This specific surgical technique, a variation of double incision top surgery, involves a shorter horizontal incision along the lower chest, coupled with a vertical incision extending down from the nipple point. This approach creates an inverted T-shape, hence its name. It is typically employed for individuals seeking a more masculine chest contour and is often chosen when a significant amount of excess chest tissue needs to be removed, particularly in cases where the chest is wider or where the nipples require repositioning lower on the chest.
The aim of this procedure is to create a flatter, more contoured chest that aligns with the patient’s gender identity. Compared to other methods, this particular technique may offer advantages in specific situations, such as improved nipple sensation preservation and reduced scarring in the underarm area. The historical development of this technique reflects advancements in surgical approaches for gender-affirming care, offering a more tailored approach to individual needs and body types.
