In the case of nonbinary individuals, if they do not wish to undergo free grafting of the areola and nipple during double incision surgery, the grafting is simply not performed.

As a result, the surgery is faster, and the recovery period is shorter.

The incision scars align with the natural lower border of the pectoral muscle, and with proper scar management, they can become less noticeable over time.

Gender Affirming Mastectomy

A patient with a history of breast reduction
Had large breasts (D cup or larger) with skin laxity and pre-existing scars, so Anchor resection was chosen.

2-Month Postoperative Follow-up

• The scabs on the nipples are still present.
• Continuous scar management is required.