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Technique

Peri-areolar (donut)

A circular incision around the areola allows the areola to be resized and repositioned while remaining attached to its original tissue, with excess skin and volume removed around it.

Peri-areolar top surgery — example result
Middle ground
Best suited to

Moderate chest size with mild to moderate excess skin — a step between keyhole and double incision.

Trade-off

Some flattening/puckering around the areola is possible as the circular scar settles.

  • ✓Nipple sensation is more often preserved than with grafting
  • ✓Scar hidden at the areola border
  • ✓Areola size and position can be corrected at the same time
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