Using the inverted-T method means the nipple and areola do not need to be placed as a free nipple graft, as it does with double incision. As a result, inverted-T may result in a better chance of maintaining pre-surgery levels of nipple sensation, though this outcome is not certain. As a tradeoff, the double incision is ideal for patients who want flatter results. That said, patients that are interested in a flat chest while maintaining heightened nipple sensation may be good candidates for the double incision with nerve reconstruction.
Another factor to consider if deciding between these two procedures is the location of postoperative scars. The double incision sometimes leaves the possibility of scars that are less visible or more tucked away. The inverted-T leaves an extra, more visible, vertical scar between the areola and the inferior incision. Additionally, with regards to scar placement, the lower curvature of the incision is not as customizable by the surgeon because it has to be located in the lower chest fold. In other words, the surgeon cannot customize the horizontal incision as much as they could with the double incision approach.
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