Types of Top Surgery There are different techniques and incision options available for chest reconstruction top surgery, formerly FTM top surgery, each with its unique benefits and risks. In this article, we will explore the various incision options based on your goals, size of your chest, and skin elasticity. Incision options include liposuction, fishmouth, periareolar/circumareolar, double incision, inverted T (anchor), buttonhole, and keyhole top surgery. Additionally, we will also discuss nipple and areola appearance and scarring, which may vary depending on the procedure chosen. Chest Reconstruction Top Surgery Procedure Options Many surgical procedures fall within the category of chest reconstruction and breast reduction top surgery. This includes the most common …

Which Type of Top Surgery is Right for You? Medically reviewed by Brianna Smith on April 6, 2026. Choosing the surgical technique you will undergo is one of the most important steps in your top surgery process. The type of technique you choose will determine your sensory and aesthetic outcomes–including scarring, chest contour, as well as nipple placement and dimensions. In a free consultation at the Gender Confirmation Center (GCC) in San Francisco and Prosilio Care in Pasadena, our board-certified surgeons use proven assessment methods to match patients with the best top surgery incision type for their anatomy and goals. Whether you wish to undergo masculinizing or “FTM” top surgery, …