Gland Causing Male Puffy Areola and Gyno (Gynecomastia)
This 29 year old male did not like the way his nipples / areola puffed out. When cold or stimulated, the puffy areola / nipples flatten out. When warm or relaxed, the deformity was worse. He dealt with his deformity by constricting his nipples, wearing thicker clothing, extra layers of clothing, and avoiding chest exposure. He enjoys body building, but flexing his chest muscles made the nipple areola stick out.
The problem started about the age of 14. He had seen pediatricians who told him to "get off steroids" and it would improve. The problem was he never had taken steroids or body building substances. He went to a local Canadian plastic surgeon who told him noting should be done. However, the exam room was cold and the problem just did not show. The patient then went to another local plastic surgeon from Canada, but then decided to have his sculpture by Dr. Bermant in Virginia.
5 feet 10 inches tall weighing 170 pounds
Location Surgery: Bermant Plastic and Cosmetic Surgery Center (Office Operating Room)
Anesthesia: Tumescent Local with Sedation
Method: Dynamic technique, excision mass,liposuction contouring, micro-liposuction refinement, deep tissue sculpture, and fat flap sculpture.
To learn more about this patient, please start here. Pre surgical markings guide Dr. Bermant during his surgical sculpture. The outer line is about where the softer component of the deformity starts. The inner line is for the firmer component and often represents the gland, but may include firm fibro-fat.
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Photographs of before surgery plan for big puffy nipples from gynecomastia. |
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Photographs of before surgery plan for big puffy nipples from gynecomastia. |
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Photographs of before surgery plan for big puffy nipples from gynecomastia. |
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Photographs of before surgery plan for big puffy nipples from gynecomastia. |
Note the small incisions near the lower edge of the areola. This was the only access for this patient's sculpture. The dressings were just removed before the 9 day pictures and the red area is the result of the dressing removal. The minimal bruising can be seen here.
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Photographs of big puffy nipples from gynecomastia before surgery. |
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Photographs only 9 days after gynecomastia surgery for big puffy nipples. |
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Photographs of big puffy nipples from gynecomastia before surgery. |
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Photographs only 9 days after gynecomastia surgery for big puffy nipples. |
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Photographs of gland removed during puffy nipple reduction surgery. |
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Photographs of gland removed during puffy nipple reduction surgery. |
 | Gland was a major component of this patient's deformity. Gland size was 2.5 x 2 x 1.5 cm on the right, and 3 x 1.8 x 0.8 cm on the left. In addition 50 cc of fat was removed from each side (100 cc total, not including the gland specimens). |