Top surgery is an important aspect of gender-affirming procedures. It plays a critical role in the journey for people who want to see their gender identity reflected in their physical appearance. But there are different top surgery techniques depending on the results you’re looking for. Let’s delve into the intricacies of each top surgery technique and shed light on the nuances, benefits, and considerations associated with each option. By understanding the available options, you can make an informed decision.

Double Incision Top Surgery

Double incision top surgery is a commonly chosen method for individuals who want a more comprehensive chest contouring approach. In this procedure, horizontal incisions are made beneath the pectoral muscles to remove excess breast tissue and create a masculine chest appearance. The surgery also involves resizing and repositioning the nipples to achieve a natural result. This technique is particularly suitable for individuals with larger chest sizes or those who desire a more dramatic reduction.

The benefits include a well-defined chest contour thanks to the ability to remove large amounts of breast tissue. This technique also provides a flatter, more masculine chest.

There will be visible scarring, especially during the early stages of recovery. It may take six to twelve months for the scars to fade and for your chest to settle into its final form.

Keyhole Top Surgery

Keyhole top surgery is chosen by individuals who want a less invasive approach with minimal scarring. This technique involves small incisions around the areola. It is through these incisions that excess breast tissue is removed. Keyhole surgery is most suitable for individuals with smaller chest sizes and minimal excess skin.

The advantages of keyhole surgery include reduced scarring, quicker recovery times, and the preservation of nipple sensation. However, it may not be the best option for people with larger chests who need a substantial reduction in breast tissue.

The limitations of keyhole surgery may mean that multiple surgeries are required to remove all excess tissue. Understanding the candidacy criteria and potential trade-offs is important for anyone considering this technique. A consultation with Dr. Wilson can help determine whether keyhole top surgery is right for you.

Peri-Areolar Top Sugery

Peri-areolar top surgery, also known as “donut” or “circumareolar” surgery, involves making an incision around the areola to remove excess breast tissue. This technique is often recommended for individuals with moderate chest sizes and minimal skin laxity. The benefits of perio-areolar surgery include minimal scarring and a natural-looking chest contour. Candidates for this technique typically have good skin elasticity, allowing for a smoother transition post-surgery.

However, considerations include the potential for visible scars around the areola, and the procedure may not be suitable for those with larger chests or excessive skin laxity.

Schedule A Consultation

Exploring each top surgery technique is critical for anyone who is seeking gender-affirming procedures. Understanding the nuances of double incision, keyhole, and peri-areolar surgery allows you to make informed decisions based on your unique needs and preferences. With Dr. Wilson’s expertise and years of experience, he’ll help you find the best path to achieving the results you’re looking for. Take the first step on your gender-affirming journey and schedule a consultation today. Call our Portsmouth, NH office at 603-691-2725 or fill out our online contact form.