Periareolar Top Surgery

Periareolar Top Surgery is a key part of our FTM/N top surgical procedures at Centre for Surgery. This specialised technique is designed to help individuals who are seeking a more masculine or non-binary chest contour, allowing them to feel more comfortable in their bodies. Whether you identify as transgender, non-binary, or gender non-conforming, this procedure can be an essential step towards achieving a physical appearance that aligns with your gender identity.

Periareolar Top Surgery is particularly suitable for individuals with smaller chest sizes, as it involves making incisions around the areola to remove excess breast tissue. This approach allows for a more discreet surgical outcome with minimal scarring, preserving nipple sensation and creating a natural-looking result. Many people choose this technique because it offers a balanced combination of aesthetic refinement and functional benefits, helping to alleviate gender dysphoria and enhance self-confidence.

At Centre for Surgery, we recognise that undergoing gender-affirming surgery is a deeply personal and transformative experience. Our team of highly skilled and compassionate surgeons is dedicated to providing exceptional care in a supportive and inclusive environment. From the initial consultation through to post-operative recovery, we ensure that every aspect of the journey is tailored to your unique needs. We take the time to listen, answer your questions, and guide you through each stage, ensuring that you feel fully informed and empowered in your decision-making.

If you are considering Periareolar Top Surgery as part of your gender affirmation journey, we are here to help you take the next step. Our clinic offers a safe space where you can discuss your goals and expectations with experienced professionals who understand the significance of this procedure. The path to achieving your authentic self begins with the right support and expertise. Are you ready to take the first step towards surgical gender confirmation? Let us help you on your journey to a more confident and aligned sense of self.

Periareolar Top Surgery is a gender-affirming chest masculinisation technique designed to create a flatter, more masculine chest with minimal scarring. This procedure is particularly well-suited for individuals with smaller chest sizes and good skin elasticity, as it allows for a natural-looking result while preserving nipple sensation and positioning.

The surgery begins with carefully planned incisions made around the outer edge of the areola. This circular approach provides direct access to the underlying breast tissue, allowing our experienced surgeons to remove the necessary amount while maintaining a smooth and even chest contour. The areola can also be resized and repositioned as needed to ensure a proportionate and aesthetically pleasing result.

RELATED: What Kind of Nipple Sensation Can I Expect After FTM/N Top Surgery?

One of the key benefits of the periareolar technique is its ability to tighten and reshape the surrounding skin without the need for additional incisions across the chest. Once the excess tissue is removed, the skin is carefully adjusted and secured to fit the new chest shape. The result is a masculine contour with a more natural appearance, helping individuals achieve a look that aligns with their gender identity.

Our surgical team takes great care in planning the procedure to ensure that post-operative scarring is as discreet as possible. Since the incision follows the natural border of the areola, any scars that do form tend to blend in well over time. Additionally, this method is known for its potential to retain nipple sensation, which is an important consideration for many patients.

Dr Spiros Vlachos is a highly skilled specialist in masculinising chest surgery, renowned for his expertise in periareolar mastectomy. With extensive experience in gender-affirming procedures, he offers a range of techniques tailored to individual needs, including double incision mastectomy, nipple-sparing mastectomy, and the inverted T top surgery.

Dr Vlachos is dedicated to achieving natural, aesthetically refined results with minimal scarring, ensuring the best possible outcomes for his patients. His meticulous approach focuses on preserving sensation and creating a masculine chest contour that aligns with each patient’s goals.

With a commitment to compassionate care and surgical excellence, Dr Vlachos provides a personalised treatment journey, supporting patients every step of the way. If you’re considering masculinising chest surgery, trust Dr Spiros Vlachos for expertise, precision, and outstanding results.

Deciding whether Periareolar Top Surgery is the best option for you is a crucial step in your gender-affirming journey. This procedure is most suitable for individuals with smaller chest sizes and good skin elasticity, as these factors contribute to optimal surgical outcomes. The periareolar technique allows for a well-contoured, natural-looking chest with minimal scarring, making it a preferred choice for those seeking a balanced and aesthetically refined result.

