For Standard Photos of the unoperated male chest, please start here.
For Standard Pictures to evaluate drooping male chest and male mastopexy start here. For those who can provide movies, check our Standard Videos to document the Male Chest.
Dr. Bermant evaluates patients from around the world for gynecomastia revision surgery. We try to make this process easier with a preliminary remote package. That way our patients can feel comfortable with us before traveling to Richmond. You will need to fill out forms, provide us information about your concerns and pictures. These images can be in JPEG or JPG compressed format or actual photographs. (You will need to include return postage if you want the actual photographs returned). There is a fee for this preliminary evaluation.
Check List for Technique Issues - Chest Photos for Gynecomastia |
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Fill the image with the breast(s). It is very difficult to analyze the breast on an image that includes the entire body. Detail is lost if the important information occupies only a small part of the frame. Both breasts should be on the same image unless you are including an additional view of a detail you want to demonstrate. |
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If using flash, point the flash so that the shadows do not obscure the important breast outline. This is done by having camera mounted flash on the same side as the breast and the camera towards the body. This is not as great a concern when no flash is used. | |
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Focus the camera. The chest / breast are what should be most in focus. You may need to take the camera off of its automatic setting to get the nipple in focus. Blurred images are difficult to evaluate. |
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Do not use a mirror to take the pictures. | |
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If cold or stimulation are factors, make sure the room is warm, the areola muscle relaxed, and the puffy nipple problem can be seen. | |||
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Choose your background carefully. Pick an uncluttered background with no mirrors. A mirror or glass surface can reflect a flash and make photographs difficult to evaluate. A plain matte background is best. Avoid background clutter. Try to pick a contrasting flat background behind you that does not detract from the chest. |
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Please check your images before sending them to us. You should be able to clearly see your problem on your images. For a Preliminary Remote Discussion to be effective, Dr. Bermant needs to see pictures that demonstrate your concerns. |
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Check List for Standard Images for Dr. Bermant's Revision Gynecomastia Male Chest Surgery (14 Picture Set) |
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Frontal Picture | |
Frontal Arms Over Head Picture | |
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Frontal Arms on Hips Pectoral Muscles Relaxed | |
Frontal Arms on Hips Pectoral Muscles Tense | |
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Left Oblique Showing Pectoral Muscles Relaxed Picture | |
Left Oblique Showing Pectoral Muscles Tightened | |
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Right Oblique Showing Pectoral Muscles Relaxed Picture | |
Right Oblique Showing Pectoral Muscles Tightened | |
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Left Lateral (Side) Showing Pectoral Muscles Relaxed Picture | |
Left Lateral (Side) Showing Pectoral Muscles Tightened | |
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Right Lateral (Side)Showing Pectoral Muscles Relaxed Picture | |
Right Lateral (Side)Showing Pectoral Muscles Tightened | |
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Scars Close Up Details Relaxed | |
Scars Close Up Details Tense | |
The photos must include AT LEAST as much as in these images. The view should extend from the neck to the abdomen. The arms should be at the sides except where indicated to evaluate symmetry (evenness). Holding the camera in one arm makes it impossible to determine any differences between the left and right sides. |
For Details about each image, please check the examples below. If there is something you feel is best demonstrated by a specific different view, please include that detail. We are interested in your concerns. |
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Frontal Picture |
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Arms over Head View |
The frontal view should have the body parallel to the camera film plane. Side photos should be perpendicular to the camera film plane. Side and oblique views should have the arms at the sides.
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Front Arms on Hips Pectoral Muscles Relaxed |
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Front Arms on Hips Pectoral Muscles Tightened |
Front views with muscles at rest and tense can sometimes show the mass more. The tensing pushes the mass out. This photograph can also show what the muscles contribute to the problem.
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| Right Side Picture Pectoral Muscles Relaxed | Right Side Picture Pectoral Muscles Tightened |
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| Left Side Picture Pectoral Muscles Relaxed | Left Side Picture Pectoral Muscles Tightened |
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Left Oblique Picture Muscles Relaxed |
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Left Oblique Picture Muscles Tense |
Oblique pictures should be at 45 degrees and half way between the frontal and side photographic views. This view shows the meridian muscle contour along the nipple projection.
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Right Oblique Picture Muscles Relaxed |
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Left Oblique Photograph Muscles Tense |
Images only show up so much detail and do not replace the in office examination and evaluation. Dr. Bermant needs to feel and observe the tissue:
- breast mass and nature of this tissue
- any excess fat
- how loose / tight
- how it moves
- how elastic
- scars
- possible numb or sensitive areas
Ask our office about the prices for our preliminary evaluation packages where we evaluate images, medical history, and have a preliminary telephone discussion before traveling see us. The best way to find out what plastic surgery has to offer is with an in office consultation and evaluation. That way we can learn about your medical condition, evaluate the deformity, propose the various options, and discuss the relative risks and benefits of the alternate methods of care.
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Revision Gynecomastia SurgeryGynecomastia |
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