28 year old transgender FtM - are there reduction or removal techniques that don't touch the areola at all?

It's great that you're exploring different options for top surgery that align with your preferences. There are indeed techniques that avoid incisions around the areola, and they can be suitable depending on various factors such as breast size, skin elasticity, and nipple-infra-mammary fold (NIMF) distance. Here are some techniques to consider:
Techniques such as the keyhole (periareolar) approach or Nipple-areola complex (NAC) preservation techniques may be available, though they often involve some degree of areola incision. If complete avoidance is necessary, it's important to discuss this with your surgeon to explore alternative methods.
Limitations and Considerations: - Size and Skin Elasticity: Non-areolar techniques may be more suitable for smaller breast sizes or individuals with good skin elasticity. - NIMF Distance: The distance from the nipple to the infra-mammary fold can impact the choice of technique. Surgeons will assess this distance to determine the most appropriate approach for achieving aesthetic results.
It's crucial to consult with a plastic surgeon experienced in transgender top surgery. They can evaluate your specific needs and preferences, discuss the benefits and limitations of each technique, and tailor a surgical plan that aligns with your goals. By working closely with an experienced surgeon, you can make an informed decision that best meets your expectations and ensures a satisfactory outcome.

Hello. There are several options for surgical approaches or techniques, but they are all related to the size of the breast, mammary gland, fat or soft tissue that makes up the previous appearance. There is no surgery that does not leave scars, whether hidden or not, but they all include scars. If you stick to the recommendations and care of yours, you would not have to worry about the risk of showing ugly scars.

Areola preservation FTM top surgery is possible in some patients, depending on their anatomy. Although my patients have never considered areola reconstruction a problem, there are techniques that can be applied in order to acheive your objective. I would need to see front and side view photos in order to better advise.