The Lollipop Incision Surgery Technique is one of the newer procedures used for chest masculinization surgery. This technique allows for a moderate amount of skin to be removed through the combination of a circular incision around the areola and a vertical incision running downward from the areola. Because there are relatively few patients on the cusp of being able to have a Periareolar Incision, and of these, many will not choose a Lollipop type scar, this procedure is relatively uncommon. It is somewhat like a Periareolar procedure, but can be performed on patients who have a bit of extra skin tissue who might otherwise not be candidates for a Periareolar incision.
In this procedure, many steps are similar to the Periareolar Incision. The areola is resized and an outer circle is designed to accommodate some of the skin excision. The lower portion of an ellipse (oval) is designed in the lower breast to reduce even more skin. Then, much like in a Periareolar Incision procedure, the outermost layer of skin is removed and then the surgeon makes a deeper incision through which all breast tissue is removed.
Then the outer circle is brought down closer to the inner circle of the areola and the edges of the wedge of skin in the lower portion of the breast is closed, leaving the vertical incision. Much like any Periareolar procedure, drains are typically placed for a one week following a Lollipop Incision surgery.
The downside of this procedure is that it results in a vertical incision, which is not located in an anatomical shadow area of the chest. However, some patients believe that this shorter incision is preferable to a Double Incision procedure which might be the only option if the patient is not a candidate for a Periareolar Incision. Ultimately, as with all other surgeries, the appropriateness of a particular choice involves a thorough discussion with your surgeon to decide which procedure is best aligned with your values as a patient.