Should I go with periareolar or double incision top surgery? (Photos)

Hello,
And thank you for the question.
Based on your photos, you are a good candidate for Double Incision Top Surgery which is ideal for patients with medium to large size breasts. During this procedure, the breast tissue is removed through the incision at the breast fold and the second incision ends up being around the nipple, because the nipples are removed, re-sized and then grafted on the chest, in order to create a masculine chest.
I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon specializing in Transgender Top surgeries to further discuss your options, specific techniques, concerns and expectations. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.
I hope this helps.Good luck!
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon

Dear Peincess1,

Thank you for your question and photos. It is difficult to say for sure without an in-person consultation, but from looking at your photos, you may potentially be a good candidate for a double incision top surgery. Utilizing this method may help to remove breast tissue, as well as, excess skin, while potentially providing improved chest contour and positioning of the nipples in a male pattern with respect to the pec muscles. I suggest that at this current time, you schedule an in-person or virtual consultation with a board-certified Plastic Surgeon to discuss you specific goals and to develop a unique plan to best achieve them. Best wishes and stay safe!