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      <image:title>Home - Feel Comfortable Wearing a T-Shirt Without a Chest Binder Underneath.</image:title>
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    <loc>https://www.vancouvertopsurgery.com/faq</loc>
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    <loc>https://www.vancouvertopsurgery.com/transcare-bc</loc>
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    <lastmod>2025-01-22</lastmod>
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    <loc>https://www.vancouvertopsurgery.com/mclean</loc>
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    <lastmod>2020-02-03</lastmod>
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      <image:title>mclean</image:title>
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    <loc>https://www.vancouvertopsurgery.com/contact</loc>
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    <loc>https://www.vancouvertopsurgery.com/before-surgery</loc>
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    <loc>https://www.vancouvertopsurgery.com/consultation</loc>
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    <lastmod>2026-06-18</lastmod>
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    <loc>https://www.vancouvertopsurgery.com/after-surgery</loc>
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    <lastmod>2025-01-17</lastmod>
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      <image:title>After Surgery</image:title>
      <image:caption>Dressing removal 1 week after double incision chest surgery</image:caption>
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    <loc>https://www.vancouvertopsurgery.com/day</loc>
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    <lastmod>2024-09-24</lastmod>
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  <url>
    <loc>https://www.vancouvertopsurgery.com/whatistopsurgery</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2026-06-18</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e3766a50d293653e0115c55/1581226176449-QB3VBA5EQ2LE8RVELTSV/double+incision+top+surgery+FTM+nipple+grafts+contouring</image:loc>
      <image:title>What is Top surgery?</image:title>
      <image:caption>Before and After photos: 1 Year after top surgery. This particular type of top surgery is called a ‘double incision mastectomy with nipple grafts’. Additional top surgery types will be discussed later.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.vancouvertopsurgery.com/double-incision-vs-keyhole</loc>
    <changefreq>daily</changefreq>
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    <lastmod>2026-06-18</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e3766a50d293653e0115c55/1581309330145-2LZ4EK8ADL2WPJFUOLZT/double+incision+contouring+chest+gender+surgery</image:loc>
      <image:title>Double Incision Vs. Keyhole</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e3766a50d293653e0115c55/1581309358989-0Z7MFL6A81J9N4I95E5B/No+drains+for+top+surgery+masculin+chest</image:loc>
      <image:title>Double Incision Vs. Keyhole</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e3766a50d293653e0115c55/1581227988472-XTZF15TRILJJ8PGC8UAS/chest+construction+trans+before+after+double+incision+FTM</image:loc>
      <image:title>Double Incision Vs. Keyhole</image:title>
      <image:caption>Before and After photos: 1 Year after tops surgery (double incision mastectomy WITH nipple grafts)</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e3766a50d293653e0115c55/1612994344352-RB4GNGRJYIKAU9RIGQEZ/no+nipple+graft+tattoo+top+surgery+FTN+non-binary.jpg</image:loc>
      <image:title>Double Incision Vs. Keyhole</image:title>
      <image:caption>In contrast, this hypothetical patient had a double incision mastectomy WITHOUT Nipple grafts. After everything has settled, they may choose to obtain nipple tattoos, a large chest tattoo design, or leave it blank.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e3766a50d293653e0115c55/1612994888545-04166H38FH7ZOUEPIYUX/1+custom+2.jpg</image:loc>
      <image:title>Double Incision Vs. Keyhole</image:title>
      <image:caption>Illustration describing how the double incision mastectomy works.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e3766a50d293653e0115c55/1612995087842-ASGXII64MN6R8KJK9XSE/1+custom+series+Nips.jpg</image:loc>
      <image:title>Double Incision Vs. Keyhole</image:title>
