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The GraceMed x McLean Clinic has helped thousands of patients feel more confident in their bodies through gender affirming keyhole top surgery. We prioritize patient-centered care to ensure every person who walks through our doors feels safe, comfortable, and happy!
Are you ready to start your surgical gender confirmation journey?
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Plastic Surgery experience
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Top Surgery
Experience
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Gender Affirming
Surgeries Performed
Also referred to as periareolar top surgery, a keyhole mastectomy is an outpatient surgical procedure that lasts approximately two hours. It’s a chest reconstruction technique that involves creating a tiny incision at the border of the areola. Through this small opening, the breast tissue is carefully taken out.
In some cases, keyhole top surgery may preserve the patient’s natural nipple sensitivity because, unlike other top surgery operations, the nipple stalk and the areola are left untouched. Depending on your surgeon and your individual case, your nipples may or may not be resized during the operation.
Aside from offering a higher chance of maintaining nerve sensation, another benefit of a keyhole mastectomy is that patients tend to heal faster and experience very minimal scarring. The surgical incision is barely visible and typically ranges half the length of the areola’s border, plus there is no grafting involved.
On the other hand, a known disadvantage of keyhole top surgery is that the inframammary fold (IMF)—or the boundary between the chest and the breast—is not taken out. That is why this particular surgical procedure is not suitable for all types of patients.
In keyhole top surgery, no excess skin is surgically removed. For this reason, a keyhole mastectomy is only recommended for patients who have naturally small breasts and/or high skin elasticity around the treatment area.
An ideal candidate for keyhole top surgery would be someone considered to be more flat-chested in the range of an A-B cup breast size.
Proper preparation plays a pivotal role in achieving phenomenal results in any medical procedure, and keyhole top surgery is no exception. Here are some practical pre-surgery tips, which are centred on boosting your body’s natural healing ability and minimizing potential risks of adverse reactions.
Additionally, GraceMed x McLean Clinic will provide you with detailed instructions on how to prepare for keyhole top surgery prior to your procedure.
In order to help with the post-op healing process, it’s important to eat healthy and exercise before your keyhole mastectomy. You will also need to give up smoking a month in advance and limit your caffeine and alcohol consumption as well.
Some medications may also need to be stopped prior to surgery. Consult your doctor to find out which medications you should avoid.
Every patient has a unique healing process. Some may recover faster than others. For the first 24 to 48 hours post-surgery, the effect of anesthesia will gradually start to wear off so it’s expected to feel a certain level of discomfort and soreness, especially around the surgical site. Your movement will be limited.
For a speedy and smooth-sailing recovery experience, here are some things for you to know:
If you are having keyhole top surgery, you won't be able to drive, so make arrangements for someone to pick you up after the procedure. You may also want to arrange for someone to help you with tasks such as preparing meals, doing your laundry, etc. during your recovery. Ask your clinic if they can make special arrangements for a caregiver if you are living alone or travelling from abroad to have your top surgery in Canada.
Similar to any medical procedure, there are some risks involved with a keyhole mastectomy and other types of top surgery. During your initial consultation, your plastic surgeon will talk about this subject in detail and explain to you the strategies and precautions they can take to execute the procedure safely and effectively.
Some keyhole top surgery side effects may include:
• Fluid buildup
• Infection
• Distorted nipples
• Decreased nipple sensation
• Keloid or scarring
• Nausea and vomiting
• Distorted nipples
• Decreased nipple sensation
Keyhole top surgery is a life-changing gender affirming procedure. Sadly, transgender discrimination still exists in healthcare, and being harassed or misgendered can discourage patients from seeking the medical care they need.
GraceMed x McLean Clinic has garnered a reputation as one of the most welcoming and accepting surgical centres for the LGBTQAI+ community—not just in Canada, but worldwide. As a result of our extensive experience, we have a keen understanding of how gender affirming surgical procedures can improve the lives of folks in the transgender and non-binary community. The results of keyhole top surgery performed by our expert surgeons have changed the lives of thousands of patients. With McLean Clinic's kind and caring staff, you can rest assured that your surgical experience will be safe, comfortable, and stress-free.
