Periareolar Transgender & Non-binary Top Surgery by Dr. Scott Mosser

[@coopsch]

This makes me so excited for my surgery this year!!! update: my surgery was scheduled for november 9th 2020! double incision. another update: it was rescheduled for january 4th 2021 due to an issue with scheduling i’m still excited! new update: the surgery was successful! no complications and i’m healing well so far!

[@genderconfirmationcenter]

Congratulations! Thank yo so much for finding us online. Please consider connecting with us and more than 100 of our patients who have had top-surgery with Dr. Mosser on Instagram (@genderconfirmation)

[@kiklulu5149]

yo how'd it go?

[@coopsch]

@@kiklulu5149 so it was rescheduled for january 4th due to complications with covid and scheduling but i will keep you updated when i get it!

[@kiklulu5149]

@@coopsch omg that's so soon, good luck!! :>

[@coopsch]

@@kiklulu5149 thank you!!!!

[@someslavwithsunglasses8309]

I would fly al the way to CA to get surgery from these dudes, they seem so professional

[@genderconfirmationcenter]

Aki thanks for your comment! We have free virtual consultations if you’re interested!

[@someslavwithsunglasses8309]

Thanks! Though I cant get surgery at the moment but once I can Ill check here!

[@genderconfirmationcenter]

Thanks Aki, we’ll be here❣️

[@aug1014]

Thanks for the video! I was weary of the large scarring from double incision, but disappointed to find out I was too large in the chest area for keyhole. This one is definitely for me

[@genderconfirmationcenter]

I am glad that this video was helpful for you! Thank you so much for watching. If you have not already, please consider subscribing to our channel to be notified for new videos, announcements and posts from Dr. Mosser!

[@toexprince7369]

I am so pleased to find out that i can either have this or keyhole surgery! I was so nervous about having to have huge visible scars but i dont have to be any more! 😁

[@genderconfirmationcenter]

Congratulations! I am very happy to read that you have confirmed that you can move forward with the incision type that is best for you. Please let our team know if we can be helpful in sharing more information about the keyhole or periareolar procedures, and feel free to check out our website (www.genderconfirmation.com) where we describe each incision in great detail!

[@kodizziak]

Does the bump on the nipple go down by itself or can the surgeon shave it off to make it flatter? How does it get flatter?

[@genderconfirmationcenter]

Hi there, thank you for asking this question. When you say bump on the nipple could you clarify what you mean by that? Thank you

[@kodizziak]

Like, the very middle of the nipple that sticks out the most.

[@genderconfirmationcenter]

Ghost Zero Thank you for clarifying. So there’s the areola (the bigger circle that’s illustrated in this video) and then there’s the actual nipple (projected skin tissue I believe you’re referring to). At Dr. Mosser’s practice the patient can chose what they would like their nipples to look like. Usually they are shaved down with a scalpel to resemble a cis male nipple. Let me know if that answers your question!

[@RemyJustice97]

I really enjoy the added touch of a little extra chest hair on the model. Feels a little more true to form

[@BBrunnel]

Love the fact they include non binary people

[@vincentsaysno1510]

Thank you so much for this video. I have my Top surgery consultation coming up next month, and I wanted a gist of everything that’d be going on when I finally have the surgery done. I can’t lie, it seems very scary, but I can’t wait!

[@thevictoriousvictorian1949]

If you had a small C cup, would you be able to get Periareolar. I did a simple back of the hand skin elasticity test and my skin was good. I was just wondering if a C cup was too big. I really, really, really, want no scars.

[@genderconfirmationcenter]

Thanks for asking! That's a totally valid concern. It is possible that the Periareolar incision could be an option; however, the best way to know for sure would be to schedule a consultation with Dr. Mosser! The consultation (which can be cone virtually!!) allows you to discuss specific surgical goals & preferences, and Dr. Mosser can walk you through the procedures that would help achieve that. More information about the consultation process can be found here: www.genderconfirmation.com/contact-us/

[@hellosalty4622]

Does keyhole get rid of the lymph nodes as well as the fat? I have a small chest with a high inframammary angle, but most of my chest tissue is definitely not fat and is almost cone-shaped.

