18 & been on testosterone for 6 months - am I a good periareolar candidate? (Photos)

Periareolar removal of breast tissue is an excellent option in cases like yours, especially with good skin elasticity and minimal breast volume.To help the skin redrape and tighten even more, adding a skin tightening device like Renuvion (J-Plasma) or BodyTite during surgery can provide an extra boost to improve contour and minimize excess skin without large scars.A consultation will help determine if you’re a good candidate for this approach.

Yes, You are an excellent candidate for the Periareolar Technique, due to skin elasaticity and young age.

There is no medical necessity for someone to be on testosterone – or to stop testosterone – before having chest reconstruction top surgery. However, you want to wait until your hormone-induced changes have settled.
Periareolar gender-affirming top surgery involves removing breast tissue through a circular incision around the areola, which is ideal for individuals with smaller breasts and minimal skin excess. This technique preserves nipple sensation and results in less noticeable scarring. However, revision rates can be higher compared to other methods like double incision mastectomy, often due to issues like contour irregularities or areola resizing. The surgery is best suited for patients who require less skin and breast tissue removal.

In terms of timing, I'd say you are ready to go. You could definitely execute a mastectomy through the areola or lateral chest for your top surgery. I'd expect the skin to retract well as to not need to do a reduction pattern or free nipple graft to deal with skin excess. The difficulty here is that your nipple projects a bit and the areola is larger then a male's. I would suggest doing the nipple sparing mastectomy and let things settle to see if a secondary surgery to address the nipple size and projection is needed.

I assume you are requesting a breast augmentation??
If so, yes you are a good candidate for either a periareolar or transaxillary submuscular breast augmentation.
Best wishes.
Dr. Taranow