Gynecomastia and Excess Skin
Excess skin must be considered when planning chest sculpture in men. An enlarged male breast is not just the gland and fat. The skin envelope can also be part of the problem. For small breast enlargement and reasonable skin tone, this is rarely an issue. Normal skin does contract up to a point and for an average gynecomastia breast reduction, minimal access points are needed.
However, large male breasts do have excess skin that will just not shrink enough. This means there is a trade off between possible loose skin after surgery and the scars of skin sculpture. To remove the excess, there needs to be an exit point and scar. Skin removal plans are limited by the need to keep remaining structures alive with an adequate blood supply. Folding the dermis (tissue just under the outer skin) is a common technique in breast surgery designs. This need may result in folded blood supplying structures under the skin that may add bulk and must be part of the three dimensional sculpture plan.
There are many different surgical options. Most follow the general patterns found in mastopexy breast lift surgery. When there is minimal excess, we try to hide the scars at the interface between the areola and normal chest skin.
- Dr. Bermant's Short Scar Internal Male Mastopexy
- Incisions around the areola
- Extension of the incisions down the chest in a short scar type pattern
- Full anchor type incisions
- Transverse chest incisions
Explore Male Breast Ptosis or Sagging Breasts in Men 
Photos Short Scar Breast Lift 
Photos Before and After Short Scar Male Breast Lift and Reduction 
Photos Short Scar Mastopexy and Breast Reduction Gland and Plan 
Short Scar Internal Male Mastopexy Breast Lift for Drooping and Sagging 
Removing excess loose tissue of the male chest can sometimes best be done hiding scars about the areola. A donut shape skin excision results in a wound that has a large circle that needs to be cheated into a smaller areola. This results in wrinkling of tissues that can last some time. Tensions on the tissues can result in size change over time. Permanent suture may help keep the planned size. Asymmetry and irregular shape can also happen. Only so much extra skin can be removed with this process.
Larger skin excess just can't be handled well with the donut technique.
There are many variations possible for the short scar technique lax skin sculpture reduction. This is a Regnault Type B pattern that results in a vertical component and extending towards the sides of the chest. It can manage much more redundant skin than the donut technique but not as much as the full anchor. The advantage is that the scars in the center of the chest are avoided.
Double Scar Skin Reduction Chest Lift combines a scar around the areola with another at the lower edge of the pectoral muscles. 
The problem is that any extended scars are a compromise on the exposed male chest.
Learn more about this Skin Reduction Male Chest Lift after massive weight loss.
Pictures Healing Male Chest Lift 
Pictures Reduction Male Breast Lift 
Pictures Male Sagging Skin Chest Lift after Weight Loss 
Close-Up Pictures Scars Skin Reduction Chest Lift 
Nipples Sagging Skin Reduction Chest Lift 
Details of Male Skin Reduction Chest Lift Surgical sculpture on an unoperated chest are easier than after another doctor's surgery.
A full anchor scar technique permits the removal of even more loose skin of the male chest than one of the short scar methods. Incisions extend both towards the central chest and to the sides.
It is a matter of degrees: how bad is the problem and are the scars worth the solution?
For some, the scars are no major issue. Massive hanging skin draping in a fold just looks much worse than contour reduction scars. For a male losing a large D cup size breast, scars around the areola extending as in the various mastopexy lift contour operations, are also an easy tradeoff. For problems less extensive, will the scars be acceptable? That is really hard to predict.
This is a problem that just needs to be evaluated during an examination. Standard Male Chest Lift Photographs can be a starting point, but the in office evaluation is best for examining elasticity, skin tension, and laxity. There is much to learn about this problem. If you are interested in learning more, call our office during regular office hours for an appointment. After an examination and evaluation Dr. Bermant will be better able to help you explore your options.
 | Male Mastopexy Chest LiftGynecomastia |  |
