Surgical Details of Gynecomastia Male
Breast Reduction Surgery - Gland Excision
Surgical contouring of the chest wall is essential or there will be a
major contour defect. Dr. Bermant contours the surrounding tissue with liposuction. In some cases deeper tissue
is rearranged under the breast to further even the contour.
Warning:
The following material on this page is graphic in nature. Please skip
if explicit surgical details bother you.
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Photograph of initial injection of local anesthesia is with a
long very skinny needle. Additional local may be infiltrated with
this needle or a special long cannula with many holes. |
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An incision is made through the lower part of the areola. The areola chest interface is a good place to hide a scar. |
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Scissors dissection of the glandular mass away from the nipple areola complex. |
The glandular component of gynecomastia can be removed by direct excision.
The exposure is a small incision at the lower portion of the areola. A
scalpel is seen in the photo on the left.
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The mass is now almost free. |
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The excised glandular component. This is firm tissue and has
no fat component. |
The mass is larger than the incision. It is pulled through during its
dissection as seen in these photos.
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Surrounding tissue feathered with liposuction during the operation. |
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The wound is now closed in layers with sutures. |
