Bermant Gynecomastia Male Breast Reduction Plastic Surgery
Photographs of big gland excised with small incision for gynecomastia of the male breast and sculpture with fat flap.

Gynecomastia Male Breast Photographs of Big Glands - Small Incision and Fat Flap Surgery

Explore breast reduction for gynecomastia - sculpting the chest with vascularized fat (fat that has a blood supply). Plastic and cosmetic surgery by Dr. Michael Bermant, MD.

Michael Bermant, MD
Board Certified by the American Board of Plastic Surgery

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Gynecomastia Big Glands Removed Through Small Incisions

This male patient wanted to reduce the size of his breasts and achieve a male contour. Big glands stretched the skin into a fold (inframammary fold) which gives a female like breast appearance - unnatural on a male chest.

19 year old male

6 foot 2 inches tall weighing 214 pounds

Location Surgery: Bermant Plastic and Cosmetic Surgery Center (Office Operating Room)

Anesthesia: Tumescent Local with Sedation

Method: Dynamic technique, excision mass (6.8 x 4.9 x 2 cm and 7 x 5 x 2.5 cm) small incision, microliposuction contouring, and fat flap sculpture

Small incisions hidden at the areola chest skin interface can still be used for a massive gland excision like that shown here.

The after surgery images are only 12 hours after surgery. This is very early with fluid in the tissue and swelling from sculpture. The massive gland tissue was excised through small incisions (less than 2 cm) at the lower edge of the areola. Please start here to learn more about this patient.

Photographs of surgical markings before gynecomastia surgery for big glands. Gynecomastia from Big Gland - Photographs before surgery with small incision and fat flap
Photographs of surgical map before gynecomastia surgery for large glands and small incision. Big Gland Gynecomastia Fat Flap Sculpture - Photographs 12 hours after small incision surgery.

Dr. Bermant maps out the planned resection. This contour map of the deformity had big central glands.

Photographs of surgical plan before gynecomastia male breast surgery for big glands. Gynecomastia from Big Gland - Photographs before surgery with small incision and fat flap
Photographs of surgical plan before gynecomastia male breast surgery for large glands. Big Gland Gynecomastia Fat Flap Sculpture - Photographs 12 hours after small incision surgery.

 

Photograhs of large glands and small incision after gynecomastia surgery.Photograhs of big glands and small incision after gynecomastia surgery of the male breast.Big glands can be excised through small incisions. Here Dr. Bermant hid the tiny incisions at the lower border of the areola and chest skin interface. He uses meticulous sculpture techniques to minimize and hide scars. These glands were firm and contained very little fat. By removing the glands first, Dr. Bermant can better sculpt a natural softer consistency under the areola.

Gynecomastia from Big Gland - Photographs after surgery through small incision at areola chest skin junction

 

After gynecomastia surgery, big glands from small incisions on male breast.

Gynecomastia from Big Gland - Photographs after surgery through small incision at areola chest skin junction.Most of the remaining fat was needed to contour under the areola with fat flaps. Replacing the firm gland with vascularized fat can give a natural looking result that moves well and compresses like fat, not firm defatted gland.

Big Gland Gynecomastia - Photographs before Small Incision Surgery and Fat FlapsBig Gland Gynecomastia - Photographs after Small Incision Surgery and Fat FlapsLarge Gland Gynecomastia - Photographs before Excision with Small Incision and Fat FlapsLarge Gland Gynecomastia - Photographs after Excision with Small Incision and Fat FlapsBig Gland Gynecomastia - Photographs before Excision with Small Incision and Fat FlapsBig Gland Gynecomastia - Photographs after Excision with Small Incision and Fat FlapsPhotographs Map and Marking before Gynecomastia Small Incision SurgeryBig Gland Gynecomastia Removed through small incision.

Photographs Big Gland Gynecomastia with Small Incision / Fat Flap

Photographs of Big Gland Gynecomastia with Small Incision - Fat Flap Surgery

Photographs of Markings and Small Incision Big Gland Excision with Fat Flap

Bermant Plastic Cosmetic Aesthetic Surgery

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This page last updated on: January 10, 2013

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