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Hormone therapy usually adds hair and muscle mass, increasing the masculine appearance of the chest. The operation to masculinize the chest is called Subcutaneous Mastectomy because because most of the breast tissue is removed from beneath the skin. With a small breast little or no skin has to be removed, the operation is fairly simple and results in minimal permanent scars. If the areolae are large they can be reduced in diameter and if nipples project excessively, the amount of projection can be reduced. With a small breast, frequently only one incision around the areola is required, resulting in an almost invisible periareolar scar.

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