Keyhole Top Surgery

The Keyhole Top Surgery procedure is ideal for those who are small chested with an elastic skin. During this procedure, a small incision is made along the bottom of the areola, and the breast tissue is removed through this incision. It can be combined with liposuction to flatten out the area around the nipple areola complex. With keyhole surgery, the nipple stalk is left intact and the areola is not resized. Nerve sensation is maintained.

General anesthesia is used. You are not catheterized.

Donut procedure

Also called peri-areolar concentric circle technique.

The Donut procedure is ideal for those who are small chested, or those with B-sized chests and good skin elasticity. During this procedure, an incision is made all around the border of the areola. Additionally, a second, larger concentric circle incision is made and the resulting ring of skin removed. After removing the breast tissue, a "pursestring" technique is used to bring the skin together and connect it to the edges of the areola, which may be downsized. With the Donut procedure, the nipple stalk is left intact. Most of times the nipple is not resized due to vascularization issues. Nerve sensation is often partially maintained. Because the inner circle has a smaller diameter than the outer circle some skin wrinkling occurs along the circular scar. Additional liposuction may be performed.

General anesthesia is used. You are not catheterized.