Double incision is a surgical technique often used in gender-affirming surgeries, particularly for individuals undergoing chest masculinization. This method involves making two horizontal incisions across the chest to remove breast tissue, allowing for a flatter chest contour. This approach can lead to less visible scarring and a more natural appearance compared to traditional methods. The double incision technique is typically chosen for individuals with larger breast sizes, as it provides better access to the tissue that needs to be removed while ensuring a more aesthetically pleasing result.