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hello this is dr. Scott masseur gender surgeon from the gender confirmation Center in San Francisco and I want to talk a little bit about dog ears so dog ears are a hot topic in the world of FTM Top surgery and yet I dont think Ive ever seen a good example and explanation as to why geometrically speaking dog ears can occur and what can be done to try and keep them from happening or treat them if they do occur so first of all what is a dog ear a dog ear in this sense is a protrusion of skin which can occur at the outermost portion of the incisions wherever an ellipse of tissue is removed from the body most people dont think of the mastectomy as a removal of an ellipse of tissue but geometrically speaking thats exactly whats occurring to illustrate this further lets take a quick moment to remember something we probably all did in our youth back when we were kids most of us took a piece of circular construction paper which was perfectly flat and we cut a wedge out of that paper and