Many friends with enlarged breasts always ask during pre-operative consultations, “Is it minimally invasive surgery and how big is the incision?” Today we will talk about minimally invasive incisions! First, how big is the incision “minimally invasive”? Minimally invasive means less invasive and smaller incisions. Some doctors call an areolar circumferential incision (2-3 cm) minimally invasive in male breast surgery, but in fact, an incision in millimeters is truly “minimally invasive”. Second, where is the minimally invasive incision chosen so that there is no trace of surgery? The purpose of all plastic surgery is to beautify the appearance without leaving surgical traces. Therefore, there are two core issues: minimizing the incision and the most concealed incision location. The surgeon’s experience, skill level and understanding of the neurovascular anatomical basis of the nipple areola will be decisive for the post-operative results. An experienced surgeon can make incisions of 2-3 mm. The location of the incision is based on the neurovascular anatomy of the nipple areola, and the smaller the incision the less impact on blood flow and the less chance of ischemic necrosis of the nipple areola. Since the fourth intercostal sensory nerve innervating the nipple areola penetrates the lateral areola, an incision in the lateral areola or in the upper or lower outer quadrant may cut the sensory nerve endings and affect the sensation of the nipple areola. A large number of clinical anatomical data show that the sensory nerve fibers in the lower 1/4 of the areola have the least penetration, so the choice of our areolar incision is made in the medial or lower medial areola to minimize nerve damage!