Keyhole Mastectomy
What is Keyhole Mastectomy?
Keyhole Mastectomy is a gender-affirming chest surgery designed for transgender men and non-binary individuals with small chest sizes and good skin elasticity. Unlike other mastectomy techniques, this procedure involves a small incision around the areola to remove breast tissue, leaving minimal scarring. The nipple and areola remain attached, preserving sensation and a natural appearance.
Why Choose Keyhole Mastectomy?
- Minimally invasive – Only a small incision is made around the areola.
- Minimal scarring – No large chest incisions.
- Preserves nipple sensation – Since the nipple remains attached.
- Faster healing – Recovery is typically quicker than other mastectomy techniques.
Am I Ready for Keyhole Mastectomy?
- Aged 18+ (or as per local medical guidelines).
- Small chest size (A or small B cup) and good skin elasticity.
- No major medical conditions that could affect healing.
- Non-smoker or willing to quit before surgery to aid recovery.
- Realistic expectations about results and healing.
- Understanding of post-operative care and potential risks.
- Strong emotional support system for recovery.
- A gender dysphoria diagnosis (if required by medical regulations).
What Happens During Keyhole Mastectomy?
A personalised consultation will assess your medical history, chest size, and surgical goals to determine if Keyhole Mastectomy is the right procedure for you.
The procedure is performed under general anaesthesia, ensuring a pain-free experience.
- A tiny incision is made near the areola.
- Breast tissue is removed through liposuction or direct excision.
- The chest is sculpted for a natural, masculine appearance.
- The incision is closed with dissolvable sutures.
The surgery usually takes 1.5 to 3 hours, depending on individual factors.
Recovery Timeline
- Mild swelling, bruising, and discomfort are normal.
- A compression binder must be worn to support healing.
- Avoid lifting arms above shoulder level.
- Return to light activities after 2-3 weeks.
- Avoid heavy lifting and strenuous exercise.
- Attend regular follow-up appointments.
- Swelling reduces and final chest shape settles.
- Scars fade and become less noticeable.
- Nipple sensation may gradually return.
Benefits of Keyhole Mastectomy
- Minimal scarring – Small, well-hidden incision.
- Retains nipple sensation – No nipple grafting required.
- Natural-looking results – Suitable for small chest sizes.
- Faster recovery – Less downtime compared to other techniques.
Schedule Your One-on-One Session
Frequently Asked Questions
Will I have visible scars?
The only scar is a small incision around the areola, which fades over time.
How long must I wear a compression binder?
Typically 4 to 6 weeks to aid healing and reduce swelling.
When can I return to exercise?
Light activities after 2-3 weeks, and full exercise after 6-8 weeks (as advised by your surgeon).
Will I lose nipple sensation?
Most patients retain sensation since the nipple is not removed or grafted.