Surgical Details of Short Scar Gynecomastia Male Breast Reduction Surgery

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The following material on this page is graphic in nature. Please skip if explicit surgery pictures bother you.

Learn more about this patient and view before and after surgery photographs. Short scars can be important for artistic male breast sculpture. Large glandular masses can be removed through a short incision.

Here Dr. Bermant uses a 2 cm incision to remove a gland that measured 6 x 3 x 1 cm. The skin stretches and the mass can be carefully removed through this smaller incision. This mass was almost all gland with very little fat.

Picture during gynecomastia surgery and male chest sculpture small scar technique.

Here you can see the size of the small incision.

Picture during gynecomastia surgery and male chest sculpture small scar technique.

Liposuction contours the crater wall of fat that surrounded the denser gland and also contributed to the female shape of this man's chest.

Picture during gynecomastia surgery and male chest sculpture small scar technique.

The male chest should move naturally. Skin scared to muscle does not move naturally. Good male chest sculpture leaves a layer of fat under the skin above the muscle. The thickness of this layer should be close to that found in surrounding tissues. Here Dr. Bermant assesses the thickness of this layer during gynecomastia surgery.

	Picture during gynecomastia surgery and male chest sculpture small scar technique.

There was no fat left under the areola. The extra thickness causing the female distortion was all gland. Dr. Bermant brings surrounding fat under the areola to produce a natural final contour.

Picture during gynecomastia surgery and male chest sculpture small scar technique.

Fat sculpture can result in some distortions as a typically circular deformity is closed. These "dog ears" under the skin can result in distortion. Here Dr. Bermant uses microcannula liposuction to fine tune the sculpture.

Picture during gynecomastia surgery and male chest sculpture small scar technique.

Sculpture of the deeper skin tissues reduces the tension of the surface of the wound. To minimize significant scars, this suturing must be done very carefully. Here Dr. Bermant is using dissolvable sutures to close the skin.

Picture during gynecomastia surgery and male chest sculpture small scar technique.

Special paper tapes (SteriStrips) finish the skin closure. A nonstick Telfa layer protects the SteriStrips, wound, nipple, and areola from the plastic dressing

Picture during gynecomastia surgery and male chest sculpture small scar technique.

A plastic dressing seals the sculpture. Picture during gynecomastia surgery and male chest sculpture small scar technique.