# An Innovative Method of Resizing the Nipple-Areola Complex in Subcutaneous Mastectomy: A Report of Three Cases

## TL;DR

This paper introduces a new method for resizing the nipple-areola complex during gender-affirming mastectomy, aiming to reduce scarring and improve male aesthetics.

## Contribution

The paper presents an innovative technique for resizing the nipple-areola complex during subcutaneous mastectomy.

## Key findings

- The method reduces scar burden while preserving innervation.
- It achieves acceptable male aesthetics in the nipple-areola complex.

## Abstract

Gender-affirming mastectomy (GAM), also known as ‘top surgery,’ is one of the pivotal procedures undergone by trans males. Most procedures described, such as subcutaneous mastectomy, address breast volume reduction adequately, but resizing the nipple and areola is still a challenge.

We describe an innovative method for resizing the nipple-areola complex, reducing the scar burden, and preserving innervation and acceptable male aesthetics.