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hi there this is dr. Scott masseur and I am a gender surgeon in San Francisco California I created this video to demonstrate how an FTM double incision surgery is performed and to clarify some things that even with a live surgery video might remain a bit confusing the double incision surgery remains our most powerful tool for chest masculinization the surgery allows us to obtain the tightest flattest result and to completely customize the location of the nipple on the chest but it does come with the trade-off of a considerable scar on either side of the chest and also a decrease in nipple sensation from possibly being hypersensitive to having more of a normal chest skin level of sensation this surgery is most suitable for patients that have a degree of excess skin in the chest with some overhang of the chest tissue this is what I would call an infra a breast angle of less than 90 degrees and this surgery is most useful when the patients simply want the flattest tightest result which i
