Top surgery performed with a periareolar approach, ( otherwise known as “peri”).  The patient was not an ideal candidate for a short incision procedure since their breasts were a little larger than ideal.  Despite this the patient was highly motivated to avoid double incision scars.  The outcome has been good but on the 3/4 and side views there is a slight depression under the right nipple.  The patient is very happy with the result.   The photo was taken at 11 months.