A thorough consultation with one of our experienced surgeons is essential to determine your suitability for this procedure. During this consultation, we will assess key factors such as your chest size, skin quality, nipple position, and overall health. Your medical history, current lifestyle, and personal goals will also be discussed to ensure that this approach aligns with your expectations and long-term satisfaction.

At Centre for Surgery, we understand that every individual’s journey is unique. Our compassionate team is committed to providing personalised guidance, ensuring that you feel comfortable, informed, and supported throughout the decision-making process. We take the time to listen to your concerns, answer any questions, and provide clear, honest advice about what you can expect before, during, and after surgery.

Recovering from Periareolar Top Surgery is an important phase of your gender-affirming journey. Taking the necessary steps to rest and heal properly will ensure a smoother recovery and help you achieve the best possible results. While every individual’s healing process is unique, following post-operative guidelines can significantly enhance comfort and promote optimal healing.

Rest and Recovery at Home

Immediately after your surgery, you will need someone to take you home, as you will not be able to drive due to the effects of anaesthesia. It is also recommended to arrange for a trusted friend, family member, or caregiver to assist you with daily tasks such as meal preparation, laundry, and household chores for the first few days. Having support will allow you to focus on resting and minimising strain on your body as it heals.

During the initial recovery period, taking it easy and allowing your body the time it needs to heal properly is important. Sleeping in a slightly elevated position can help reduce swelling and improve comfort in the early stages. Staying hydrated, eating nutritious foods, and avoiding excessive movement will all contribute to a smooth recovery.

Wearing a Compression Binder

After Periareolar Top Surgery, you will need to wear a compression binder for up to six weeks. This specialised garment plays a crucial role in supporting the healing process and improving your surgical outcome. Wearing a binder consistently offers several benefits, including:

• Preventing fluid build-up and reducing swelling
• Minimising scarring by helping the skin adhere to the new chest contour
• Lessening post-operative discomfort and providing gentle support
• Keeping sutured skin together and preventing excessive stretching

Your surgeon will provide detailed instructions on how long you should wear your binder each day and when it is safe to begin reducing wear time. Ensuring that you wear your compression garment as recommended will significantly contribute to achieving a smooth, well-contoured chest with minimal complications.

Returning to Work and Daily Activities

Recovery times vary from person to person, and your return to work will depend on the nature of your job. If you have a desk-based role, you may be able to resume work within a week after surgery, provided you feel comfortable enough to do so. Light walking is encouraged during the early recovery period to promote circulation, but strenuous activities should be avoided.

For at least six weeks after surgery, it is crucial to refrain from heavy lifting, intense exercise, or any activity that could strain your chest muscles. Overexertion can increase the risk of bleeding, swelling, or delayed healing. It is always best to listen to your body and gradually reintroduce activities in consultation with your surgeon.

Like any surgical procedure, Periareolar Top Surgery has potential risks and complications. While most patients experience a smooth recovery with successful outcomes, it is essential to be aware of the possible challenges that may arise. Patient safety is our top priority, and our skilled surgical team takes every precaution to minimise risks and ensure the best possible results.

Possible Complications of Periareolar Top Surgery

Infection

Although rare, infections can occur following surgery. Signs of infection include increased redness, swelling, warmth, or discharge from the incision sites. To reduce the risk, patients are prescribed antibiotics and given strict wound care instructions to follow at home. Keeping the surgical area clean and avoiding unnecessary touching can further help prevent infection.

Bleeding and Haematoma

Some bleeding is normal after surgery, but excessive bleeding or haematoma (a collection of blood under the skin) may require medical attention. Patients are advised to avoid strenuous activities and heavy lifting during the recovery period to reduce the risk of post-operative bleeding.

Changes in Nipple Sensation

Some patients may experience temporary or permanent changes in nipple sensation following surgery. This can range from increased sensitivity to numbness. While sensation often improves over time as nerves heal, the extent of recovery varies from person to person.

Scarring

The periareolar technique is designed to minimise visible scarring, as the incision is placed along the natural edge of the areola. However, scarring can still occur and may vary depending on individual healing factors. Over time, scars typically fade, and proper scar management techniques such as massage, silicone treatments, and sun protection can help improve their appearance.