[@genderconfirmationcenter]

Hi there! None of the gender surgery breast removal procedures remove the lymph nodes in the armpit (axillary) area. It would be problematic for a patient if they were removed. If the chest is not fat and is more cone-shaped and "rubbery" then it is most likely breast tissue. Nearly all of the breast tissue is removed during the procedure. I hope that helps to provide some clarity!

[@YukiFortes]

How can I check if i can undergo to that type of top surgery ?

[@YukiFortes]

What should be the chest size etc.

[@scottmosser5026]

Hi Yuki - check out www.genderconfirmation.com/which-surgery-is-for-me/ for a detailed approach for deciding which surgery type is best based on your chest shape

[@thiscosine5332]

This! I wanted to see what the process would be like without the hire of an actual surgical video. Hoping that I can get it like this some day :)

[@asiahroquemore7900]

So my insurance covers it but i do have to come to CA to get it done how much does this procedure cost?

[@genderconfirmationcenter]

Hey! Great questions. If you will like to get your surgery done with the GCC, you will have to come to CA. But don't worry! We have a guide for that. Look here: www.genderconfirmation.com/about-us/fees-and-financing/ for cost and here is our travel guide for more info: www.genderconfirmation.com/travel-tips/

[@orca3413]

so with my chest, it's uneven. the left side is bigger than the right and only the right qualifies for the peri. i know the answer is probably no but can i get peri on one side and double incision on the other? i feel like it would lessen my insecurities about having scars which i really wouldn't enjoy. having just one scar, even on my left side, i could say i had some kind of other surgery for it. would this be possible?

[@kurutakurapika1096]

Ehy, have you find a way?

[@orca3413]

@@kurutakurapika1096 I ended up getting peri on both sides with Dr Medalie

[@kurutakurapika1096]

@@orca3413 I'm happy for you!

[@doie4918]

@@orca3413 Congrats homie

[@ardalogie]

I had a peri-areolar surgery 3 months ago and altough my chest looks flat with an even contour, there's still a bit of puffiness on both sides that's noticeable from above - I can't tell if it's swelling or remaining tissue at this point. I guess my question is how long after this incision type can we expect to see the final result? And if we happen to need a minor revision, do we have to go through peri again or something else?

[@genderconfirmationcenter]

Great questions, for your specific case, I’d recommend reaching out to your surgeon’s office and having a follow-up appointment to discuss. Hope you have a great day!

[@twinnem8875]

U said u just got yours done 3 months ago bro?… That’s great, I’m looking around for now to schedule for mine. Question is may I ask who did yours? Would you recommend them to anyone?…

[@raebiffin]

From your experience, what type of revision(s) is most common for those who have peri? In the video I can see that the puckering could be one of these areas? How would this be changed in a revision?

[@genderconfirmationcenter]

Thanks for inquiring! Sometimes the periareolar scars can stretch a little wider due to the nature of the tension that is there. If a revision were to occur, we would just remove the skin that has stretched, and it should theoretically not stretch as much, as we have already removed most of the tissue beneath in the original surgery.

[@lukabnk9040]

Hello, your videos are really educative thank you. I have a question, I went through this kind of operation and i was wondering why are we able to keep our nipples with minimal scarring, but cancer patients with a small chest can't benefit from these minimal scarring techniques ?

[@genderconfirmationcenter]

Thanks for reaching out! Regarding cancer patients, the nipple is sometimes removed if there is a risk that the cancer involves the glands that lead to the nipple.

[@lukabnk9040]

@@genderconfirmationcenter thank you for the informations !

[@ssspit]

Gosh I pray my chest is small enough for this the double incision method doesn’t resonate for me what’s so ever

[@genderconfirmationcenter]

That's totally valid! During the consultation, our surgeons walk patients through all the variations possible of each procedure to find the procedure that feels most affirming to you. 💖

[@nickweerdenburg2714]

The buttonhole procedure leaves some tissue behind, so the areola won’t be detached, so it isn’t as flat as regular DI would be. I was wondering if that is also the case with this procedure, is there also some tissue left (or in other words, is regular DI ‘flatter’ than peri)?

