Bermant Gynecomastia Male Breast Reduction Plastic Surgery
Revision gynecomastia surgery pictures during operation

Pictures During Secondary Gynecomastia Gland Excision, Scar Revision, and Male Breast Contouring - (gynecomastia, suction lipectomy, liposuction, liposculpture)

Explore chest contouring refinement after another doctor's surgery for gynecomastia - male breast deformity with surgery and liposuction. Plastic and cosmetic surgery by Dr. Michael Bermant, MD.

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

Repeat gynecomastia male breast reduction plastic surgery. Surgical Craftsmanship Revision male breast reduction for gynecomastia or bitch-tits. Your Special Needs Secondary male breast reduction surgery by liposuction for gynecomastia or bitch-tits. Individualized Education Repeat gynecomastia male breast reduction for enlarged breasts. Tender Care Breast reduction in men for gynecomastia or bitch tits. Personalized Service Gynecomastia male breast reduction. Become Comfortable Cosmetic Surgery Dr. Bermant Cosmetic Surgeon.
Advertisement

Surgical Details of Secondary Gynecomastia Male Breast Reduction Surgery - Scar Revision, Gland Excision, and Chest Contouring

Revision Gynecomastia Surgery - Important Information
Pictures of Scar Revision Before Secondary Gynecomastia Surgery Pictures of Scar Revision After Secondary Gynecomastia Surgery Photos of Scar Revision Before Revision Gynecomastia Surgery Photos of Scar Revision After Revision Gynecomastia Surgery Photos of Scar Revision During Redo Gynecomastia Surgery Pictures of Scar Revision and Gland Excoision During Redo Gynecomastia Surgery
Pictures of Revision Gynecomastia Surgery from the Front Redo Gynecomastia Surgery More Photos Photographs During Scar Revision and Gland Excision

Warning:

The following material on this page is graphic in nature. Please skip if explicit surgical details bother you.

Pictures of Secondary gynecomastia surgery Bermant Plastic Cosmetic Aesthetic Surgery
(Warning graphic images.)

Revision Gynecomastia Surgery - Dynamic Chest Sculpture

and Gynecomastia
Male Breast Reduction

Secondary gynecomastia surgery by Bermant Plastic Cosmetic Aesthetic Plastic Surgery
(Warning graphic images.)

It is easier to sculpt the male chest as the first surgeon. Balancing the contour when gland is a factor is much different when fat can be used as a structural element. Natural tissue movement uses the fat as a buffer between the skin and muscle. Even very thin people have a small fat layer. Scarred skin to muscle just does not move very well.

With normal primary surgery, Dr. Bermant can use surrounding fat to fill the void left by removing the thick glandular tissue. This fat under the areola and nipple looks better both at rest and in motion. After surgery, there is usually less fat to move around. Some doctors leave very little fat behind as in this case. Dr. Bermant avoids the need for revision gynecomastia surgery with an intense attention to detail for each patient. This patient had prior gynecomastia surgery by another doctor. More details about this patient

Pictures of revision gynecomastia surgery.In this particular revision, the patient needed a scar revision, one areola lowered, prominent dense gland removed, surrounding fat liposuction, and the remaining fat sculpted into the void under the areola and nipple. On one side there was inadequate fat left by the other doctor forcing some gland to be used as the spacer between the skin and muscle.

 

Pictures of secondary gynecomastia surgery with scar revision.

Superficial anesthesia with a long fine needle is important start in secondary gynecomastia when scar tissue can make work tough.

A microcannula with a pointed end was used for instilling the tumescent anesthesia. The small size and pointed tip permitted fine control over fluid placement in tissue scarred by prior surgery.

Pictures of revision gynecomastia surgery with scar excsion.

Dr. Bermant normally does not make such a large incision for his male chest sculpture. However, when performing a scar revision, an unsatisfactory old scar must be either excised or left in place.

Secondary gynecomastia surgery, pictures during operation.