Asymmetry

While every effort is made to achieve a symmetrical result, slight differences between the two sides of the chest can occur. Factors such as natural anatomical differences, healing patterns, or post-operative swelling may contribute to asymmetry. In cases where adjustments are needed, revision surgery may be considered.

Reducing the Risk of Complications

At Centre for Surgery, we take a proactive approach to minimising risks and optimising surgical outcomes. During your consultations, your surgeon will provide a thorough assessment and discuss any factors that may impact your recovery. Pre-operative guidance, meticulous surgical techniques, and comprehensive post-operative care all contribute to reducing the likelihood of complications.

Periareolar Top Surgery is a deeply personal and life-changing procedure, allowing individuals to align their physical appearance with their gender identity. At Centre for Surgery, we are dedicated to providing outstanding care, expert surgical techniques, and a compassionate approach to gender-affirming procedures. We recognise the unique needs of the transgender, non-binary, and gender-diverse community, ensuring every patient feels safe, supported, and respected throughout their journey.

Expert Surgeons with a Commitment to Excellence

Our team of highly skilled plastic surgeons has extensive experience in gender-affirming procedures, including Periareolar Top Surgery. With years of surgical expertise and a deep understanding of the complexities involved, we are committed to delivering natural-looking, symmetrical, and aesthetically refined results. Every surgical plan is tailored to the individual, ensuring the best possible outcome based on chest size, skin elasticity, and personal goals.

We take pride in our meticulous surgical techniques that prioritise minimal scarring, optimal nipple positioning, and the preservation of sensation whenever possible. Our surgeons continuously refine their skills to remain at the forefront of surgical advancements, offering safe, effective, and high-quality procedures.

Personalised Care Every Step of the Way

From your initial consultation to your final post-operative appointment, our team is here to guide you through every stage of your journey. We believe that every patient deserves individualised care that addresses their specific concerns and aspirations. Our consultations are comprehensive and informative, giving you the opportunity to ask questions, discuss your goals, and gain a thorough understanding of the procedure.

We also provide dedicated aftercare and follow-up support, ensuring that you have the guidance and reassurance needed during your recovery. Our priority is to create a positive and stress-free experience, making your transition as smooth as possible.

What Our Patients Say

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“I cannot thank the team at Centre for Surgery enough. From the very first consultation, I felt heard and respected. My surgeon took the time to explain everything in detail, and the results are better than I ever imagined. This surgery has given me so much confidence, and I finally feel like myself.” – Alex T.

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“Choosing Centre for Surgery was the best decision I made. The staff were incredibly kind, and the level of care I received was outstanding. The surgery went smoothly, and my recovery was well managed thanks to their expert guidance. I highly recommend them to anyone considering top surgery.” – Jamie R.

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“The support I received throughout my surgery journey was amazing. The team made me feel comfortable and validated every step of the way. I was nervous about scarring, but my surgeon’s skill ensured a fantastic result. I’m beyond grateful for the incredible work they do.” – Chris M.

Convenient Location in Central London

Our state-of-the-art clinic is located at 95-97 Baker Street, London W1U 6RN, offering easy access for patients travelling from across the UK. The clinic provides a discreet and welcoming environment where you can receive world-class surgical care in a modern, comfortable setting.

Flexible Finance Options Available

We understand that surgery is a significant investment, which is why we offer flexible finance options, including 0% APR financing with Chrysalis Finance. Our team can help you explore the best payment plans to make your surgery more accessible and manageable.

Book Your Consultation Today

Taking the next step in your gender-affirming journey starts with a consultation. Our compassionate and experienced team is here to support you and provide all the information you need to make an informed decision.

📞 Call us: 0207 993 4849
📧 Email us: contact@centreforsurgery.com
📍 Visit us: Baker Street Clinic

For more information about our approach, meet our expert team here. Learn more about our clinic philosophy and expertise on our About Us page.

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At Centre for Surgery, we are committed to providing the highest standard of gender-affirming care, ensuring that every patient receives support, respect, and exceptional results. Let us be part of your journey to a more confident and authentic you.