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Nipple sensation may be partially retained and you avoid any issues with nipple grafts. It should also have an aesthetically pleasing male contour be fully sensate and result in minimal scarring. 49 Year Old Male 1 Year After Gynecomastia Procedure With Peri Areolar Keyhole Incisions And Vaser Liposuction Wi Gynecomastia Liposuction Plastic Surgery Before chest reconstruction surgery. Keyhole surgery ftm . Most ftm surgeons offer these techniques if you fit an a cup or small b cup although some surgeons will offer the peri areolar technique up to a aa cup or 120grams of tissue. The three key variables affecting surgery style are skin elasticity chest size and preference. With keyhole surgery the nipple stalk is usually left intact though some surgeons will resize the nipple itself. For any kind of surgery you need to be both physically and psychologically ready. The procedures are performed with incisions smaller than those used in normal surgeries and doctors use smaller ...