Pictures of Healing Tissues after Scar Revision and Repeat Breast Reduction for Regrowth from Undiagnosed Adrenal Genital Syndrome.
35 year old patient has lived his life as a male but was a genetic XX chromosome female with undiagnosed Congenital Adrenal Hyperplasia (CAH). His breasts grew back after a another surgeon performed a breast reduction several years before. The patient complained that his "gynecomastia which is interfering with my self esteem, confidence and is prohibiting me from enjoying life as I would like i.e. no shirt, swimming." He wanted "a normal society accepted appearance of my chest. To feel more comfortable with it." He wanted to avoid "having to layer clothing and stay away from the beach and pools." To learn more about this patient, start here.
Dr. Bermant prefers techniques that minimize swelling and bruising.
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Breast Growth from Congenital Adrenal Hyperplasia Picture Before Female to Male Revision Top Surgery. |
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Picture 2 Months After Congenital Adrenal Hyperplasia Female to Male Revision Top Surgery. Healing and recovery are easier with less swelling. |
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Picture Plan for Congenital Adrenal Hyperplasia Female to Male Revision Top Surgery. |
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Picture Only 6 Days After Congenital Adrenal Hyperplasia Female to Male Revision Top Surgery. Note minimal bruising and swelling. |
Move Cursor Over Smaller Photos to see Large Before/After Pictures
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Breast Recurrence from Congenital Adrenal Hyperplasia, Picture Before Female to Male Revision Breast Reduction Surgery. |
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Picture 2 Months After Congenital Adrenal Hyperplasia Female to Male Revision Breast Reduction Surgery. Recovery continues, minimal swelling long resolved. |
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Picture Plan for Congenital Adrenal Hyperplasia Female to Male Revision Breast Reduction Surgery. Brown markings outline lower aspect pectoral chest muscles. |
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Picture Only 6 Days After Congenital Adrenal Hyperplasia Female to Male Revision Breast Reduction Surgery. Note minimal swelling and bruising. |
Move Cursor Over Smaller Photos to see Large Before/After Pictures
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Breast Growth from Congenital Adrenal Hyperplasia, Picture Before Female to Male Revision Chest Reconstruction Surgery. |
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Picture 2 Months After Congenital Adrenal Hyperplasia Female to Male Revision Chest Reconstruction Surgery. Scars are early in their healing and evolution. |
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Picture Plan for Congenital Adrenal Hyperplasia Female to Male Revision Chest Reconstruction Surgery. Prior surgeon's scars limit options for incision placement. |
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Picture Only 6 Days After Congenital Adrenal Hyperplasia Female to Male Revision Chest Reconstruction Surgery. Longer scar used to revise wide prior scar. |
35 year old XX Congenital Adrenal Hyperplasia individual living his entire life as a male
5 foot 4 inches tall weighing 157 pounds
Surgical Sculpture Issues:
- Breast Regrowth after another doctor's breast reduction.
- Diagnosis needed, appropriate work up found patient XX female and then
- Congenital Adrenal Hyperplasia managed to
- Minimize probability of recurrence.
- Confirm Intersex Identity Choice for this XX individual living as a male.
- Increase surgical safety by compensating for depressed adrenal function.
- Poor scars and suboptimal scar location from prior surgeon.
- Revision Male Chest Surgery
Location Surgery: Bermant Plastic and Cosmetic Surgery Center (Office Operating Room)
Anesthesia: Tumescent Local with Heavy Sedation
Method: Dynamic technique, excision mass (Right = 10.5 x 9 x 3cm, Left = 10 x 8 x 3cm), fat flap sculpture, Scar Revision, 274cc fat removed in addition to the excised tissue).
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Video Female to Male Revision Breast Reduction Before and After with Surgery Experiences |
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