Keyhole surgery, also known as minimally invasive surgery or laparoscopic surgery, refers to a surgical technique that allows a procedure to be performed through small incisions in the body, using a camera and specialized instruments.

When it comes to chest surgeries, particularly in the context of female-to-male (FTM) gender confirmation procedures, the term “keyhole” often refers to a specific type of top surgery (chest masculinization surgery). Keyhole top surgery is usually ideal for individuals with small chests (typically an A cup or smaller) and good skin elasticity.

In keyhole top surgery, the surgeon makes a small incision (usually around 1-2 inches) along the lower edge of the areola. The breast tissue is removed through this incision, typically using a technique called liposuction. The nipple and areola remain attached to the body via a pedicle (a bridge of tissue), which helps preserve nipple sensation. Because the incisions are small and made along the edge of the areola, scarring is often minimal and less visible.

Like all surgical procedures, keyhole top surgery has pros and cons, and the best procedure for an individual depends on their anatomy, goals, overall health, and the surgeon’s recommendations. For example, while keyhole surgery offers the benefit of less visible scarring, it does not allow for resizing or repositioning of the nipple and areola, which other techniques like double incision top surgery do.

A consultation with a qualified surgeon experienced in transgender healthcare can provide a more comprehensive understanding and help individuals make informed decisions about their care.