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Periareolar Top Surgery

Periareolar top in London at Centre for Baker Street. chest for smaller chests with minimal . Performed by Dr Spiros and Mr Shiatis. From £9,500. CQC-regulated clinic.

Periareolar Top Surgery in London

Periareolar top surgery is a chest surgery technique to create a flat, masculine chest with scarring. It is most for transgender men and non-binary with chest sizes and good skin . The procedure involves a circumferential around the outer edge of the areola, breast tissue to be removed while preserving nipple sensation and natural nipple position.

top surgery is performed by and at our . It is one of five techniques at Centre for — your will recommend the most approach based on your chest anatomy and goals.

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How Does Periareolar Top Surgery Work?

Periareolar top surgery uses a circular incision placed precisely around the outer margin of the areola to access and remove the underlying breast tissue. The areola can be in size and repositioned as part of the same procedure. Once the breast tissue is removed, the surrounding skin is carefully adjusted and secured to fit the new chest — producing a flat, masculine result with scarring confined to the colour transition at the areola border.

One of the advantages of the periareolar technique is that the complex remains attached throughout the procedure. The pedicle is preserved, maintaining the blood supply and nerve to the nipple — this is why top is associated with better nipple sensation outcomes than techniques free nipple grafting.

The is performed under at our Baker Street clinic. It is out as a day case — you go home the same day once you have from the anaesthetic.

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Surgeons for Periareolar Top Surgery at Centre for Surgery

Periareolar top at Centre for Surgery is by and — two plastic surgeons with in gender-affirming chest surgery.

Both perform the full range of — , , periareolar, , and — and will assess your at consultation to determine the approach is most appropriate for your chest size and goals.

You can verify their GMC directly on the before booking.

Is Periareolar Top Surgery Right for You?

top is most appropriate for patients with smaller chest sizes and good skin elasticity. These factors are essential for the technique to a flat, result across the chest. Your suitability is confirmed at a face-to-face consultation with your surgeon.

Suitable candidates typically:

Patients with larger chests, poor skin elasticity, or ptosis are to a satisfactory result with the technique alone. In these cases your will or as more alternatives.

A mandatory two-week period applies from the date of to all surgical at Centre for .

Periareolar Top Surgery Recovery

top is as a day case under . You will need a responsible adult to take you home on the day and stay with you for the first 24 hours.

A binder must be worn for six weeks after . It reduces swelling, supports the tissue, minimises scarring, and maintains the new chest . Wear it as — only to wash.

Most patients can return to desk-based work within one week. Avoid strenuous and heavy for six weeks. Light from day three or four is encouraged to .

A wound check is included at seven to ten days. A review is at six weeks. A is included as part of your . 24/7 clinical support is available for the first 48 hours after surgery.

Most swelling within three to four weeks. Final chest is visible at three months. Periareolar scars are positioned at the areola margin and will continue to fade over 12 to 18 months.

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Potential Risks of Periareolar Top Surgery

top surgery has a favourable risk profile when on appropriate candidates. All risks are discussed in full at consultation.

Periareolar top surgery preserves the nipple pedicle, blood supply and nerve . Most retain to full nipple sensation. Some temporary in the first weeks that as nerve recovery . A small minority experience reduction in sensitivity.

Reduced across the chest skin is common in the first three to six months. Most regain partial chest sensation within 12 months.

The incision is placed at the colour transition at the outer margin of the areola, where it is well concealed once healed. Initial may appear pink and slightly raised; it progressively and fades over 12 to 18 months.

Specific scar risks for the periareolar include areola distortion or stretching — if skin redundancy is greater than the can accommodate, the areola may heal with an irregular or stretched outline. This risk is reduced by appropriate selection — periareolar is restricted to smaller chests (typically B cup or smaller) with good skin .

A two-week cooling-off period applies between consent and surgery so that all risks can be considered fully before proceeding.

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Why Choose Centre for Surgery for Periareolar Top Surgery?

Our Baker Street clinic is regulated by the . The CQC specifically rated our aftercare programme as "outstanding" — the highest rating available. All surgical procedures are under .

and perform all five FTM/N top techniques. If is not the most appropriate technique for your anatomy, your surgeon will why and the correct alternative — not simply the available one.

, , periareolar, , and top surgery are all at the same Baker Street clinic. You will not be referred elsewhere if your needs change.

A period applies from the date consent is given. No is scheduled before this period has .

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Address: 95–97 Baker Street, London W1U 6RN

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Call or fill in the form below. A coordinator will call you within one working day to book your with the best to your enquiry.

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All procedures at Centre for Surgery are performed exclusively by GMC specialist-registered surgeons — the highest qualification available in the UK. Our surgeons hold positions on the GMC and are members of BAPRAS and ISAPS, you receive care from fully specialists, not doctors.



Our purpose-built private hospital at Baker Street, Marylebone is and by the Care Commission (CQC), which awarded us a Good rating — a standard very few surgery in the UK achieve. We use TIVA (Total Intravenous Anaesthesia) as standard, the safest and most advanced form of anaesthesia available for day case surgery.



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Centre for is a on London’s Baker Street, plastic and cosmetic through GMC-registered specialist . Our spans facial including and , , for men, and body contouring such as and . safety, surgical excellence and results sit at the heart of everything we do.

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Marylebone

London

W1U 6RN

Mon Fire & Ice – Resurfacing Sat, 9am – 6pm

Saturday consultations available