There are five main types of top surgery:
⦁ Keyhole is the least invasive type of top surgery. It is only suitable for people with small breasts and little excess skin. The surgeon makes two small incisions around the areola, or the dark skin surrounding the nipple. The breast tissue is then removed through these incisions.
⦁ Donut is a variation of keyhole surgery. It is also suitable for people with small breasts and little excess skin. The surgeon makes a small incision around the areola and a larger incision underneath the breast. The breast tissue is then removed through the larger incision and the nipple is repositioned through the smaller incision.
⦁ Batwing is a type of surgery that is suitable for people with moderate-sized breasts and some excess skin. The surgeon makes two incisions along the sides of the chest, under the breasts. The breast tissue is then removed through these incisions and the skin is redraped to create a flat chest.
⦁ Double incision is the most common type of top surgery. It is suitable for people with all sizes of breasts and excess skin. The surgeon makes two incisions along the bottom of the breasts, from armpit to armpit. The breast tissue is then removed through these incisions and the skin is redraped to create a flat chest.
⦁ Inverted T is a type of surgery that is similar to double incision surgery. However, the surgeon also makes a vertical incision down the center of the chest. This extra incision allows the surgeon to remove more breast tissue and create a more masculine-looking chest.

The type of top surgery that is right for you will depend on your individual needs and preferences. You should discuss your options with your surgeon to decide which type of surgery is best for you.

Top surgery, also known as chest reconstruction surgery, is a surgical procedure commonly pursued by transgender individuals assigned female at birth (trans men or non-binary individuals) as part of their gender-affirming journey.

There are several different types of top surgery procedures available, depending on the desired outcome and individual preferences.

Here are some common types of top surgery for transmasculine individuals:
⦁ Double Incision Mastectomy with Nipple Grafts: This procedure involves removing the breast tissue through horizontal incisions made across the chest. The nipples are typically resized and repositioned as grafts. This method is often used for individuals with larger breasts or excess skin.
⦁ Periareolar or Keyhole Mastectomy: This procedure is suitable for individuals with smaller breasts and less excess skin. It involves making small incisions around the areolas to remove the breast tissue. This method typically results in minimal scarring.
⦁ Buttonhole or Inverted-T Mastectomy: This method is a variation of the double incision technique. It involves making additional vertical incisions from the nipple down to the chest crease, creating an inverted “T” shape. This technique allows for more skin tightening and shaping.
⦁ Liposuction-Assisted Mastectomy: Liposuction may be used in combination with other techniques to remove excess fatty tissue and contour the chest. This technique is often suitable for individuals with minimal breast tissue