The Male Nipple Areola Examination
Move over the question marks to learn more. The set of Photos on the wall varied depending on the patient's problem. These were my Standard Gynecomastia Pictures, the set with the surgical plan markings. There was also a framing shot for the video so I could better match my after movies to the before surgery camera settings.
Areola Diameter and Nipple Projection Measurements
Here the caliper was set to the areola diameter measurement from before surgery. This graphically documents the degree of shrinkage this patient had with his surgery.
The caliper then was used to measure this dimension. The difference in each aspect varied from patient to patient.
Nipple Projection Documentation
The caliper measures how far the nipple is above the areola chest skin junction and shows just how far his puffy nipples
projected before surgery.
Documentation of Areola Diameter
This size shrinkage seen was amazing, and different for each patient. Just how much the nipple changes varies by surgeon's technique. After the demonstration for the patient, I then recorded the current measurement on the chart. This measurement documentation was a component of my analysis and evolution of my Dynamic Technique to target the gland first. Gland left attached in other surgeon's methods "to support the areola" leaves a firm structure that does not permit as much shrinking of the areola skin / muscle layers.
In addition, the patient was given immediate feedback as to just what has been accomplished. The emotions I saw the patients express during the demonstration were so positive, I included this demonstration as a component of the emotional healing education. Here is a method to check just how well a technique actually works.
The before surgery Male Breast Examination also included assessment of the deeper structures and how tissues moved. Rarely this was supplemented, when indicated, with Gynecomastia Testing to help with the diagnosis.