What does this research mean for the field?

The superolaterally deviated eccentric circular (SDEC) incision design improves vertical nipple-areola complex (NAC) position compared to the laterally deviated eccentric circular (LDEC) design in chest masculinization surgery. Novelty: ClaimNovelty.NOVEL_FINDING. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

This research aims to evaluate the effects of two incision designs on the positioning of the nipple-areola complex in chest masculinization surgery.

March 2, 2026Open Access

Comparison of Lateral and Superolateral Eccentric Circular Techniques for Chest Masculinization Surgery: Effect of Incision Design on Nipple-Areola Complex Position

Key Points

This research aims to evaluate the effects of two incision designs on the positioning of the nipple-areola complex in chest masculinization surgery.
Compared lateral deviated eccentric circular and superolaterally deviated eccentric circular incision designs.
Evaluated NAC position post-surgery after both techniques.
Analyzed postoperative healing patterns and NAC displacement.
Superolaterally deviated technique showed improved vertical position of NAC post-surgery.
Lateral deviation was associated with medial drift during healing.
Overall outcomes highlight the importance of incision design in achieving desired aesthetic results.

Abstract

Objectives: Precise nipple-areola complex (NAC) placement is central to chest masculinization outcomes. A laterally deviated eccentric circular (LDEC) design was proposed to mitigate postoperative medial drift, yet clinical experience suggested relatively caudal healing. We compared LDEC with a superolaterally deviated eccentric circular (SDEC) design to test whether modest superolateral reorientation improves vertical NAC position while preserving lateralization.

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