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Top surgery there are different uh options depending on what the patientamp;#39;s needs were and this is one option that I came up with uh about six years ago and basically it works really well because weamp;#39;re able to do a reverse tummy talk at the same time as Top surgery and we call this masculoplasty plus so basically if your Anatomy is like the picture over here for whatever reason maybe because of massive weight loss or just how your Anatomy is and you have upper belly folds that you want to get rid of we can do that at the same time as Top surgery and still Park those scars right underneath where the PEC muscles are but at the same time weamp;#39;re going to be lifting and smoothing out the belly the only thing about this is the scars have to meet in the middle Itamp;#39;s Not Unusual we have to make the scars meet anyway to avoid that Central dog gear but this could be a really nice option to smooth out the belly at the same time as Top surgery