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Periareolar Top SurgeryPeri-Areolar Top Surgery

aka. peri, peri-areolar concentric circle

The peri-areolar top surgery procedure is ideal for small chested men, or those with B-sized chests and good skin elasticity. During this procedure, an incision is made all around the border of the areola. Additionally, a second, larger concentric circle incision is made and the resulting ring of skin removed. Breast tissue and additional liposuction may be performed. A "drawstring" technique is used to bring the skin together and connect it to the edges of the areola, which may be downsized. With peri-areolar, the nipple stalk is usually left intact, though some surgeons wil resize the nipple itself. Nerve sensation is often maintained.

Peri-areolar top surgery is typically an outpatient surgery that lasts 3-5 hours. General anesthesia is used, but patients are rarely catheterized.

Top Surgery Post-op Care

After surgery, patients are left with two medical drains — small tubing that lines the length of the incisions, under the skin, that exit through a small incision under each arm, with a resevoir bulb attached at the ends to collect excess blood and lymphatic fluid. These drains are left in for several days to a week, and need to be emptied by the patient or an assistant a few times a day. Many surgeons also have patients wear a compression binder after surgery, for anywhere from 1-6 weeks. The binder helps prevent fluid build up, aids the skin in adhering back to the chest wall, and also helps with minimizing scars.

Top Surgery Recovery

Healing times vary, but many trans men return to desk jobs and light work after two weeks. There should be no heavy lifting, regular lifting of your arms over your head or weight training for 6-8 weeks. Light physical activity, such as walking, is recommended.

What to discuss with your surgeon:

  • Size and placement of the nipple-areola complex
  • Will a nipple reduction be included?
Keyhole and Peri-Areolar Top Surgery compared
Comparison of Keyhole and Peri-Areolar

Surgeons who offer Peri-Areolar Top Surgery:

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Last updated: 07/11/17

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