Dr. Bermant's typical scar for gynecomastia surgery is only about 2 cm instead of the 4 cm in this case

Secondary gynecomastia surgery, pictures during revision operation with scar revision.

Picture of scar excised during secondary gynecomastia surgery.

Repeat gynecomastia surgery, pictures during revision with scar excision.

Picture after scar excision during repeat gynecomastia surgery.

In this patient there was a large gland fragment remaining after the first doctor's operation. In these pictures, the white firm gland is dissected first from the nipple areola and then from the surrounding fat.

Secondary gynecomastia surgery, pictures during scar excision and revision operation.

Pictures during secondary gynecomastia surgery.

Pictures of gland excision during revision of another doctor's gynecomastia surgery.

Pictures after scar excision during repeat gynecomastia surgery.

On this side there was enough surrounding fat to remove most of the gland. A thin layer remained under the areola.

Excess fat was contoured with secondary microcannula liposuction. Such revision surgery again must deal with the scar tissues from the prior surgery.

Revision gynecomastia surgery, pictures during operation.

Dr. Bermant then sculpted the surrounding fat back under the nipple areola. Without such sculpture, there would have been a severe depression. Fat also provides a good dynamic buffer so that the skin can move over the muscle without tethering.

Gynecomastia surgery, pictures during revision operation.

Secondary gynecomastia surgery, pictures during operation.

Pictures during revision gynecomastia surgery of surrounding fat being drawn into the defect under the areola with sutures.

Moving attached fat with a blood supply is much more reliable than fat grafts (moving fat in from other parts of the body).

Repeat gynecomastia surgery, pictures during surgery.

During revision gynecomastia surgery, pictures of deep skin repair.

Pictures during surgery, repeat gynecomastia surgery.

Pictures of skin closure during secondary gynecomastia surgery.

 

Deep dermal tissues and superficial skin are then repaired with dissolvable sutures.

Here the gland and scar are shown after the secondary gynecomastia surgery. This does not include the fat liposuctioned from the surrounding regions.

Pictures during secondary gynecomastia surgery.

Continue with more pictures during this secondary gynecomastia surgery.

Bermant Plastic Cosmetic Aesthetic Surgery
(Warning graphic images.)

Revision Gynecomastia Surgery - Dynamic Chest Sculpture

and Gynecomastia
Male Breast Reduction

Bermant Plastic Cosmetic Aesthetic Plastic Surgery
(Warning graphic images.)

Advertisement

Site
Map

Search
This Site

How to
Learn More

Dr. Bermant

Bermant Plastic Surgery Encyclopedia.

Prices

Body Shaping
Without Surgery

Guide to
Richmond

How To Choose Your
Plastic Surgeon

Bookmark and Share This Resource.

 
Our Encyclopedia
Our Facebook Page
Like This Page

Bookmark Facebook Google Yahoo Bookmarks BlinkList Technorati Reddit Mixx MySpace Diigo Delicious

Integrated Discussion Board
If you like what you see and have learned here, come join our A Body Beautiful Plastic Surgery Forum: a meeting place for

  • those with concerns,
  • those willing to share experiences,
  • and doctors with a passion for certain problems to demonstrate their solutions.

Follow us on Twitter, , Linked in, and Facebook.

Send E-mail to Dr. Bermant

Michael Bermant, MD
Retired Plastic Surgeon

Social Networking

Retirement and Closure of Practice as of 8/31/2011.

ASPS - American Society of Plastic Surgeons

Life Member of the American Society
of Plastic Surgeons, Inc.

Shop at The Surgery Store for your skin care, comfort, and recovery needs.

Hear Dr. Bermant's Multimedia Lectures in your community

Find this site useful? Tell a friend!

Search our Book Store

© 1996-2013 Michael Bermant, MD

Legal Information - Privacy Policy - Using Before After Photos

This page last updated on: January 10, 2013

ASAPS - American Society for Aesthetic Plastic Surgery

Life Member of the American Society
for Aesthetic Plastic Surgery, Inc.
Board Certified American Board PS Board Certified American Board
of Plastic Surgery