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GraceMed x McLean Clinic is at the forefront of top surgery in Canada, comprised of a team of surgeons with more than 20 years of experience performing gender affirming procedures. With a caring and relaxed approach, coupled with our understanding of how much gender confirmation surgery means to our patients, you can be sure to receive all the support you need when you select us as part of your journey.
Also called a bilateral mastectomy, double incision mastectomy involves opening the skin on the chest using two horizontal incisions—one at the top and another at the bottom—of the pectoral muscle and removing breast fats, tissues, and excess skin. The nipples and areolas may also be decreased in size and repositioned for a natural-looking flat chest.
Have medium to large chests
Have low skin elasticity
Have no concern for nipple sensitivity
Keyhole top surgery, using the periareolar approach, makes a semi-circular incision along the base of the areola and the breast tissue is removed using liposuction. This top surgery technique leaves the nipple stalk intact, allowing for a higher chance of maintaining nerve sensation. Despite the desirable benefits, keyhole top surgery isn’t for everyone. Only about 5% of the general population are good candidates for this procedure.
Have smaller chests
(A-B cup breast size)
Have good skin elasticity
This surgical technique is designed to assist individuals of diverse gender identities, including transgender, non-binary, and gender-nonconforming individuals, in achieving their desired chest contour and alleviating gender dysphoria. We are committed to providing a safe and inclusive environment where all individuals can access the transformative care they need to align their physical appearance with their authentic selves.
Have larger chests
Want to preserve the nipple
In this procedure, two incisions are made along the lower border of the pectoral muscles, similar to a standard double incision mastectomy. The breast tissue is meticulously removed, creating a more masculine chest contour. Throughout the process, the surgeon takes great care to detach the nipple-areola complex from the underlying breast tissue while preserving its blood supply.
Have smaller to medium chests
Looking to Preserve the Nipple
Periareolar Top Surgery involves the removal of breast tissue through an incision made around the perimeter of the areola. This technique is especially suitable for individuals with smaller amounts of breast tissue and good skin elasticity. The procedure not only removes the breast tissue but also allows for the resizing and repositioning of the areola, resulting in a more masculine chest appearance.
Have smaller chests
Have good skin elasticity
Want to preserve the nipple
Body masculinization surgery is a series of procedures that aim to transform feminine curves into a more masculine physique. It uses liposuction to remove body fat from the hips, abdomen, buttocks, arms, and other areas that create a feminine appearance.
At least 18 years old
Body mass index of 35 or less, or have a weight proportionate to their frame
Non-smokers or who can quit smoking four weeks before the procedure
Breast Augmentation with Implants involves the surgical insertion of silicone implants to enhance breast size and shape. This approach is ideal for those who desire a significant and noticeable increase in breast volume, which cannot typically be achieved with fat transfer alone. During the procedure, implants are carefully placed either under the breast tissue or beneath the chest muscle, depending on your body type, the type of implant, and the desired outcome. Our experienced surgeons use state-of-the-art techniques to minimize scarring and optimize the aesthetic result, ensuring that the implants look as natural and congruent with your body as possible.
Desire a noticeable increase in breast volume
Have a weight proportionate to their frame
Breast Augmentation with Fat Transfer, often referred to as fat grafting, is an innovative procedure that enhances breast size and shape using the patient’s own fat. During the procedure, our skilled surgeons meticulously harvest fat from areas with excess deposits, such as the abdomen or thighs, through liposuction. The fat is then purified and carefully injected into the breasts to achieve a more rounded and naturally feminine shape.
Desire a smaller, less pronounced result
Have excess body fat
Body feminization surgery is a series of procedures that aim to transform a masculine physique into more feminine curves. It uses liposuction and fat transfer to remove body fat and add curves to the hips, abdomen, and buttocks.
At least 18 years old
Body mass index of 35 or less, or have a weight proportionate to their frame
Non-smokers or who can quit smoking four weeks before the procedure
Although there are several different top surgery techniques used in gender affirmation surgery, the most appropriate procedure for you is largely based on your chest size and skin elasticity. During your initial consultation with McLean Clinic, it will be determined whether you’re an ideal candidate for double incision or keyhole top surgery.
We offer surgery techniques that accommodate every breast size and shape so you can be sure you’re receiving the best possible care.
