Using the inverted-T method means the nipple and areola do not need to be placed as a free nipple graft, as it does with double incision.  As a result, inverted-T may result in a better chance of maintaining pre-surgery levels of nipple sensation, though this outcome is not certain. As a tradeoff, the double incision is ideal for patients who want flatter results. That said, patients that are interested in a flat chest while maintaining heightened nipple sensation may be good candidates for the double incision with nerve reconstruction. Another factor to consider if deciding between these two procedures is the location of postoperative scars.  The double incision sometimes leaves …

The deciding factors to help a patient choose between these two procedures are (1) the amount of excess skin that needs to be removed and (2) the patient’s desired aesthetic goals. First, the inverted-T, as opposed to the buttonhole, is recommended in patients with greater amounts of breast tissue and/or excess skin to remove. The vertical incision made between the areola and the lower, horizontal incision is what allows for excess skin removal and is the only factor that differentiates this procedure from a buttonhole. Second, the inverted-T tends to result in more teardrop shaped results, whereas the buttonhole procedure leaves a more moundlike shape.

Yes, the inverted T technique is generally recommended for individuals with a medium to large amount of tissue they would like to be removed.

While some loss of nipple sensation is common after any top surgery procedure, the inverted T technique is designed to preserve as much nipple sensation as possible. Many individuals report retaining some degree of nipple sensation, although the level of sensation can vary.

The duration of the inverted T top surgery procedure can vary depending on the individual’s anatomy and the extent of tissue removal required. On average, the surgery typically takes 2 to 4 hours.