Treatment Overview
Keyhole Top Surgery is a type of FTM (female-to-male) chest masculinization surgery designed for patients with small chest sizes and good skin elasticity. This minimally invasive procedure involves making a small incision along the lower border of the areola, through which breast tissue is removed. Because there is no need for large incisions or skin removal, this technique results in minimal scarring and a shorter recovery period compared to other top surgery methods.
In Korea, surgeons are known for their precision and scar-minimizing techniques, often combining keyhole top surgery with liposuction for chest contouring. Clinics also provide advanced aftercare programs such as scar treatments, 3D imaging, and personalized recovery plans, making Korea an increasingly popular destination for top surgery patients worldwide.
Purpose & Benefits
- Chest Masculinization: Flattens the chest by removing breast tissue.
- Minimal Scarring: Incision hidden along the areola’s edge.
- Faster Recovery: Less invasive than double-incision or inverted-T.
- Natural Results: Maintains skin elasticity for a masculine appearance.
- No Nipple Grafts Required: Nipples remain attached with preserved sensation.
- Confidence Boost: Enhances alignment with gender identity and improves quality of life.
Ideal Candidates
- Trans men, non-binary, and gender-diverse patients with small chest size (A–small B cup).
- Individuals with good skin elasticity and minimal sagging.
- Patients seeking minimal scarring and quicker recovery.
- Adults in good health and stable weight.
- Non-smokers with realistic expectations about surgical outcomes.
Possible Risks & Complications
- Temporary swelling, bruising, and soreness.
- Small scars around the areola.
- Slight risk of uneven contour or “dog ears” (rare in small chests).
- Nipple sensation changes (though less common than in free nipple grafts).
- Rare risks: infection, hematoma, or contour irregularities.
Techniques Used
- Keyhole Incision: Small incision along the lower half of the areola.
- Breast Tissue Removal: Tissue removed through the small opening.
- Liposuction (Optional): Helps contour the chest for smoother results.
- Areola Preservation: Nipples remain intact, avoiding grafts.
- Scar-Minimizing Closure: Fine sutures or medical adhesives for reduced scarring.
Recovery & Aftercare
- 1–2 weeks: Swelling and bruising begin to fade.
- 2 weeks: Most patients return to work and daily activities.
- 3–4 weeks: Resume light exercise (avoid chest workouts).
- 3–6 months: Final results become visible as swelling subsides.
Aftercare Guidelines:
- Wear a compression vest for 3–4 weeks to support healing.
- Avoid heavy lifting and strenuous chest activity during early recovery.
- Keep incisions clean and follow scar-care protocols (silicone sheets/creams).
- Protect scars from sun exposure to minimize pigmentation.
- Attend follow-up visits to monitor contour and healing.
Results & Longevity
- Flat, masculine chest with minimal scarring.
- Preservation of natural nipple sensation in most cases.
- Permanent removal of breast tissue.
- Long-lasting results when combined with stable weight and healthy lifestyle.
- Natural, discreet outcome that enhances body confidence.
Treatment Process in Korea
1. Consultation & Planning
- Surgeon evaluates chest size, skin elasticity, and patient goals.
- 3D simulations may be used to preview expected results.
2. Surgery Day
- Performed under general anesthesia.
- Small incision made along the lower edge of the areola.
- Breast tissue removed; liposuction may be added for contouring.
- Incision closed with fine sutures for minimal scarring.
3. Post-Operative Monitoring
- Compression vest applied immediately.
- Most patients discharged same day.
4. Follow-Up & Refinement
- Follow-ups at 1 week, 1 month, and 3–6 months.
- Optional scar care and minor touch-ups may be offered.
Why Korea is a Top Destination
- Surgeons skilled in minimally invasive top surgery.
- Clinics offer scar management programs (lasers, microneedling, silicone therapy).
- Affordable pricing compared to Western countries.
- Multilingual staff and discreet services for international patients.
- Comprehensive recovery packages including hotel stays, transportation, and VIP aftercare.
Cost Range
The cost of Keyhole Top Surgery in Korea depends on clinic reputation, surgeon’s experience, and whether liposuction is included.
Estimated Pricing:
- Standard Keyhole Top Surgery: USD $6,000 – $8,000
- With Liposuction Refinement: USD $7,500 – $9,500
- Premium Clinics (scar-care + VIP aftercare): USD $9,000 – $12,000
Additional Costs:
- Consultation & pre-op testing: USD $200 – $500
- Compression vests: USD $150 – $300
- Scar management programs: USD $300 – $800
- Medications & aftercare: USD $200 – $400
Popular Clinics
- Banobagi Plastic Surgery (Seoul): Specialists in minimally invasive top surgery.
- ID Hospital (Seoul): Offers keyhole with advanced liposuction contouring.
- JK Plastic Surgery Center (Seoul): JCI-accredited, premium top surgery services.
- View Plastic Surgery Clinic (Seoul): Experts in keyhole and scar minimization.
- JW Plastic Surgery (Seoul): Known for natural, subtle chest masculinization results.
