Double incision mastectomy with free nipple graft gallery

Dan, Chest reconstruction, Double incision, Free nipple graft

Before: The patient is 5 feet 4 inches tall and weighs 190 pounds, resulting in a body mass index (BMI) of 32.5. He presents with moderately large breasts and bilateral Grade 2 ptosis. A double-incision mastectomy with free nipple grafts is recommended to achieve the desired chest contour.
There is no significant lateral chest roll; however, axillary and sternal fat pads are present and will be addressed during the procedure to enhance the overall masculine chest appearance. The patient has also expressed a preference for masculine-appearing nipples.

After: On examination, the patient demonstrates a well-defined, masculine chest contour. The incisions have healed beautifully and are nearly undetectable beneath the chest hair. Nipple grafts show excellent healing and uniform pigmentation. There are no dog-ear deformities bilaterally.
A total of 1,160 grams of tissue was removed from the left side and 1,140 grams from the right side, achieving a balanced and symmetrical result.

Kelly-Chest reconstruction, Double incision, Free nipple grafts

Before: The patient is 5 feet 2 inches tall and weighs 174 pounds, with a body mass index (BMI) of 32. On examination, he presents with moderately large breasts demonstrating bilateral Grade 3 ptosis. There is no evidence of a lateral chest roll. The patient desires a double-incision mastectomy with free nipple grafts to achieve a more masculine chest contour.

After: The patient demonstrates an excellent chest contour with well-defined masculine characteristics. The surgical scars are thin, flat, and non-pigmented. There are no dog-ear deformities bilaterally. The nipple grafts have healed well, though there is mild pigment irregularity noted on the right side.
A total of 805 grams of tissue was removed from the left side and 875 grams from the right side, resulting in a balanced and symmetrical outcome.