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No Nipples: Areola Excision Top Surgery

Many non-binary and gender expansive people seek out surgical interventions to combat dysphoria or discomfort. At The Gender Confirmation Center (GCC), we understand the importance of providing our non-binary and other gender diverse community members with different top surgery incision techniques and options. This article provides information on areola excision top surgery for individuals who feel affirmed with having no nipples or areolas. We cover the important steps during the procedure, including the incision technique and chest tissue removal. We also provide a visual representation of your possible scar appearance post top surgery. Read on to find out if you are an ideal candidate for this procedure.

What is areola excision top surgery?

Much like other top surgery procedures, areola excision top surgery also removes excess chest tissue to create a tight and flat chest. This option is best suited for patients who have a small to medium ammount of mammary tissue and would prefer non-traditional scars to incision marks at the bottom of their pectorals.

During surgery, a small incision is made to remove (excise) the areolas, which leaves two small circular incisions in the middle of the chest. Then, we replace those small circle scars with horizontal scars on the chest in the place of nipples. These scars are usually about three times as long as the areola used to be and will be oriented horizontally on the chest.

Two circular incisions are made surrounding the areola to remove the nipple completely. The resulting scar is a horizontal line, about three times the size that the areola used to be, and is located where the areola had been.

Do I qualify for areola excision top surgery?

Ideal patients for an areola excision top surgery are patients who would also qualify for keyhole or periareolar incisions who do not want their nipples or areolas in their final surgery result. These patients want a flat and tight chest but don’t want a double incision result because of the incision placement and/or because they don’t want free nipple grafts.

To learn more about areola excision top surgery, you can schedule a free, virtual consultation with our surgical team today.