Transform your chest with precise, safe, and anatomically tailored masculinization.
Transform your chest with precise, safe, and anatomically tailored masculinization.
Periareolar masculinization mammoplasty is one of the most commonly used techniques to create a masculine chest in trans men or non-binary individuals who desire a flat, firm chest with a natural contour.
At Clínica 3 de Mayo, Dr. Jesús Lago has more than 25 years of experience in chest surgery and gender affirmation surgery, offering a safe, respectful approach tailored to each patient’s needs.
There are two main techniques for chest masculinization:
The choice depends on the previous breast size, the amount of excess skin, and the anatomical characteristics of each person. Here we explain in detail how periareolar mammoplasty works, its advantages, and what you can expect before and after the procedure.
Subcutaneous or periareolar mammoplasty is indicated for patients with moderate breast size and good skin elasticity.
The aim is to remove the mammary gland through a very discreet incision at the edge of the areola, where the natural difference in pigmentation makes the scar virtually imperceptible.
During surgery:
This procedure allows for a firmer, flatter, and more harmonious chest, preserving the areola and nipple in their natural position.
After removing the mammary gland, Dr. Lago performs high-precision vibratory liposculpture to better define the masculine contour:
Finally, the size of the areola is reduced, seeking a diameter more in line with the typical proportions in cis men.
3 - 4 hours
1 night
General
Percutaneous
1 week for daily life
4–6 weeks for physical exercise
In addition, if necessary:
Periareolar masculinization mammoplasty can help you achieve a flat, firm, and masculine chest with natural results and minimal scarring.
If you would like an assessment or have questions about the procedure, Dr. Jesús Lago’s team in Madrid is available to guide you and answer all your questions in a supportive and professional manner.
Book your consultation now and begin your process with complete confidence.
Dr. Jesús Lago explains Periareolar Masculinization Mammoplasty surgery:
It is a surgical technique that seeks to masculinize the chest while preserving the areola and nipple in their original position. Unlike other more invasive techniques, this one allows the mammary gland to be removed through a minimal incision around the areola. It is especially suitable for people with small or moderate breasts and good skin elasticity. Its main advantage is the natural result and the barely visible scar.
Nipple loss is extremely rare with the subcutaneous technique, as the areola and nipple are not separated from the tissue that nourishes them. Their vascular and nerve pedicle is maintained, which greatly reduces the risk.
In cases of very large breasts or skin with poor elasticity, a different technique may be recommended, but with the subcutaneous technique, the risk is exceptional.
No. One of the characteristics of the subcutaneous technique is that it preserves the original position of the nipple.
This means that it is ideal for patients whose nipple-areola complex is already in an anatomically appropriate place.
In patients where the nipple is more droopy or displaced, the free areola graft technique is usually recommended, which does allow it to be repositioned.
In most cases, the diameter of the areola is reduced, making it more in line with the male appearance.
The size of the nipple itself can be adjusted if the patient requests it, but this is usually a simple intervention within the same procedure.
Although the change is visible from the first day, the final result is seen between 3 and 6 months, once:
Most patients resume their daily activities within a week, provided they do not involve intense physical exertion.
Physical work, exercise, or going to the gym require 4 to 6 weeks to avoid complications.
The scar is located on the pigment line of the areola, so it is usually very difficult to see. Over time, it usually becomes virtually imperceptible.
In addition, Dr. Lago’s technique minimizes tension in the area, promoting more aesthetic healing.
There may be a temporary decrease in sensitivity due to tissue manipulation, but it usually recovers gradually in the following months.
Permanent loss is rare.
Basic care includes:
Yes. At Clínica 3 de Mayo, this is part of our safety protocol.
Pathological analysis allows us to rule out abnormalities and ensure that everything is in order.
You can contact us by calling +34 918 513 317 – +34 620 482 200, sending an email to consultas@institutojesuslago.com or filling out the following form.
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In addition to applying our knowledge in the field of aesthetics, which is the result of our training, we strive to always provide the best personal treatment to our patients, achieve the best results in each case, and thus ensure their maximum satisfaction.
IMPORTANT: The information contained on this website is for general guidance only. It is not intended to replace a personal consultation where your particular case will be assessed and an accurate diagnosis will be made. If you wish, you can request a consultation without obligation so that we can assess your case. We take care to ensure that your information is correct, but if you do not understand any word or explanation, please do not hesitate to contact us.
Rescue surgeries are surgical treatments intended to treat or modify complications or negative outcomes from a previous surgical treatment performed at another center.
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