How-to-avoid-dog-ears-after-ftm-double-incision-mastectomy

How to Avoid Dog Ears After FTM Double Incision Mastectomy

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Dog Ears After Double Incision Mastectomy

Following a , some patients may "dog ears." This term describes the excess skin and fat that extend and bulge at the ends of the surgical incision, primarily around the chest’s outer edges near the armpit. This effect occurs when the skin doesn’t lay flat against the body contour.


Such occurrences are among the most frequent causes for considering revision surgery after a double mastectomy. The emergence of dog ears can be influenced by several factors, regardless of the surgeon’s expertise — including the patient’s skin elasticity, the amount of fat at the incision sites, and the skin’s post-surgical reaction.


At our London clinic, the care following your surgery includes thorough examinations during post-operative appointments. Our surgeons meticulously monitor your healing and progress, ensuring your recovery is as effective and smooth as possible.


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How to Minimise the Risk of Dog Ears Following a Double Incision Mastectomy

While the occurrence of "dog ears" following a double-incision is not entirely preventable, several approaches can reduce its likelihood. Not all excess skin and fat can be removed entirely during the initial mastectomy, which makes the formation of dog ears a possibility for some patients. However, advancements in surgical techniques have enabled many top surgeons to reduce the risk of this complication consistently.


One effective method involves adding in the areas below the and on the sides of the chest. This technique helps smooth the chest contours and minimise excess skin that could lead to dog ears.


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Furthermore, the likelihood of developing dog ears tends to be lower among transmen who naturally have less skin to remove.

How to Reduce the Risk of Developing Dog Ears After a Double Incision Mastectomy

The formation of "dog ears" can be influenced by several factors. Understanding these can help in minimising their occurrence after surgery.


The inherent symmetry and contour of your chest play a significant role in how your skin adjusts after a mastectomy. Every individual’s body structure is unique, which can affect the final surgical outcome.


Being at or near your ideal weight before undergoing a double incision mastectomy can significantly influence the success of the procedure in terms of aesthetics. A healthier weight can reduce the risk, due to less fat under the skin at the incision sites, which can make it easier to achieve smoother results.


Opting for a slightly longer incision that extends around the side of your body towards your back can also decrease the likelihood of dog ears. This approach allows for more skin to be adjusted and redistributed evenly, preventing puckering at the ends of the incisions.


Adhering to your surgeon’s postoperative care instructions is critical for a smooth and healing process. This managing swelling, preventing infection, and supporting proper wound closure, all of which contribute to the overall appearance after surgery.

Management of Dog Ears Following a Double Incision Mastectomy

Although "dog ears" are a common concern, they can be effectively corrected through a secondary revision procedure. This subsequent operation refines the initial contours, often achieving an almost perfect alignment and aesthetic result.


If you are contemplating a double mastectomy, it’s crucial to be aware of the potential for developing dog ears. Consulting with a top surgeon, especially one trained and experienced in such procedures at Centre for Surgery, is vital. One of the most effective to mitigate this risk is to follow your surgeon’s postoperative care instructions meticulously.

Why Choose Centre for Surgery for FTM/N Top Surgery

At Centre for Surgery, we understand that to undergo is a significant decision that can profoundly impact one’s life and sense of self. Our dedicated team of top surgeons specialises in gender-affirming procedures, offering expert care tailored to each patient’s unique needs.


Our surgeons are not only highly trained in the latest surgical techniques but also deeply understand the emotional and physical aspects of the transition process. From the initial consultation through post-operative care, our team provides continuous support, thorough follow-up care, and direct access to your surgeon. Our Baker Street clinic is equipped with advanced medical technology in a comfortable and private setting.


We invite you to book a to discuss your specific needs and questions:


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—Please choose an option— Rhinoplasty (nose surgery) Blepharoplasty (eyelid surgery) Facelift / Neck lift Otoplasty (ear surgery) Breast augmentation Breast lift Breast reduction Liposuction Tummy tuck Brazilian Butt Lift (BBL) Mummy makeover Labiaplasty / Cosmetic gynaecology Gynaecomastia (male breast reduction) FTM / MTF top surgery Skin lesion / mole removal Morpheus8 / Fotona / non-surgical Revision surgery (any previous procedure) Other / not sure yet




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Centre for Surgery is a CQC-regulated private hospital on London’s Baker Street, plastic and Redness & Sensitivity cosmetic surgery through GMC-registered specialist . Our expertise spans facial procedures including and , , for men, and body contouring procedures such as and . Patient safety, surgical excellence and natural-looking results sit at the heart of everything we do.


Centre for Surgery is a CQC-regulated private on London’s iconic , offering plastic and cosmetic surgery led by GMC-registered consultant surgeons.




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