Silk Bioprotein as a Wound Dressing for Double-Incision Mastectomy

Inclusion Criteria:

* Patients over the age of 18 undergoing double-incision bilateral mastectomy for female-to-male gender affirming surgery with the principal investigator.
* Physicians will be plastic surgeons in the IU Health system

Exclusion Criteria:

* Patients with a history of breast cancer.
* Patients with prior history of breast surgery.
* Patients with a prior history of radiation to the chest wall/breast.
* Patients with medical comorbidities that predispose to poor wound healing (diabetes, nutritional deficiency, smoking, inflammatory disease, chronic steroid use, immune deficiency, morbid obesity).
* Patients with a history of documented allergic reaction to Dermabond/Prineo or Silk Bioprotein dressing, or any of the constituents that make up these dressings.
* Significant acute or chronic medical, neurologic, or illness in the patient that, in the judgment of the Principal Investigator, could compromise subject safety, limit the ability to complete the study, and/or compromise the objectives of the study.
* Physicians not in the IU Health system will not be included.