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Dr Nitin Ghag (Plastic and Reconstruction Surgeon)explains - Which top surgery to do ? Key hole or double incision Transmastectomy? Keyhole top surgery is only recommended for people with very small chests and tight chest skin. Key information includes: Very few people are good candidates for keyhole top surgery because no excess skin is removed. You may get crumpling of skin periareolar incision on closure which does not settle. And there may not be total flatness of the chest. The Double Incision with Free Nipple Graft (DI-FNG) technique is favored in patients with larger breasts, ptosis, and/or skin laxity. While this technique creates the most noticeable scarring but it provides the best aesthetic outcomes for the described patient group and allows for optimal nipple placement. This technique demonstrated the fewest reoperations and similar satisfaction compared with other techniques.9 Here, we review DI-FNG in detail, highlighting the Few modifications and refinement of the procedure facilitate the successful creation of a masculine or androgynous chest wall, with particular attention to optimal scar and nipple graft placement. ****************************** Dr Nitin Ghag Plastic , Reconstruction and Cosmetic Surgery. Director & Founder Craftsman Integrated Transgender healthcare center. Call Us or WhatsApp Us - 9004766707,02228443536 www.craftsmanclinics.com email @ [email protected] Craftsman Integrated Transgender Healthcare Centre Craftsman Plastic Reconstruction and Cosmetic Surgery Centre and Hospital 5/6, A wing Nirman Apts, Rani Sati nagar, Chincholi Phatak, Opp HP petrol pump, Malad West Mumbai-64 #topsurgery #transmansurgery #transgendermale #transgendersurgerymumbai #transnippleglandexcision #transsurgicare #transman #transgenderindia #doubleincisiontransmastectomy #keyholemastectomy #craftsmanintegratedtransgendercentre #celebrationoflife #facialrejuvenation #prpfacerejuvenation #prptreatment #botoxfacial #fillersinjection #cheekfillers #plasticvscosmetic #extentofplasticsurgery #whatplasticsurgeonscando #transformationalreconstruction #affordablehealthcare #craftsmanplasticsurgerycentre #drnitinghag #livethelifeyoudesire #MaladWest #plasticsurgerymotivation