Gynecomastia Big Glands Removed Through Small Incisions
This male patient wanted to reduce the size of his breasts and achieve a male contour. Big glands stretched the skin into a fold (inframammary fold) which gives a female like breast appearance - unnatural on a male chest.
19 year old male
6 foot 2 inches tall weighing 214 pounds
Location Surgery: Bermant Plastic and Cosmetic Surgery Center (Office Operating Room)
Anesthesia: Tumescent Local with Sedation
Method: Dynamic technique, excision mass (6.8 x 4.9 x 2 cm and 7 x 5 x 2.5 cm) small incision, microliposuction contouring, and fat flap sculpture
Small incisions hidden at the areola chest skin interface can still be used for a massive gland excision like that shown here.
The after surgery images are only 12 hours after surgery. This is very early with fluid in the tissue and swelling from sculpture. The massive gland tissue was excised through small incisions (less than 2 cm) at the lower edge of the areola. Please start here to learn more about this patient.
 |
Gynecomastia from Big Gland - Photographs before surgery with small incision and fat flap |
 |
Big Gland Gynecomastia Fat Flap Sculpture - Photographs 12 hours after small incision surgery. |
Dr. Bermant maps out the planned resection. This contour map of the deformity had big central glands.
 |
Gynecomastia from Big Gland - Photographs before surgery with small incision and fat flap |
 |
Big Gland Gynecomastia Fat Flap Sculpture - Photographs 12 hours after small incision surgery. |
Big glands can be excised through small incisions. Here Dr. Bermant hid the tiny incisions at the lower border of the areola and chest skin interface. He uses meticulous sculpture techniques to minimize and hide scars. These glands were firm and contained very little fat. By removing the glands first, Dr. Bermant can better sculpt a natural softer consistency under the areola.
Gynecomastia from Big Gland - Photographs after surgery through small incision at areola chest skin junction
Gynecomastia from Big Gland - Photographs after surgery through small incision at areola chest skin junction.Most of the remaining fat was needed to contour under the areola with fat flaps. Replacing the firm gland with vascularized fat can give a natural looking result that moves well and compresses like fat, not firm defatted gland.
 | Gynecomastia |  |
