FTM transgender, age 21. Is there any way to make peri top surgery work here? (Photos)

Question

I am ftm transgender, age 21, starting t soon. I know I am far from the ideal candidate for peri, but personally I would rather have a wonky and abnormal but still cis male passing chest than a great looking male chest with visible DI scars. I wanted to know if there is anything that can potentially make peri a possibility for me. I am open to getting it done in stages (eg, an initial breast reduction, then peri a few years later, or peri followed by revisions). I am a bit overweight so I am also looking to lose weight or try lipo if it can help. If there must be visible scarring, is there any way to avoid it being thr typical horizontal scars?

Mario Arturo Moran Romero, MD · Answer

I understand your goal of avoiding visible scars, and that’s completely valid. However, based on the information provided, I would not recommend a periareolar (peri) approach in your case. Peri techniques have strict indications and work best in patients with very small volume, minimal skin excess, and excellent skin elasticity. Outside of those criteria, there is a high risk of residual tissue, loose or redundant skin, and an overall suboptimal contour that may not read clearly as masculine. Even with strategies like weight loss, testosterone therapy, liposuction, or staged procedures, skin excess and tissue distribution are not reliably corrected enough to make peri a predictable option. While double incision does involve visible scars, it remains the most reliable technique to achieve a flat, well-contoured masculine chest, and scars typically improve over time. Ultimately, a definitive recommendation should be made after an in-person evaluation, but based on your description, peri would not be the best option to achieve your goals

FTM transgender, age 21. Is there any way to make peri top surgery work here? (Photos)

Answers (1)

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