Bermant Gynecomastia Male Breast Reduction Plastic Surgery
Bermant Gynecomastia and Loose Skin Reduction in Men

Excess Skin and Gynecomastia of the Male Chest

Explore breast reduction for gynecomastia - male chest sculpture and liposuction. Plastic and cosmetic surgery by Dr. Michael Bermant, MD.

Michael Bermant, MD
Board Certified by the American Board of Plastic Surgery

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Gynecomastia and Excess Skin

Excess skin must be considered when planning chest sculpture in men. An enlarged male breast is not just the gland and fat. The skin envelope can also be part of the problem. For small breast enlargement and reasonable skin tone, this is rarely an issue. Normal skin does contract up to a point and for an average gynecomastia breast reduction, minimal access points are needed.

However, large male breasts do have excess skin that will just not shrink enough. This means there is a trade off between possible loose skin after surgery and the scars of skin sculpture. To remove the excess, there needs to be an exit point and scar. Skin removal plans are limited by the need to keep remaining structures alive with an adequate blood supply. Folding the dermis (tissue just under the outer skin) is a common technique in breast surgery designs. This need may result in folded blood supplying structures under the skin that may add bulk and must be part of the three dimensional sculpture plan.

There are many different surgical options. Most follow the general patterns found in mastopexy breast lift surgery. When there is minimal excess, we try to hide the scars at the interface between the areola and normal chest skin.

It is a matter of degrees: how bad is the problem and are the scars worth the solution?
For some, the scars are no major issue. Massive hanging skin draping in a fold just looks much worse than contour reduction scars. For a male losing a large D cup size breast, scars around the areola extending as in the various mastopexy lift contour operations, are also an easy tradeoff. For problems less extensive, will the scars be acceptable? That is really hard to predict.

This is a problem that just needs to be evaluated during an examination. Standard Male Chest Lift Photographs can be a starting point, but the in office evaluation is best for examining elasticity, skin tension, and laxity. There is much to learn about this problem. If you are interested in learning more, call our office during regular office hours for an appointment. After an examination and evaluation Dr. Bermant will be better able to help you explore your options.

Bermant Plastic Cosmetic Aesthetic Surgery

Male Mastopexy Chest Lift

Gynecomastia
Male Breast Reduction

Bermant Plastic Cosmetic Aesthetic Plastic Surgery
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This page last updated on: January 10, 2013

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