Pictures of Large Gland Removed Through Small Incision Male Mastectomy
This male patient was embarrassed with his large left breast and big nipple / areola. The problem started at about the age of 16 to 18 years old and has been stable in size since the age of 18. He is a bodybuilding enthusiast and exercising has aggravated the problem. The deformity looked worse when flexing his chest muscles and muscle building. He was dealing with his gynecomastia by wearing thicker clothing, extra layers of clothing, and avoiding chest exposure.
33 year old male
6 foot 2 inches tall weighing 180 pounds
Location Surgery: Bermant Plastic and Cosmetic Surgery Center (Office Operating Room)
Anesthesia: Tumescent Local with Sedation Left Breast Only
Method Left Breast: Dynamic technique, excision mass, liposuction contouring, and fat flap sculpture
Method Right Breast: No surgery performed
This was a very difficult sculpture. With one side normal, making a large breast reduction look similar to an operated side is asking for almost the impossible. There was mealy no fat, the deformity was almost entirely gland.
To learn more about this patient's unilateral gynecomastia please start here.
![]() | Pictures of map and surgical plan for unilateral gynecomastia. Only one side was involved. The patient's right side was normal, the left had a very large gland causing the contour problem. The sculpture was to perform a one sided mastectomy through a small incision to help minimize the surface scar. |
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| Pictures of large gland removed through a tiny incision during this unilateral mastectomy for gynecomastia. Just about the entire breast deformity was from the large gland. Extended fat flaps of the superficial facial system (SFS) were moved into the defect leaving a thin layer of natural fat instead of a cavity. |
Male Mastectomy - a large gland has been removed through a small incision.
Using a small incision to remove a big gland, can result in a tiny surface scar. Deeper tissues are also part of any sculpture. Dr. Bermant's fat flaps helped minimize the defect by moving adjacent fat into the resulting cavity. | ![]() |
![]() | Gynecomastia | ![]() |




























