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Getting Technical: Nipple and Areola Positioning - Printable Version

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Getting Technical: Nipple and Areola Positioning - Joshua - 02-22-2022

On a male chest, the Nipple-Areola Complexes (NAC) are farther apart compared to a female chest.

"It is very important to place the nipple areola in a masculine position at the lateral border of the pectoralis muscle," says Florida-based Top Surgery surgeon Dr. Russell Sassani. "In a cis gender woman, the nipple is in the breast meridian, but in a cis gender male, the nipple areola is laterally placed on the pec. These aesthetic insights will give the optimal outcome to achieve the best result for chest masculinization."

However, there is no consensus among surgeons as to the best practice for positioning the NAC.

Dr. Jonathan Keith, a gender surgeon in New Jersey, says that the NAC can end up being positioned too high and/or too close to the center of the chest when surgeons rely solely on aesthetic intuition. Dr. Keith has developed a three-step technique for optimal NAC positioning in transgender chest masculinization. View the details here.

Don’t assume that you and your surgeon will be on the same page about nipple and areola placement! Make it a priority to discuss this important topic at your consultation.