The periareolar approach to Female-to-Male (FTM) top surgery, also known as keyhole or periareolar chest masculinization surgery, is a specialized technique designed for transgender men and nonbinary patients with smaller chests and good skin elasticity. This minimally invasive method uses an incision around the edge of the areola to remove breast tissue while preserving a more natural nipple appearance and reducing visible scarring. In this video, Dr. Daniel Medalie, a board-certified plastic surgeon at Cleveland Plastic Surgery, explains how periareolar top surgery works, who is an ideal candidate, what results to expect, and how this gender-affirming procedure can create a flatter, masculine chest contour. If you are researching periareolar FTM top surgery in Cleveland, Ohio, this guide provides expert surgical insight to help you make an informed decision.
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