Dr. Shareef Jandali
Top Surgery Expert Surgeon in Connecticut
Dr. Shareef Jandali, MD is a board-certified plastic and reconstructive surgeon based in Connecticut, specializing in chest surgery. Known for his advanced surgical skills, reliable results, and personalized care, Dr. Jandali has built a strong reputation in Fairfield County. His extensive experience with complex procedures like gynecomastia surgery and breast reconstruction has also made him highly skilled in gender-affirming Top Surgery. Dr. Jandali tailors his techniques to each patient’s unique chest anatomy and surgical goals, ensuring individualized care.
Dr. Jandali is board-certified by the American Board of Plastic Surgery. He is a member of the American Society of Plastic Surgeons and the World Professional Association for Transgender Health (WPATH).
Dr. Jandali focuses on two primary Top Surgery methods: Keyhole Top Surgery and Double Incision Top Surgery.
Keyhole Method Overview
The Keyhole method of Top Surgery involves a small incision made around the areola, the pigmented area surrounding the nipple. The incision is typically made in a crescent or keyhole shape and excess breast tissue is removed through this incision.
The benefits of the Keyhole method include minimal scarring, preservation of nipple-areola sensation and a shorter recovery time.
The Keyhole method is most suitable for individuals with a smaller chest or those who need minimal tissue removal, and with a good skin elasticity.
Overall, the Keyhole method is valued for its precision and cosmetic benefits, making it a popular choice for many undergoing Top Surgery.
Double Incision Method Overview
The Double Incision method of Top Surgery
involves two horizontal incisions, typically
placed along the upper part of the chest, just
above the breast fold. These incisions are
made symmetrically across the chest. The
placement of the incisions can vary based on
the patient’s anatomy and the surgeon’s
technique, but they generally extend from the
outer edges of the chest toward the midline.
Excess breast tissue and skin are removed
through these incisions. The nipple-areola
complex is usually repositioned to a more
natural location on the chest. This is done by
creating a new, more masculine-looking
nipple-areola complex from the existing tissue
and grafting them on.
The advantages of the Double Incision method
are that it is particularly effective for
individuals with a larger chest, allowing for
significant removal of both tissue and excess
skin. The technique also has more controllable
aesthetics, in that a more precise and
predictable chest contour can be achieved. It
also allows for optimal positioning of the
nipple-areola complex to enhance aesthetic
outcomes.
The Double Incision method results in two horizontal scars across the chest. These scars are usually situated along natural skin folds under the pectoral muscles to minimize their visibility. Some patients may experience changes in nipple sensation, although many retain near-normal sensation post-surgery.
The Double Incision method is usually recommended for individuals with a larger chest or those who desire a significant reduction in breast volume.
In summary, the Double Incision method of Top Surgery is favored for its effectiveness in addressing larger volumes of breast tissue and achieving a masculine chest appearance, despite the trade-off of more noticeable scarring and a potential loss of sensation.
Regardless of the technique used, Dr. Jandali uses liposuction to ensure a smooth contour around the edges of the chest. Dr. Jandali uses surgical drains to prevent build-up of fluid inside the chest. The drains are usually removed at about 5-7 days post-op.
Surgery Requirements
- Dr. Jandali follows the WPATH Standards of Care guidelines for surgery. A letter from a mental health provider recommending surgery is required.
- Patients must stop smoking and recreational drug use before surgery.
- Dr. Jandali will operate on minors with parental consent.
Insurance companies typically have their own requirements before they approve coverage for gender-affirming Top Surgery. These can include requiring two letters (instead of one) of referral from a qualified mental health provider, one year of living in the desired gender, one year of Testosterone therapy and a mammogram.
Insurance Information
Dr. Jandali accepts Aetna, UHC, UHC Oxford,
Connecticare, Anthem and BCBS. He is
in-network with Connecticare. With all
other commercial insurance companies, he is an
out-of-network provider. Dr. Jandali’s
insurance advocacy team will help you
throughout the insurance approval
process. Dr. Jandali will work with all
insurance companies to obtain approval.
If your insurance does not cover gender-affirming Top Surgery, Dr. Jandali can give you a quote for the out-of-pocket cost. Jandali Plastic Surgery accepts medical financing to make surgery accessible for you.
Book Your Consultation
Dr. Jandali offers in-person consultations.
Contact his office to schedule your
consultation. To ensure that you feel
welcomed, Jandali Plastic Surgery uses
gender-affirming intake forms and staff has
had sensitivity training.
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