|Superficial Fascia System (SFS) extends from the Dermis to the Muscle Fascia and suspends the male breast, also called Cooper's Ligaments.|
The gland is usually centered under the Areola and is often attached to the Nipple as shown on these drawings. The gland continues extending filmy fingers into the surrounding Fat. Check out the shape of gland in Male Mammogram. The actual shape and proportions of the Male Breast Gland can vary in each breast and each individual as seen in this Gynecomastia Gland Photo Gallery.
Treatment of gynecomastia depends on the problem. Dr. Bermant prefers a dynamic approach in the operating room, blending techniques for that breast's unique problems.
Liposuction works well on fat alone but does not manage glandular tissue well. If there is significant gland, a lump or mass will remain after liposuction. Glandular mass is best removed through an incision at the lower edge of the areola. This can create a crater defect if that is the only treatment. You can see typical remnants of fat around the glandular tissues in the above drawing as you move your cursor over the arrows. The remaining fat is first liposuctioned and then sculpted with sutures by Dr. Bermant into the remaining defect. To begin your education, view cases, and see images of the surgery, follow the links below. However, the best place to explore issues about your breast is during a consultation. Call our office to schedule an evaluation.