Top surgery performed through a keyhole approach. The incision was only on the bottom 180 degrees of the areola. A simultaneous nipple reduction was performed. The patient was a little larger than ideal for a keyhole approach but had an excellent result due to their excellent skin quality. Four month photo.
Gender Affirming Surgery Photos - Case #6211
Patient Case #6211
Before
![Gender Affirming Surgery Case 6211 Before Photo Gender Affirming Surgery](https://www.richardabartlettmd.com//files/2017/03/6211-43494-300x200.jpg)
After
![Gender Affirming Surgery Case 6211 After Photo Gender Affirming Surgery](https://www.richardabartlettmd.com//files/2017/03/6211-40032-300x200.jpg)
Before
![Gender Affirming Surgery Case 6211 Before Photo Gender Affirming Surgery](https://www.richardabartlettmd.com//files/2017/03/6211-40322-300x200.jpg)
After
![Gender Affirming Surgery Case 6211 After Photo Gender Affirming Surgery](https://www.richardabartlettmd.com//files/2017/03/6211-13331-300x200.jpg)
Before
![Gender Affirming Surgery Case 6211 Before Photo Gender Affirming Surgery](https://www.richardabartlettmd.com//files/2017/03/6211-95688-300x200.jpg)
After
![Gender Affirming Surgery Case 6211 After Photo Gender Affirming Surgery](https://www.richardabartlettmd.com//files/2017/03/6211-80996-300x200.jpg)