The goal of this randomized, prospective, interventional clinical trial is to evaluate the use of Brijjit® in reducing the incidence of hypertrophic scarring in individuals undergoing gender-affirming bilateral double incision mastectomies at a single-institution, single-surgeon site (Esther A. Kim, MD). Patients will serve as a self-control (one side of the chest receives intervention, the other serves as a control). Primary endpoints include scar appearance and quality. Secondary endpoints include patient perception of the scar using the Patient and Observer Scar Assessment Scale (POSAS). Participants will be taught how to apply Brijjit® at home if any units fall off before 6 weeks postop.
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Presence of Hypertrophic Scarring
Timeframe: 6 weeks postop
Presence of Hypertrophic Scarring
Timeframe: 3 months postop
Presence of Hypertrophic Scarring
Timeframe: 6 months postop
Presence of Hypertrophic Scarring
Timeframe: 1 year postop
Scar Characteristics
Timeframe: 6 weeks postop
Scar characteristics
Timeframe: 3 months postop
Scar Characteristics
Timeframe: 6 months postop
Scar Characteristics
Timeframe: 1 year postop
Scar Dimensions
Timeframe: 6 weeks postop
Scar Dimensions
Timeframe: 3 months postop
Scar Dimensions
Timeframe: 6 months postop
Scar Dimensions
Timeframe: 1 year postop