Peri-Areolar Top Surgery is ideal for those who are small chested up to a B size. With this procedure, an incision is made all around the border of the areola. In addition, a second, larger concentric circle incision is made and the resulting ring of skin is removed. The breast tissue is removed and additional contouring with liposuction can be performed. 

The peri-areolar technique usually allows the nipple stalk to be left intact. Sometimes, the nipple will be resized. Because the nipple stalk and nerve are not severed, sensation is often maintained.

Peri-Areolar Top Surgery typically lasts between 3-5 hours. General anesthesia is used.

Top Surgery Post-Operative Care 

Typically, after the surgery, patients are left with two drains. These are small gauge tubes that go along the incisions, under the skin, and come out with a small incision under the arm. This attaches to a small tank to collect any excess blood and fluid. The drains are left in for a few days to a week and will need to be emptied by the patient a few times a day. 

Sometimes, patients will need to wear a compression binder after surgery, for 1-6 weeks. The binder helps prevent fluid build-up, aids the skin in adhering back to the chest wall, and also helps with minimizing scars. 

FTM Top Surgery Recovery 

Healing times vary, but many most patients can return to light work after two weeks. There should be no heavy lifting, regular lifting of your arms over your head, or weight training for 6-8 weeks. 

Things to discuss at your consultation 

Be prepared with a list of questions for the consultation. You need to make an informed decision for your surgery, and we want to help you feel relaxed, comfortable, and confident. 

This is your body; your life and you are in control of it. We are here to help you get the most out of your surgery. Any question on your mind is important and nothing is silly or insignificant. 

If you are overwhelmed or stressed, we can go over it again until you fully understand and are clear about every detail. 

  • Incision lines and their placement are really important and calculated based on size and physique. 
  • Will they be straight or curved? 
  • Size and placement of the nipple-areola?
  • Keyhole and Peri-Areolar Top Surgery compared
  • Comparison of Keyhole and Peri-Areolar


Healing times vary, but many patients can return to desk jobs and light work after two weeks. There should be no heavy lifting, regular lifting of your arms over your head or weight training for 6-8 weeks. Light physical activity, such as walking, is recommended.

Commonly asked questions? (Top Surgery)