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

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.