Periareolar Top Surgery in London

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APEX Recovery Protocol

Every procedure our surgeons perform comes with Creo Clinic’s APEX Recovery System – a unique recovery protocol built and refined on years of specialised expertise.

This three-stage system combines pre-surgical optimisation, advanced anaesthetic techniques, and a post-operative strategy designed to eliminate the need for morphine.

These treatments are thoughtfully integrated into every step of your plan, ensuring your recovery is supported, refined, and medically guided. We don’t make any compromises when it comes to care … and you shouldn’t either.

Periareolar top surgery, also called keyhole top surgery, is a surgical procedure to flatten and masculinise the chest. It is an ideal option for patients with a smaller chest, and only requires a single incision around the areola, making it a less invasive option when compared to other chest masculinisation techniques.    

At CREO Gender, our medical director and senior body contouring surgeon, Dr. Omar Tillo, specialises in procedures from the neck down, including chest masculinisation surgery. Dr. Tillo will work with you on a 1-to-1 basis to understand your needs and design a bespoke procedure that is right for your body. 

Book a consultation with us today and take the next step on your journey to living confidently and authentically.

Small Incision, Big Impact: The Benefits of Periareolar Top Surgery

The periareolar approach to top surgery has a range of unique benefits, including:

Minimal Scarring for a Natural-Looking Chest

Periareolar top surgery only requires one incision around the areolar. As a result, scarring is less noticeable and blends seamlessly with the contours of the chest for a natural-looking appearance. 

Shorter Recovery Time Compared to Other Techniques

The periareolar approach to top surgery is a less invasive technique when compared to the double incision method, as only excess skin is removed and not glandular tissue. This means that there are less significant wounds to heal after surgery, reducing downtime. 

Ideal for Individuals with Smaller Chest Sizes

Periareolar top surgery is an ideal, less invasive option for patients who have a smaller chest and only require excess skin to be removed, not fat or glandular tissue. 

Your Body, Your Choice: When Periareolar Top Surgery Makes Sense

During your initial consultation with us, Dr. Tillo will thoroughly assess your suitability for periareolar top surgery. In general, you will be a good candidate if:

  • You have received a professional diagnosis of gender incongruence 
  • You have a small chest with little to no glandular tissue
  • You are over 18
  • You are in overall good mental and physical health
  • You are at your goal weight

Why choose us

At CREO GENDER, we provide expert gender-affirming care in a space where your safety, autonomy, and individual journey are our priorities. 

Our highly specialist, multidisciplinary team, led by Medical Director Dr Omar Tillo, combines advanced surgical expertise with genuine understanding of the challenges facing the trans+ community – informed by dedicated training.  

Whatever your goals, we approach every consultation with respect and humility, recognising that you are the expert in your own experience.

With 4.9 stars across major review platforms and recognition from leading surgical bodies, our outcomes reflect our commitment to excellence. 

Other Gender Affirming Procedures To Pair with Periareolar Top Surgery

Pectoral Implants

Pectoral implants can be a great option for patients who wish to enhance the shape of their chest for a more masculine contour following top surgery. These silicone implants are typically placed under the chest muscle to create a more defined, muscular appearance. They can help individuals achieve a balanced and proportionate look, especially for those who have difficulty building muscle through exercise alone.

Liposuction

Liposuction can be used in conjunction with periareolar top surgery to further refine the chest by removing pockets of fat. By targeting these specific areas, liposuction can improve symmetry and enhance the overall outcome of the surgery. It also allows the surgeon to fine-tune the chest shape, which may be difficult to achieve by removing excess skin alone. 

FAQs About Periareolar Top Surgery

What size chest is needed for periareolar top surgery?

Periareolar top surgery is ideal for patients with smaller chests, as it is designed to remove a smaller amount of skin to reduce the size of the chest.

How much does periareolar top surgery cost?

At CREO Clinic, the price of periareolar top surgery starts from £9,900. However, prices may vary depending on the surgical complexity of the procedure, and so a full cost breakdown will only be available following a consultation with Dr. Tillo.

What age is best for top surgery?

Any patient who wants to masculinise the chest and is aged 18 or older can be a good candidate for top surgery. However, younger adults tend to have better skin elasticity which may improve the appearance of the final results. 

What are the other types of top surgery procedures available at CREO Clinic?

At CREO Clinic, we also offer double incision top surgery, which is designed for patients with medium to larger chests. This surgical procedure involves a horizontal incision on the chest through which both glandular tissue and excess skin are removed. The nipples and areolae are then resized and grafted for a more masculine appearance.

In addition, liposuction can be used either alone or in combination with other top surgery techniques to remove fat from the chest, creating smoother chest lines.

Will I need hormone therapy before having top surgery?

Hormone therapy is not required to be eligible for top surgery. 

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