Double Incision Top Surgery in London

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Double incision top surgery is a surgical technique to flatten and masculinise the chest by removing excess skin and glandular tissue from the area. This popular approach to top surgery is ideal for patients with medium to large chests, and requires two horizontal incisions along the lower border of the pectoral muscles.This procedure, also known as the bilateral mastectomy, is performed here in London.

CREO Gender is a Harley street plastic surgery clinic devoted to gender affirming treatment, where we work closely with you to determine the most effective FTM top surgery approach for your body, ensuring results that are both affirming and aligned with your goals. Our body contouring surgeon, Dr. Omar Tillo, will carefully make the incisions to blend seamlessly with the natural contours of your chest, giving you the confidence to embrace your newly aligned identity. 

Book a consultation with Dr. Tillo today and take the next step toward a chest that reflects who you are.

From Dysphoria to Confidence: Why Double Incision Changes Lives

Double incision top surgery is the most popular surgical approach to toning and flattening the chest for a more masculine appearance. The procedure has several notable benefits for patients:

Ideal for Medium to Larger Chest Sizes

Double incision top surgery is able to remove both excess skin as well as glandular tissue. This makes it an ideal option for those with medium and larger chest sizes when compared to periareolar top surgery which is limited to removing smaller amounts of skin only.  

Efficient Healing and Long-Term Satisfaction

At CREO, we have engineered the APEX recovery protocol to help you get back on your feet faster. Our APEX approach means that you will spend less time in hospital, can resume daily tasks faster, and is opioid-free. 

In addition, Dr. Tillo will make the incisions in a way that seamlessly blends any resultant scarring with the natural contours of the chest for a satisfying result. 

Why choose us

At CREO GENDER, we provide expert gender-affirming care in a space where your safety, autonomy, and individual journey are our priorities. 

Our highly specialist, multidisciplinary team, led by Medical Director Dr Omar Tillo, combines advanced surgical expertise with genuine understanding of the challenges facing the trans+ community – informed by dedicated training.  

Whatever your goals, we approach every consultation with respect and humility, recognising that you are the expert in your own experience.

With 4.9 stars across major review platforms and recognition from leading surgical bodies, our outcomes reflect our commitment to excellence. 

Who Is Double Incision Top Surgery Best For?

During the consultation process, we will assess your body to determine if you are a good candidate for double incision top surgery. In general, you will be suitable if:

  • You have received a professional diagnosis of gender incongruence 
  • You have a medium to larger sized chest
  • You are over 18
  • You are in overall good mental and physical health
  • You are at your goal weight

Other Gender Affirming Procedures To Pair with Double Incision Top Surgery

Liposuction

Liposuction is a surgical procedure to break up and remove targeted pockets of fat, enhancing the contours of the area. Double incision top surgery is frequently combined with liposuction to remove fat deposits from the chest, adding definition to the pectoral muscle for a more masculine appearance. 

Pectoral Implants

Pectoral implants are medical-grade silicone implants that can be inserted into the chest to add definition to the pectoral muscles for a traditionally masculine contour. They are often used to enhance the shape of the chest or to improve symmetry. At CREO, Dr. Tillo is one of the few surgeons in the UK offering custom-made implants we offer custom pectoral implants that are designed with your body in mind, creating a more natural-looking finish. 

APEX Recovery Protocol

Every procedure our surgeons perform comes with Creo Clinic’s APEX Recovery System – a unique recovery protocol built and refined on years of specialised expertise.

This three-stage system combines pre-surgical optimisation, advanced anaesthetic techniques, and a post-operative strategy designed to eliminate the need for morphine.

These treatments are thoughtfully integrated into every step of your plan, ensuring your recovery is supported, refined, and medically guided. We don’t make any compromises when it comes to care … and you shouldn’t either.

FAQs About Double Incision Top Surgery

What size chest is needed for double incision top surgery?

Double incision top surgery is best suited to patients with medium to larger chests, as it is designed to remove both excess skin as well as glandular tissue that the periareolar top surgery does not target.

How much does double incision top surgery cost?

The price of double incision top surgery starts from £9,900 at CREO Gender. However, the exact price may vary depending on the complexity of the procedure, and whether liposuction is required to achieve the desired result. Therefore, you will only be provided with the final quote following a consultation with Dr. Tillo.

What age is best for top surgery?

Any patient over 18 years old who wishes to masculinise the chest is a good candidate for top surgery. However, younger adults may be able to achieve superior results due better skin elasticity. 

What are the other types of top surgery procedures available at CREO Gender?

At CREO Gender, we also offer periareolar top surgery, which is best suited to patients with smaller chests. Periareolar, also known as keyhole top surgery, requires a single incision around the areola, through which a small amount of skin is removed to flatten the chest. Using this technique, the areola can be resized to suit the newly masculinised chest, and a stitch is used to prevent further stretching. 

Will I need hormone therapy before having top surgery?

Patients do not need to be taking hormones to be eligible for top surgery.

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