Non-binary, looking to detransition to a more masculine chest. What would be the best option for me? (Photos)

Thank you for your question. If you're looking to achieve a more masculine chest with minimal scarring after taking estrogen, a periareolar approach combined with liposuction could be an ideal option. This method involves making a small incision around the areola, which is discreet and tends to leave a less visible scar. Liposuction is then used to remove excess fat tissue, particularly if there is a smaller amount of breast tissue.
This approach is especially beneficial if you're seeking to minimize scarring while still achieving a more masculine chest appearance. It's important to discuss your specific goals with a qualified gender-affirming breast surgeon who can tailor the procedure to your needs and provide the best results with the least scarring possible.
Krishna Vyas, MD, PhD, MHSHarvard and Mayo Clinic Trained Aesthetic and Plastic SurgeonNew York, New York

Starting with a periareolar approach combined with liposuction could be a suitable method for achieving a more masculine chest with minimal scarring, particularly if you are seeking to reverse the effects of estrogen-induced breast development. This method involves making a small incision around the areola, which is less conspicuous, and using liposuction to remove excess fat tissue. This approach tends to leave less visible scars and can be quite effective for those with a smaller amount of breast tissue.

The least possible scars in order to reduce Breast Size is The Periareolar Mastectomy. An Incision on the lower half of the areola borders would be the only scar.

Thank you for your question and photos. Based on these photos, you would get a good result with an intra-areolar incision (no visible scars afterwards) and a 1 cm armpit incision. Through these small incisions, I do VASER liposuction, gland excision and Renuvion skin tightening in your case. These procedures I do in our certified in office operating suite under deep intravenous sedation.
See a board certified plastic surgeon experienced in advanced chest and body sculpting techniques for an in person consultation/evaluation. Good luck.

I would perform liposuction of your chest first to see if most of the breast fat and tissue may be removed with minimal incisions (in the armpit).
Dr. T