Introduction: A Breast lump is a major health concern amongst women and Fibroadenoma (FA) is the second most common tumor in the breast and is the most common tumor in women younger than 30 years and only surgical resection is curative. The conventional surgical excision is through an overlying incision of the mass and then developed another incision location due to cosmesis concern which is through a periareolar incision. Case Presentation: 27-year-old woman with painless slowly growing bilateral multiple breast lump for 1 year. On physical examination we found bilateral multiple solid masses, with 6 masses on the lateral inferior quadrant, lateral superior quadrant, medial superior quadrant on the right breast, and 4 masses on the same quadrant of the left breast, well-circumscribed, mobile. From the ultrasound, we found well-defined echogenic thin-walled masses suggesting fibroadenoma. We perform multiple excision from the bilateral periareolar incisions. Discussion: Periareolar incision leaves less scar and better cosmetic resulted in higher satisfaction level among women. We found no complications such as nipple paresthesia, the collapse of the nipple-areola area, hematoma, skin necrosis with only 5 ccs of bleeding, and duration of the surgery same as conventional incision. Conclusion: Periareolar incision for removal of the bilateral multiple FA is a favorable technique and recommended.