21/08/2026
Bilateral Mastectomies with No Ni**le Grafts by Dr Steve Merten
For some people undergoing gender-affirming top surgery, a bilateral subcutaneous mastectomy may be performed without ni**le grafts. Whether this approach is appropriate depends on your individual anatomy, treatment goals, and clinical assessment.
During your consultation, Dr Steve Merten will discuss the surgical techniques that may be suitable for your circumstances, including incision options, the decision to preserve, reposition, or not reconstruct the ni**les where appropriate, recovery, expected scars, and the potential benefits and risks of surgery.
At Pure Aesthetics, we are committed to providing respectful, inclusive, and evidence-based care, supporting patients to make informed decisions about their treatment.
The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors including the individual’s genetics, diet and exercise.
All surgery carries risks and requires a recovery period and post-operative care regime including wearing of surgical garments.
More information is available from the relevant procedure page on our website.
You should seek a second opinion from a Specialist Plastic Surgeon before proceeding.
Dr Steven Merten is a Specialist Plastic Surgeon – AHPRA Registration: MED0001155669