In the case of nonbinary individuals, if they do not wish to undergo free grafting of the areola and nipple during double incision surgery, the grafting is simply not performed.

As a result, the surgery is faster, and the recovery period is shorter.

The incision scars align with the natural lower border of the pectoral muscle, and with proper scar management, they can become less noticeable over time.

Six months after minimal incision top surgery, irregularities and adhesions have fully healed.
However, since no nipple or areola reduction was performed, the nipples and areolas remain relatively large.
On the positive side, approximately 90% of sensation has been preserved, and the scars are nearly invisible.

A small incision of about 1 inch beside the areola is used to remove fat and glandular tissue.
This technique preserves the areola and nipple while maintaining nipple sensation.
It is an appropriate choice for patients with small breasts (around an A cup) and good skin elasticity.

After 15 days

Photo Taken After Stitch Removal:
The areola and nipple, which underwent free grafting, have formed scabs, and redness, bruising, and uneven skin texture are still present.

TOP surgery, circum areolar (Donut) skin resection

After 3 months.

The patient had breasts larger than a C cup but did not want a full mastectomy and wanted to preserve the nipples.
To minimize scarring, circumareolar skin resection was performed, removing glandular tissue and fat while excising the skin in a donut-shaped pattern around the areola.

3-Month Postoperative Follow-up

• Adhesions are still present, and the chest appears uneven.
• However, with continued exercise and massage, gradual improvement is expected.

Gender Affirming Mastectomy

A patient with a history of breast reduction
Had large breasts (D cup or larger) with skin laxity and pre-existing scars, so Anchor resection was chosen.

2-Month Postoperative Follow-up

• The scabs on the nipples are still present.
• Continuous scar management is required.