Bermant Gynecomastia Male Breast Reduction Plastic Surgery
Bermant Gynecomastia Male Breast Reduction Cosmetic Surgery

Gynecomastia Treatment - Photographs During Liposuction Contouring Male Chest Tumescent Technique (suction lipectomy, liposculpture)

Explore surgical photographs during male breast reduction for gynecomastia - male breast 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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Surgery Details of Gynecomastia Treatment with Male Breast Reduction Surgery

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Warning:

The following photographs are graphic in nature. Please skip if explicit surgical details bother you.

A tough glandular mass is hard to remove with liposuction alone. All liposuction techniques (sharp cutting cannula, ultrasonic, VASER, power assisted PAL, and SMART) preferentially remove fat instead of gland. There are typically fingers of gland between fingers of fat. Liposuction alone tends to suck out the fat, condensing and leaving a firm gland mass behind. This firm mass can look bad on animation and leave a Puffy Nipple Deformity.

Open glandular excision can leave a crater defect. Liposuction contouring can even the fat creating a more natural contour. In cases of fat only gynecomastia, liposuction alone may be the only surgical technique needed.

Photograph tumescent liposuction of male breast fat for gynecomastia treatment.

Here Dr. Bermant sculpts the chest after an open excision of tough glandular tissue on both sides.

 

Male breast reduction with tumescent suction lipectomy surgical technique photograph.

The thin liposuction cannula is only 3 mm in diameter suctions the fat between the skin and the muscle. Dr. Bermant frequently uses microcannula liposuction for finesse and accuracy of treatment.

Dr. Bermant carefully sculpts the tissue to leave the same layer of fat found on the rest of the chest.

Fat suction for gynecomastia treatment of male chest surgical technique.

Dr. Bermant frequently tests the thickness of the remaining tissues during the suction lipectomy.

Dr. Bermant uses a map drawn on the patient's chest for a guide where the extra tissue is located.

Tumescent liposuction for male breast reduction surgery photos.Although the tumescent anesthesia technique has advantages, it can obscure the details of what needs to be done.

 

Liposuction with tumescent liposuction male breast reduction for gynecomastia.

With glandular excision, Dr. Bermant may need to contour the deeper remaining tissues with suture as part of the chest sculpting.

 

Tumescent fat suction for gynecomastia surgical technique pictures.

When no glandular excision is needed, the liposuction incision by the areola is very small - only a few milliliters in length.

The skin and underlying tissues are then closed with sutures. Near the surface, sutures are typically dissolvable.

A dressing is then applied.

 

Bermant Plastic Cosmetic Aesthetic Surgery

Gynecomastia
Male Breast Reduction

and Dynamic Chest Sculpture

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

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