[@genderconfirmationcenter]

Thanks for asking this question! It is true that the Double Incision allows for the flattest chest. If you're between the two procedures, it would be helpful to discuss with your surgeon prior to surgery. Depending on your chest size, the periareolar technique might be able to achieve your desired outcome! You can compare surgery types on our website: www.genderconfirmation.com/surgery/

[@knekki.]

Hello, I'm 21 years old, I was on Testosterone since I was 18 (roughly 3 years) and had Peri 8 months ago - I'm in a difficult situation. 2 months ago I decided that I needed to detransition for various reasons and decided to stop HRT. I see conflicting evidence online and I'm wondering; Is there any chance of breast regrowth, even if it's minor? Will I be able to breastfeed once I have children? Even just a little bit? I'd be very sad to miss out on such an important bonding experience.

[@genderconfirmationcenter]

Thank you for asking your question. This is extremely uncommon therefore we have little information to share that reflects this experience and hope we can provide something helpful - I invite you to explore our QnA resource regarding "Chest Feeding" after having a top-surgery procedure. For procedures that are not an Aggressive Breast Reduction or Inverted T/Buttonhole it is highly unlikely that one will be able to chest feed after a top-surgery procedure: www.genderconfirmation.com/blog/chestfeeding/

[@knekki.]

@@genderconfirmationcenter Thank you for replying so quickly, I'll admit I was having a moment of weakness when I posted my comment. I'm detransitioning because I prefer to be more androgynous than 100% masculine, it's thankfully not a matter of regret, just readjusting my transition-results to better suit my identity. Not a lot of people talk about this but it is normal to have mixed feelings after top surgery aparrently. I read that on a trans forum last night, I wish I'd known sooner. The sacrifice is definitely worth the long-term mental health benefits but it's easy to forget that top surgery *is* an invasive procedure and that it takes time to process the fact that you've irreversibly removed something from your body that served a purpose and drastically altered your appearance at the same time. I love my results but I wish someone had told me that I would need to heal emotionally from surgery as well. I checked out the link, I think SNS+donor milk sounds like an excellent alternative for someone in my situation, baby gets the benefits of natural breastmilk and I don't have to miss out on such an important experience :) Thanks again for responding ☺️☀️

[@twinnem8875]

How much is this procedure?…

[@genderconfirmationcenter]

Hi, thank you for your question! Please check out our website here: www.genderconfirmation.com/about-us/fees-and-financing/ , for more information about fees and financing options. Hope this helps !

[@Snookered4568]

yooo you're in SF? ayeeeee

[@genderconfirmationcenter]

Hi Michael, yes we are! Come see us www.genderconfirmation.com/contact-us/

[@Snookered4568]

Dr. Scott Mosser, Transgender FTM Top Surgery-Surgeon i will definitely make sure to do that! my family and i have been trying to find surgeons and i'm so glad that i randomly came across your page. 💯

[@genderconfirmationcenter]

That's so awesome! Dr. Mosser and I both run this KZbin page. If you need help with anything along the way don't hesitate to reach out: [e-mail] Thanks!

[@ma.leabarcelon8566]

can i still get the surgey even though i am not to trsnsition?

[@genderconfirmationcenter]

Thanks for reaching out! In additional to performing surgery on Transgender folks, Dr. Mosser and Dr. Facque perform surgeries on gender expansive and gender-diverse patients.

[@TB6491]

Very well interesting!

[@genderconfirmationcenter]

Glad you enjoyed it!

[@werdnaremlap]

Based on your link, I've got somewhat of a middle chest (good for peri, probably not keyhole). This probably can't be answered without really looking but if I lose weight would that help at all or is what's in my chest (almost a year on t) mainly just the glandular tissue and is what it is until it's removed? And is there anything pre-surgery one could do about the glandular tissue?

