Double Incision vs. Peri-Areolar: Choosing the Right Transman Top Surgery

by | Nov 27, 2023 | Transgender Surgeons

Double incision and peri-areolar are two standard procedures for trans surgery. These two options to masculinize the chest with transman top surgery should be evaluated with careful consideration. Deciding between the two procedures is an important choice, as your comfort, results, and recovery will be impacted by the type you select.

Understanding Double Incision

With double incision transman top surgery, the surgeon will make incisions around the areola and remove most breast tissue, reshaping the chest to create a masculine contour.

Explaining Peri-Areolar Surgery

Meanwhile, peri-areolar or “keyhole” surgery for transmen involves a single incision made around the lower half of the areola. This small incision removes tissue, sculpting the chest into a flatter, more masculine appearance.

Comparing Sensation and Results

Peri-areolar procedures enable many transmen to retain erotic chest sensations after surgery for transmen. However, a double incision may be better for individuals with particularly large breasts or who need a significant lift. Talk to your surgeon about the optimal technique for your anatomy and goals.

Considering Scar Visibility

One of the most significant factors is scar visibility. The double incision leaves two horizontal scars across the lower chest, while peri-areolar scarring is mainly limited to the areola. Though double incision scars tend to fade well over time, some transmen prefer to limit scarring from surgery when possible.

No matter your surgery, working with an experienced gender affirmation surgeon is critical. When you’re ready to learn more, contact the International Center for Transgender Care for a personalized consultation.

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