      <image:caption>Illustration of how the nipple grafts are created for those patients that choose to have double incision mastectomy WITH nipple grafts</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e3766a50d293653e0115c55/1612995252526-X5UTZIBSYHLFKV9JZ30B/non-binary+FTN+blank+chest+surgery+noNips.jpg</image:loc>
      <image:title>Double Incision Vs. Keyhole</image:title>
      <image:caption>Illustration of how the surgery works for those patients that chose to have double incision mastectomy WITHOUT nipple grafts</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e3766a50d293653e0115c55/1612997129315-5ONI0B5BFXAODE6REOJJ/combo+nips.jpg</image:loc>
      <image:title>Double Incision Vs. Keyhole</image:title>
      <image:caption>This is an example of a nipple tattoo. With the medical tattoo artist, the patient can describe their goals for the appearance of the nipple and areola regarding: size, shape, color, 3D look, texture, and location on the chest.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e3766a50d293653e0115c55/1612996046873-HMUZ90C6DGBTL43JNPCG/IMG_0055.jpg</image:loc>
      <image:title>Double Incision Vs. Keyhole</image:title>
      <image:caption>This is an example of a patient who had double incision mastectomy WITHOUT nipple grafts, but later had nipple tattoos placed after the swelling and healing had settled. Perfect nipple symmetry is reliable with this tattoo technique.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e3766a50d293653e0115c55/1580882552609-H8EEMAKXG1X828KX2ZY4/before+top+surgery+for+gender+reassignment</image:loc>
      <image:title>Double Incision Vs. Keyhole</image:title>
      <image:caption>This patient is a candidate for Double Incision, but not Keyhole surgery, based on the amount of chest tissue they have.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e3766a50d293653e0115c55/1580882808033-Q3L7GTMQLWIGG75OUOOR/4b2a.jpg</image:loc>
      <image:title>Double Incision Vs. Keyhole</image:title>
      <image:caption>This patient is a candidate for either keyhole procedure, or Double Incision. They can choose which.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.vancouvertopsurgery.com/arrange-consult</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2026-06-18</lastmod>
  </url>
  <url>
    <loc>https://www.vancouvertopsurgery.com/topics-compression-binders-vest</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2021-02-10</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e3766a50d293653e0115c55/1611632445422-YCJF4WS3JLMPF05SP76T/81LxtmxulDL._AC_SL1500_.jpg</image:loc>
      <image:title>Topics - Compression binder Vest garment</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e3766a50d293653e0115c55/1611641523868-UCFFNU1X02OOLBN79DC7/0000244_mens-power-compression-post-surgical-vest.jpeg</image:loc>
      <image:title>Topics - Compression binder Vest garment</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e3766a50d293653e0115c55/1611632637930-E8G1KSYG9XUY2K3GB31Y/MVS_Detail_625_0567_RET_2000x.jpg</image:loc>
      <image:title>Topics - Compression binder Vest garment</image:title>
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  <url>
    <loc>https://www.vancouvertopsurgery.com/topics-liposuctionmastectomy-publication</loc>
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    <priority>0.75</priority>
    <lastmod>2024-09-24</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5e3766a50d293653e0115c55/1611733483671-E07NNZXY65BDBY1UO7CS/Power_assisted_Liposuction_and_a_Single_Incision%2BPRS%2BMCKee%2B2021-page-001.jpg</image:loc>
      <image:title>Topics - published novel technique  liposuction mastectomy custom pull through journal article new</image:title>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e3766a50d293653e0115c55/1611733007576-86NEN9Q69ZHICDN5ZYVW/Power_assisted_Liposuction_and_a_Single_Incision%252BPRS%252BMCKee%252B2021-page-002.jpg</image:loc>
      <image:title>Topics - published novel technique  liposuction mastectomy custom pull through journal article new</image:title>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5e3766a50d293653e0115c55/1611733054908-JZ06MFYUZHYZ5LJWNSMV/Power_assisted_Liposuction_and_a_Single_Incision%2BPRS%2BMCKee%2B2021-page-003.jpg</image:loc>
      <image:title>Topics - published novel technique  liposuction mastectomy custom pull through journal article new</image:title>
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