[@genderconfirmationcenter]

Hi Andrew - testosterone can help. Ultimately surgery choice had a lot to do with skin elasticity, which is not always improved with weight loss / exercise, and might or might not improve as the breast tissue diminishes on testosterone.

[@Your20droid]

What are the other choices of surgery if we don’t want scars? I don’t know if my chest is small enough, haven’t and refused to look at my chest, so I hope I’m able to find other methods if this isn’t suitable when I get Top Surgery

[@genderconfirmationcenter]

Completely understand. Feel free to visit our website at genderconfirmation.com for more information about all the different incision types. Hope you have a great day!

[@ash_outcastsofsuburbia]

My chest is the between the angles of 85-110 but I have eds which makes the skin very stretchy could peri be done or would double incision be needed because of the elasticity of the skin?

[@genderconfirmationcenter]

Thank you for reaching out with your question. It is obvious that you know the details about your chest shape and size well and that is wonderful that you are prepared with this informaiton before discussing which incision type is going to be best for you. The elasticity of your skin & the incision type that will deliver the results you are looking to achieve can only be determined between you and your experience surgeon. It is too difficult to share an answer with you without an opportunity for this interaction during a consultation. Does this help answer your question, and can I be helpful in sharing a link to setting up a free virtual consultation with Dr. Mosser?

[@Tyler-oz3lt]

Okay but what if you think the nipples would be too low like that is there no way to get a smilar type witnot a lot of scars but also the nipples higher?

[@genderconfirmationcenter]

Hi, patients can choose where they want nipple placement or can opt to have none at all!

[@juniorvaughan2908]

wish i had money for surgery , im almost 2years on T

[@reon2x22]

I want this!

[@flyingfox1679]

Hi, I’m wondering if you could make a ftm bottom surgery video. It might be interesting to see. Also I really want this too surgery in the future. Hope it goes well :)

[@genderconfirmationcenter]

Thanks for reaching out! We actually don’t perform bottom surgery at GCC currently. We currently provide Top Surgery, Facial Surgery, and Body contouring. We recommend checking out myTranshealth.com for a list of providers who offer bottom surgery. Hope you have a good day!

[@flyingfox1679]

@@genderconfirmationcenter thank you for the link :D I’m very curious about all the procedures! Also a little nervous cause I haven’t had surgery before. These videos are really informative, thanks for making them!

[@ManUp_hub]

Hi I am a size 34B and my b**bs are around a 115 degree angle. Am I eligible for peri areolar?

[@genderconfirmationcenter]

Great question and thanks for asking! You could be a candidate, but it also depends on other factors such as skin elasticity. Would you like me to set you up with a free virtual consultation to see if you would be an eligible candidate for peri? Thank You

[@ManUp_hub]

My skin is not very elastic, it is kinda tight to be honest...also how old do you have to be for surgery?

[@genderconfirmationcenter]

We see folks 14 and up. I would suggest scheduling a free virtual consultation to have your questions be answered by Dr. Mosser himself. www.genderconfirmation.com/contact-us/

[@kevlantaykekona1421]

Okay I was wondering how would I know which one is fit for me because I’m lowkey Sstill confused a lil bit and Getting top surgery in few months

[@genderconfirmationcenter]

I am glad you watched this and found this helpful. Please also consider checking out our website's Before & After gallery for more realistic results of individuals that have had a periareolar incision top surgery with our team here: www.genderconfirmation.com/before-after/

[@kevlantaykekona1421]

Dr. Scott Mosser, Transgender Top Surgeon see y’all have good work on others are you located in riverside or some where else and How would I know which one fit for me because I seen and heard double incision are for people with big breast

[@Aaaahhhhhhhh977]

I want this so bad But I cant because of my transphobic family 💔💔 I'll never be myself 💔 I hate my life

[@genderconfirmationcenter]

I'm sorry to hear that. Please know that we are always here to answer questions & provide resources for support. Our website is full of fantastic resources, but we can also connect you with resources extending beyond medical care! Thanks for reaching out here