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.

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.