Periareolar Top Surgery
(often called “peri”) is a gender-affirming chest masculinization procedure designed for individuals with smaller chest sizes who want a flatter, more masculine chest with minimal visible scarring. This technique uses a circular incision around the border of the areola to remove breast tissue while keeping the nipple-areola complex attached, which helps preserve nipple sensation. Because the nipples are not fully removed and grafted, however, there is less flexibility in repositioning them compared with other techniques.
Key Aspects of Periareolar Top Surgery
Ideal Candidates:
Periareolar top surgery is generally best suited for individuals who have:
- Smaller breast volume (typically A cup or small B cup)
- Good skin elasticity
- Minimal sagging (ptosis)
These factors help ensure the skin can naturally contract after tissue removal for a smoother, flatter chest contour.
Surgical Technique:
The procedure involves making a circular incision around the edge of the areola to remove breast tissue. In many cases, liposuction is also used to further contour the chest and create a more even masculine shape.
Scarring:
One of the biggest advantages of the periareolar technique is that scarring is minimal and discreet, as the scars are usually confined to the outer border of the areola and tend to blend in well over time.
Nipple Sensation:
Because the nipple-areola complex remains attached and is not removed as a graft, there is a high likelihood of preserving nipple sensation compared with techniques that use free nipple grafts.
Nipple Positioning:
A limitation of this technique is that there is less control over nipple placement. If there is more significant skin laxity or sagging, the nipples may sit slightly lower on the chest than desired.
Revision Rate:
Periareolar top surgery may have a slightly higher chance of requiring revision compared with double incision surgery, particularly for:
- Additional skin tightening
- Removal of residual tissue
- Further contour refinement
Recovery
Recovery is generally similar to other forms of top surgery. Most patients can expect:
Gradual improvement in chest contour as swelling resolves
4–6 weeks of avoiding heavy lifting and strenuous activity
Temporary swelling, bruising, and soreness during the early healing period
Why Choose Chrisalys for Periareolar Top Surgery
Dr. Sayah’s comprehensive training at UCLA Medical Center includes extensive experience with advanced Pariareolar Top Surgery procedures. His 26 years of surgical experience encompasses numerous successful periareolar top surgery procedures. Patients consistently praise the natural appearance, authentic feel, and body contouring benefits achieved through expert fat transfer technique.
As a board-certified plastic surgeon and Fellow of the American College of Surgeons, Dr. Sayah maintains the highest standards of surgical excellence and patient safety. His artistic background as an oil painter and sculptor provides unique insight into proportion and aesthetics essential for creating beautiful natural augmentation results that appear completely authentic.
Our fully accredited surgery center in Beverly Hills features state-of-the-art equipment and maintains rigorous safety protocols. Patients throughout Los Angeles trust us for natural breast augmentation that delivers beautiful enhancement, completely natural appearance, and results achieved using their own tissue.
Meet Dr. David Sayah
Dr David Sayah is a board certified plastic surgeon in Beverly Hills known for his natural approach to aesthetic surgery. With more than 26 years of experience, he combines surgical precision with artistic insight to deliver balanced and refined results. His philosophy centers on enhancing individual beauty rather than changing it.
A graduate of the UCLA School of Medicine and a Fellow of the American College of Surgeons, Dr Sayah trained at leading medical centers including NYU and UCLA. His work in wound healing and scar formation research helps patients heal beautifully with minimal scarring. Fluent in five languages, he welcomes patients from Beverly Hills, Los Angeles, and across the world who seek exceptional, natural results.
Periareolar top surgery is a gender affirming chest procedure designed for trans masculine and gender diverse patients with smaller amounts of chest tissue and good skin elasticity. This technique removes breast tissue through an incision placed around the edge of the areola, helping create a flatter, more masculine chest with minimal visible scarring.
The procedure focuses on preserving natural chest contours while reducing tissue and refining shape. Each surgical plan is customized based on anatomy, skin quality, and aesthetic goals to support balanced, natural looking results.
Periareolar top surgery at SimplyTrans is performed under the care of Dr. David Sayah. Patients seeking periareolar top surgery in Beverly Hills or Los Angeles choose SimplyTrans for physician led planning, precise technique, and outcomes that enhance confidence and comfort.
