Surgical Details of Secondary Male Chest Surgery for Gynecomastia - Scar Revision Gland Excision and Chest Contouring
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The following material on this page is graphic in nature. Please skip if explicit surgical details bother you.
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Revision Gynecomastia Surgery - Dynamic Chest Sculptureand Gynecomastia |
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| Photographs of scar excision during revision secondary male breast surgery |
After scar excision photograph |
Secondary male breast surgery must be individualized to the specific problem of that side of the male chest. The other surgeon left little fat on this side. Dr. Bermant normally only uses a 2 cm incision for his gynecomastia surgery. The unsightly scars from the prior surgeon forced the wider excision.
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| Photographs of separation of areola skin from gland during secondary gynecomastia male breast surgery |
Gland excised, muscle seen with little fat after secondary male chest surgery |
Dr. Bermant's has left extra gland tissue on the areola anticipating an eventual deficit. It is easier to take away than put back. After the gland excision, the underlying muscle can be seen in the wound.
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Photographs of t temporary sutures permit definition of what needs to be contoured. |
Temporary sutures permit a determination on what extra fat tissue remains. Microcannula liposuction gave a precision to this fat sculpture.
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| Photograph of trimming extra glandular tissue under areola |
No extra fat to approximate under areola means less natural movement |
Now that the final thickness has been determined, extra gland thickness can be trimmed. Closure incorporated the gland to the surrounding fat. An alternative choice might have been fat grafts from another region. These are less reliable than local fat flaps.
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Photographs of layered closure during secondary male breast surgery. |
Photograph of gland and scar excised on this side. |
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Revision Gynecomastia Surgery - Dynamic Chest Sculptureand Gynecomastia
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