incision Top Surgery
Nipple-sparing double top at Centre for is by and .
Both surgeons perform all five FTM/N top surgery — , nipple-sparing double incision, , , and . At consultation, your surgeon will assess your chest anatomy and whether the nipple-sparing approach is achievable for your presentation, or whether standard double incision with free nipple is more appropriate.
You can verify their GMC registration on the before booking.
Is Nipple-Sparing Double Incision Top Surgery Right for You?
double incision top is appropriate for patients with breast tissue and good skin who wish to preserve nipple through the double incision . The key consideration is whether the nipple pedicle can be maintained without chest — this depends on chest size, breast tissue distribution, and the of the nipple-areola complex.
candidates typically:
with larger chests, poor skin elasticity, or conditions that are more appropriate for . Your surgeon will explain the reasoning and options at consultation.
A mandatory cooling-off period from the date of consent to all surgical procedures at Centre for Surgery.
Preparing for Nipple-Sparing Double Incision Top Surgery
Stop all nicotine — cigarettes, vaping, patches, gum — at least four weeks before and four weeks after . significantly the risk of wound and is a particular concern for nipple-sparing techniques, where pedicle viability depends on unimpaired circulation.
Avoid blood-thinning medications and including aspirin, ibuprofen, fish oil, vitamin E, and ginkgo biloba for one week before unless otherwise directed by your . your full list at consultation.
Fast for six hours before surgery for food, and up to two hours for clear fluids. Clear fluids include still water and black tea or coffee.
for a responsible adult to take you home on the day and stay with you for the first 24 hours. You will not be able to drive. Wear loose, comfortable . Fill any prescribed medications before your procedure so they are available immediately on return home.
A preoperative assessment is carried out before your date to you are fit for procedure. Blood tests may be and should be to the clinic at least one week in .
Recovery After Nipple-Sparing Double Incision Top Surgery
Nipple-sparing double incision top surgery is as a day case under . You go home the same day once from the anaesthetic.
Advanced techniques used at Centre for the need for post-operative drains in most double cases. This simplifies home recovery significantly to that require drain management.
A binder must be worn for six weeks. It swelling, healing, minimises scarring, and holds the new chest . Wear it as instructed — only to wash.
Most patients can return to work within one week. Avoid heavy and strenuous exercise for six weeks. Sleep on your back for at least two weeks to avoid pressure on the chest.
A wound check is at seven to ten days. A review is at six weeks. A assessment is included as part of your package. 24/7 clinical is available for the first 48 hours after surgery.
Most swelling resolves within three to four weeks. Final results are visible at three months. Scars are positioned along the lower pectoral border and will continue to fade over 12 to 18 months.
Risks of Nipple-Sparing Double Incision Top Surgery
Like any surgical procedure, nipple-sparing double top carries potential risks and complications. The procedure has a generally favourable risk profile when performed on appropriate candidates, but all risks are discussed in full at .
The of the nipple-sparing technique is of the complex on its pedicle. The most serious risk specific to this is pedicle compromise — or complete loss of blood supply to the nipple. This is uncommon when selection is appropriate and technique is . Risk factors include smoking, diabetes, and conditions. Strict adherence to pre- and post-operative cessation is to pedicle .
If pedicle compromise occurs, the nipple may heal with pigmentation, loss, or in rare cases require conversion to free nipple grafting. This is why the is to patients whose anatomy pedicle preservation — with very large chests or are for double incision instead.
Most patients undergoing double retain partial to full nipple — better outcomes than free nipple grafting. Some temporary in the first weeks that as nerve progresses. A minority permanent in . The degree varies between individuals and cannot be guaranteed in .
Reduced across the chest skin is common in the first three to six months. Most patients regain partial chest sensation within 12 months.
Nipple-sparing double produces two horizontal scars along the lower pectoral border. Scars initially appear pink and slightly raised, then and fade over 12 to 18 months. with a of keloid or have a higher risk of abnormal scar formation and should raise this at .
gel or sheeting from six weeks post-operatively, sun protection on scars for three months, and non-smoking throughout all support optimal scar quality.
A mandatory two-week cooling-off period applies between and so that all risks can be considered fully before .
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Why Choose Centre for Surgery for Nipple-Sparing Double Incision Top Surgery?
Our Baker Street clinic is by the . The CQC specifically rated our aftercare as "outstanding" — the highest rating available. All are performed under .
The the — blood supply and nerve connections to the complex. For patients with appropriate anatomy this better sensation than standard double incision with free nipple grafting. Your surgeon will assess at whether your anatomy this technique.
surgical closure used at Centre for Surgery eliminate the need for drains in most nipple-sparing double incision cases — reducing management and improving the home experience.
and perform all five FTM/N top surgery techniques at the same Baker Street clinic. FTM top surgery from £9,500. 0% APR finance available through .
A two-week cooling-off period applies from the date consent is given. No is before this period has .
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