Treatment Overview
Extended Double-Incision Top Surgery is a specialized version of the standard double-incision mastectomy performed for FTM (female-to-male) and gender-diverse patients seeking chest masculinization. It is recommended for individuals with larger chests, significant skin laxity, or excess tissue that extends beyond the chest wall into the underarm or lateral areas.
This procedure not only removes breast tissue and excess skin but also extends the incisions further around the torso to create a flatter, more natural masculine chest contour. Surgeons in Korea are well-known for their aesthetic precision, scar-minimizing techniques, and advanced aftercare programs, making the country a popular destination for extended double-incision surgeries.
Purpose & Benefits
- Chest Masculinization: Creates a flatter, more masculine chest.
- Extended Contouring: Addresses lateral tissue (“dog ears”) and underarm fullness.
- Skin Removal: Suitable for patients with low elasticity or post-weight loss.
- Nipple Resizing & Grafting: Nipples are resized, repositioned, and grafted for symmetry.
- Permanent Results: Breast tissue permanently removed.
- Improved Confidence: Enhances body image and supports gender affirmation.
Ideal Candidates
- Trans men, non-binary, or gender-diverse individuals with large chest sizes.
- Patients with excess side tissue that cannot be corrected with standard double-incision.
- Individuals who experienced significant weight loss, leaving skin laxity.
- Adults in good health, with no major medical risks.
- Non-smokers or those willing to quit before surgery.
- Patients with realistic expectations regarding scars and healing.
Possible Risks & Complications
- Temporary swelling, bruising, and soreness.
- Longer scars compared to standard double-incision.
- Partial or full nipple graft loss.
- Reduced nipple sensation (often permanent).
- Contour irregularities or asymmetry.
- Rare risks: infection, hematoma, poor wound healing.
Techniques Used
- Extended Double-Incision: Incisions extended further around the lateral chest/underarm to remove side tissue.
- Free Nipple Graft (FNG): Nipples are removed, resized, and grafted into a masculine position.
- Liposuction (Optional): May be performed in underarm or side chest for contour refinement.
- Scar-Minimizing Closure: Surgeons use layered suturing and medical adhesives for smoother scars.
Recovery & Aftercare
- 1–2 weeks: Most swelling and bruising subside.
- 2–3 weeks: Light work and daily activities can resume.
- 4–6 weeks: Begin light exercise (avoid chest-intensive workouts).
- 3–6 months: Chest contour refines, scars begin fading.
Aftercare Guidelines:
- Wear compression vest continuously for 4–6 weeks.
- Avoid stretching arms above shoulders until cleared.
- Follow scar-care protocols (silicone sheets, ointments, laser if recommended).
- Monitor nipple grafts closely for healing.
- Attend scheduled follow-ups for adjustments and wound checks.
Results & Longevity
- Flat, masculine chest contour with extended correction of lateral tissue.
- Permanent breast tissue removal with long-lasting results.
- Symmetrical nipple positioning and resizing for natural appearance.
- Visible scarring (longer than standard DI, but fades over time).
- Significant improvement in gender affirmation and self-confidence.
Treatment Process in Korea
1. Consultation & Planning
- Surgeons evaluate chest size, side tissue, and skin elasticity.
- Personalized surgical plan created with extended incision mapping.
- Nipple graft placement and size discussed.
2. Surgery Day
- Performed under general anesthesia.
- Double incisions extended laterally for greater contouring.
- Breast tissue and excess skin removed.
- Nipples resized and grafted.
- Drains may be placed to prevent fluid buildup.
3. Post-Surgery Monitoring
- Compression garment applied immediately.
- Hospital stay usually 1 night, depending on procedure extent.
4. Follow-Up & Refinement
- Follow-ups at 1 week, 1 month, and 3–6 months.
- Scar treatments and possible revisions offered if needed.
Why Korea is a Top Destination
- Surgeons skilled in complex chest masculinization and extended incisions.
- Access to advanced scar treatments (lasers, injections, silicone therapy).
- Clinics provide 3D imaging and simulation for pre-surgery planning.
- Prices are 20–40% lower than Western countries.
- Supportive environment with multilingual staff and discreet LGBTQ+ friendly services.
Cost Range
The cost of Extended Double-Incision Top Surgery in Korea varies by clinic, surgeon, and complexity.
Estimated Pricing:
- Standard Extended DI Top Surgery: USD $9,000 – $13,000
- With Free Nipple Graft (FNG): USD $10,000 – $14,500
- With Liposuction Refinement: USD $11,000 – $15,000
- Premium Clinics (scar-care + VIP aftercare): USD $13,000 – $18,000
Additional Costs:
- Consultation & pre-op testing: USD $200 – $500
- Compression vest: USD $150 – $300
- Scar-care program: USD $300 – $800
- Medications & aftercare: USD $200 – $400
Popular Clinics
- Banobagi Plastic Surgery (Seoul): Experts in complex chest masculinization with extended incisions.
- ID Hospital (Seoul): Offers FTM top surgery with advanced nipple grafting and scar management.
- JK Plastic Surgery Center (Seoul): JCI-accredited, with premium aftercare programs.
- View Plastic Surgery Clinic (Seoul): Known for extended DI procedures and laser scar refinement.
- JW Plastic Surgery (Seoul): Specialists in extended chest contouring and natural nipple aesthetics.
