Keyhole mastectomy, chest liposuction, and nipple reduction

This patient presented with gender dysphoria due to breast tissue and prominent nipples. Given their small breast volume and lack of excess skin, they were a candidate for keyhole mastectomy (incision placed on the lower edge of the areola) with chest liposuction to improve the overall contour and nipple reduction. They are pictured here at 6 months postop.